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Chinesization and application of The Psychological Emptiness Scale in ophthalmic patients
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Yanli ZHANG, Honger SUN, Aiai CHEN, Yanmiao CHENG, Jieyu ZHU, Jia LI
Chinese Nursing Research | 2026, 40(18) : 3246 - 3252
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Chinese Nursing Research | 2026, 40(18): 3246-3252
• Scale Study •
Chinesization and application of The Psychological Emptiness Scale in ophthalmic patients
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Yanli ZHANG, Honger SUN, Aiai CHEN, Yanmiao CHENG, Jieyu ZHU, Jia LI
Affiliations
  • 1Wenzhou Medical University Ningbo Eye Hospital/Ningbo Eye Institute/Ningbo Key Laboratory of Medical Research on Blinding Eye Diseases, Zhejiang 315040 China
Published: 2026-09-25 doi: 10.12102/j.issn.1009-6493.2026.18.014
Outline
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Objective

To translate The Psychological Emptiness Scale(PES),to test its reliability and validity,and to describe the emotional profiles of patients with dry eye disease.

Methods

The PES was translated using the Brislin translation model.A Chinese version of the PES was developed through cultural adaptation and a pilot survey.A total of 1 100 ophthalmic patients from our hospital were selected as study subjects from October 2024 to February 2025. The Chinese version of the PES was administered to investigate the patients.The reliability and validity of the scale were analyzed.The psychological characteristics of patients with dry eye disease were visualized.

Results

The Chinese version of the PES consisted of 2 dimensions with a total of 19 items.The item-level content validity index ranged from 0.909 to 1.000.The average scale-level content validity index was 0.966.Exploratory factor analysis extracted two common factors,with a cumulative variance contribution rate of 61.242%.Confirmatory factor analysis indicated good model fit.The overall Cronbach's α coefficient of the scale was 0.901. The test-retest reliability was 0.965.Application of the scale for patients with dry eye disease showed that gender,age,average monthly income,education level,and occupation were influencing factors for the Chinese version of the PES scores(P<0.05).The Chinese version of the PES score was positively correlated with the Ocular Surface Disease Index Questionnaire score(r=0.236,P<0.05) and negatively correlated with the Questionnaire in Practice for Patients with Dry Eye Disease score(r=-0.214,P<0.05).Based on the proportions of dry eye disease severity,emptiness levels,and types of disease prevention and treatment behaviors,four visualized emotional profiles of dry eye patients were formed.

Conclusions

The Chinese version of the PES could be used as a tool to assess the psychological state of ophthalmic patients.The emotional profiles of patients with dry eye disease could provide a reference for their personalized management.

ophthalmology  /  The Psychological Emptiness Scale, PES  /  Chinesization  /  reliability  /  validity  /  influencing factors  /  emotional profiles  /  visualization
张艳丽, 孙红儿, 陈皑皑, 程燕妙, 朱洁瑜, 李佳. 眼科病人心理空虚量表的汉化及应用. 护理研究, 2026 , 40 (18) : 3246 -3252 . DOI: 10.12102/j.issn.1009-6493.2026.18.014
Yanli ZHANG, Honger SUN, Aiai CHEN, Yanmiao CHENG, Jieyu ZHU, Jia LI. Chinesization and application of The Psychological Emptiness Scale in ophthalmic patients[J]. Chinese Nursing Research, 2026 , 40 (18) : 3246 -3252 . DOI: 10.12102/j.issn.1009-6493.2026.18.014
Year 2026 volume 40 Issue 18
45
19
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Article Info
doi: 10.12102/j.issn.1009-6493.2026.18.014
  • Receive Date:2025-10-17
  • Online Date:2026-10-29
  • Published:2026-09-25
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History
  • Received:2025-10-17
  • Revised:2026-06-12
Affiliations
    1Wenzhou Medical University Ningbo Eye Hospital/Ningbo Eye Institute/Ningbo Key Laboratory of Medical Research on Blinding Eye Diseases, Zhejiang 315040 China
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光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
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