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Evaluating the impact of caries prevention and management by caries risk assessment guidelines on clinical practice in a dental teaching hospital

机译：评估龋齿风险评估指南对牙科教学医院临床实践的影响

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Background Clinical practice guidelines on ‘ Dental caries prevention and management by caries risk assessment for pre-school children in Hong Kong’ were developed using ADAPTE process and Delphi consensus technique. This study aimed to evaluate the feasibility of disseminating and implementing the guidelines, and to evaluate their effectiveness in changing clinical practice. Methods The study was conducted in two phases, examining clinical records of pre-school aged patients being treated by non-academic clinical staff in the Paediatric Dentistry Clinic of a dental teaching hospital in Hong Kong. The clinical guidelines were introduced to the staff in a departmental seminar at the end of pre-intervention phase. Post-intervention phase began one month after the introduction of guidelines. Clinical records for three consecutive months were reviewed against standards and recommendations derived from the newly developed clinical guidelines in both phases. The results were assessed by Chi-square test, ANOVA and regression analyses. Results A total of 237 and 147 clinical records were reviewed in pre-intervention and post-intervention phases, respectively. Guideline adherence percentage increased significantly on almost all aspects of the guidelines in the post-intervention phase ( P Conclusions The developed guidelines were effective in translating evidence into best practice. The findings have implication for widespread implementation.
机译：使用Adapte Process和Delphi共识技术制定了背景技术“香港前儿童龋病风险评估”龋齿预防和管理的临床实践指南。本研究旨在评估传播和实施指导方针的可行性，并评估其在不断变化临床实践中的有效性。方法采用两阶段进行，检查香港牙科教学医院小儿科牙科诊所的非学术临床工作人员治疗前老年患者的临床记录。临床指南在介入前期阶段的部门研讨会中引入了员工。后期后期阶段开始引入指南后一个月。连续三个月的临床记录是针对两阶段新开发的临床准则的标准和建议审查。通过Chi-Square测试，ANOVA和回归分析评估结果。结果分别在预干预前和干预后阶段进行了237和147次临床记录。指南遵守率在干预后阶段指南的几乎所有方面都有显着增加（P结论，发出的指南在将证据转化为最佳实践方面有效。该调查结果对广泛的实施有所意义。

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