这项研究围绕一个值得麻醉医生关注的围术期临床问题展开。 因此，真正需要回答的问题是：微信小程序辅助工具评估：一种用于口腔颌面部恶性肿瘤术后认知功能管理？
下面这篇文献将回答这个问题。
文献英文标题
A WeChat mini-program-based perioperative cognitive management tool (WACDAM): development and clinical evaluation in elderly patients undergoing oromaxillofacial malignancy surgery-a mixed-methods study.
英文摘要要点
Methods: This is a mixed-methods, participatory design study. This study employed a participatory design strategy to develop WACDAM in collaboration with geriatric patients, clinical specialists, and technical developers. Patients who underwent oral malignancy resection with neck dissection under general anesthesia between December 2020 and December 2021 were enrolled. POCD was assessed using the Z-score method, and risk factors were analyzed using multivariable logistic regression. Usability and user satisfaction were evaluated using the System Usability Scale (SUS), the user version of the Mobile Application Rating Scale (uMARS), and semi-structured interviews.
Results: Among the 112 elderly patients who underwent surgery for oromaxillofacial malignancy and completed both preoperative and postoperative (day 7) assessments, the incidence of POCD was 33.1% (37/112). Multivariable logistic regression identified older age (OR = 1.269, 95% CI: 1.056-1.525), lower education level (OR = 0.792, 95% CI: 0.644-0.974), hypertension (OR = 4.153, 95% CI: 1.355-12.732), sleep disorders (OR = 1.272, 95% CI: 1.001-1.617), prolonged anesthesia time (OR = 1.009, 95% CI: 1.001-1.018), and intraoperative hypotension (OR = 5.512, 95% CI: 1.240-24.506) as independent risk factors for POCD. The WACDAM performance evaluation demonstrated a SUS score of 70.17 and a mean objective quality score of 3.65 ± 1.03 on the uMARS, with the highest score in functionality (3.87 ± 0.98) and the lowest in engagement (3.48 ± 1.07). Subjective quality assessments (3.66 ± 1.06) corresponded closely with these objective metrics. In semi-structured interviews involving 20 patients and 10 clinicians, users reported that WACDAM significantly enhanced doctor-patient communication (mean satisfaction increase: 1.63 ± 1.32 points, P < 0.01), improved the efficiency of POCD management, and was overall perceived as an acceptable and valuable clinical tool.
Conclusions: This study developed WACDAM, a pioneering WeChat-based mini-program for POCD management. Through a participatory design, the platform established an age-friendly interface and a dual-channel management system for both patients and clinicians, effectively reducing technological barriers for elderly users and facilitating early identification of high-risk POCD cases. This research provides a scalable, low-cost digital solution for perioperative cognitive management in elderly patients.
文献标题中文翻译
请在工作台补充或校正文献标题中文翻译
文献简介
当前任务未提供全文 Introduction；本文简介根据英文摘要背景部分作保守整理，具体研究背景仍建议结合原文 Introduction 核对。