Development and application of a quality evaluation scale for ERAS health education in gynecologic malignancies - Report - MDSpire

Development and application of a quality evaluation scale for ERAS health education in gynecologic malignancies

  • By

  • Jianmin Feng

  • Lu Wang

  • Hanlin Yang

  • Weijie Tian

  • Yuan Gong

  • Yan Zhu

  • Dan Zi

  • June 30, 2026

  • 0 min

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Clinical Report: Quality Assessment Tool for ERAS Health Education in Gynecological Cancers

Overview

This study developed a quality evaluation scale for ERAS health education in gynecologic malignancies, demonstrating good reliability and validity.

Background

Enhanced Recovery After Surgery (ERAS) protocols are essential in optimizing perioperative care for patients with gynecologic malignancies. Effective health education is critical for patient compliance and understanding of ERAS measures, yet current practices often lack systematic evaluation tools. This study addresses the gap by creating a dedicated assessment tool for ERAS health education quality.

Data Highlights

DimensionScore
Total Scale86.7 ± 8.4
Discharge Education84.3%
Psychological Counseling60.0%
Sexual Life Resumption Guidance63.0%
Home Medication Guidance65.9%
Home Activity/Nutrition/Wound Care68.1%

Key Findings

  • The final scale includes 4 primary dimensions and 36 tertiary items across admission, preoperative, postoperative, and discharge education stages.
  • Response rates for Delphi rounds were 100%, with authority coefficients ranging from 0.897 to 0.914.
  • Cronbach’s α for the total scale was 0.890, indicating high internal consistency.
  • Test-retest ICC was 0.925, demonstrating excellent reliability.
  • Discharge education was identified as the weakest domain, with several items scoring below 70%.

Clinical Implications

The developed quality assessment tool can be utilized to systematically evaluate and improve ERAS health education practices in gynecologic oncology. Identifying weak areas in patient education may enhance overall patient compliance and outcomes.

Conclusion

The quality evaluation scale for ERAS health education shows good reliability and validity.

Related Resources & Content

  1. The ASCO Post, 2023 -- All Adult Oncologists Are Geriatric Oncologists
  2. Springer, 2022 -- Recommendations for Perioperative Management in Elective Abdominal and Pelvic Procedures in Low–Middle-Income Countries: Insights from the Enhanced Recovery After Surgery (ERAS) Society
  3. Springer, 2021 -- Recommendations from the ERAS Society for Enhancing Perioperative Care in Low- and Middle-Income Nations Through the Adoption of Established Tools and Programs: The Critical Importance of the Surgical Safety Checklist and Enhanced Recovery After Surgery
  4. Springer, 2020 -- Validation of the Enhanced Recovery After Surgery (ERAS) Database in Switzerland
  5. ScienceDirect, 2023 -- Enhanced recovery after surgery (ERAS®) society guidelines for gynecologic oncology: Addressing implementation challenges - 2023 update
  6. Enhanced recovery after surgery (ERAS®) society guidelines for gynecologic oncology: Addressing implementation challenges - 2023 update - ScienceDirect
  7. https://journal.waocp.org/article_91829_6be808769d1df8d06ce0186d7602c772.pdf
  8. Application of Donabedian Three-Dimensional Model in Outpatient Care Quality: A Scoping Review - PMC

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