Summary of the best evidence on non-pharmacologic management in improvement of dental treatment compliance in children
10.3969/j.issn.1671-8283.2025.04.009
- VernacularTitle:改善儿童口腔治疗配合度非药物管理的最佳证据总结
- Author:
Yanru LONG
1
;
Yuxin WU
;
Qiong YIN
;
Wenjing ZHANG
;
Lilin ZHAN
Author Information
1. 南昌大学护理学院,江西 南昌,330000;滕州市中心人民医院护理部,山东滕州,277500
- Publication Type:Journal Article
- Keywords:
children;
non-pharmacological management;
dental treatment;
compliance;
summary of evidence,evidence-based nursing
- From:
Modern Clinical Nursing
2025;24(4):63-70
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarise the best evidence on non-pharmacological management in children and to provide evidence-based guidelines for clinical practice.Methods With the 6S evidence pyramid model,a comprehensive and systematic search across multiple databases was conducted,including UpToDate,BMJ Best Practice,Joanna Briggs Institute of Australia's Centre for Evidence-based Health Care Database(JBI),National Guideline Clearing-house(NGC),Guidelines International Network(GIN),The National Institute for Health and Care Excellence(NICE)website,Scottish Intercollegiate Guidelines Network(SIGN),American Dental Association,Canadian Dental Association,Cochrane Library,CINAHL,Embase,PubMed,SinoMed,CNKI and Wanfang Data.The search focused on literature pertaining to the improvement of non-pharmacological strategies for compliance with paediatric oral treatment,encompassing clinical decisions,evidence summaries,clinical guidelines,systematic reviews,expert consensus,best practices,and randomised controlled trials.The literature search encompassed all available publications from the inception of databases up to 5th November,2023.A quality assessment of the literature was independently conducted by four researchers trained by evidence-based nursing courses,while evidence extraction and summarisation were handled by two researchers.Results A total of 16 papers were included,comprising 2 clinical decisions,2 evidence summaries,3 guidelines,5 systematic evaluations,1 best practice,2 expert consensus and 1 randomised controlled trial.Nineteen pieces of evidence were extracted and classified into six categories:outpatient setting,assessment and management of children,pre-treatment non-pharmacological management,in-treatment non-pharmacological management,post-treatment non-pharmacological management and training and assessment.Conclusion This study summarises the best evidences for non-pharmacological management aiming to improve the oral treatment compliance in children.Healthcare providers can facilitate the translation of this evidence into clinical practice by considering the specific clinical context as well as factors such as the age and psychological characteristics of children.
