方法：选取我院2011-01/2014-011眼科康复中心登记的122例122眼盲和低视力成人为研究对象，将其作为研究组。并选取同时期来我院体检的健康志愿者60名作为对照组，使用自我效能感量表、健康状况量表及生活质量核心量表对其进行问卷调查，并采用Pearson线性相关分析方法分析盲和低视力成人患者自我效能感及健康状况与生存质量的关系。

结果：研究组健康状况、生存质量与自我效能感评分均显著低于对照组(P<0.05)； 健康状况中生理健康与生存质量的各个维度均呈正相关(r=0.351、0.541、0.412、0.425，均P<0.05)，一般健康状况与生存质量中调节能力呈正相关(r=0.587，P<0.05)，社会健康、心理健康与生存质量中的读和精细工作、日常生活能力正向相关(r=0.412、0.357、0.365、0.452，均P<0.05)，自我效能感与生存质量各个维度呈正相关(r=0.387、0.415、0.451、0.361、均P<0.05)。

结论：盲和低视力患者生存质量与自我效能感、健康状况相关，治疗过程中应改善患者健康状况，加强提高自我效能感，以提高其生存质量。

METHODS:One hundred and twenty-two cases of adults with blindness and low vision registered in rehabilitation center of Department of Ophthalmology in our hospital from Jan. 2011 to Nov. 2014 were selected as the study group, and another sixty cases of healthy volunteers for physical examination during the same period in our hospital were selected as the control group. The self-efficacy scale, health status scale and quality of life core scale were used to carry out questionnaire survey, then the relationships between quality of life and self efficacy and health status in adults with blindness and low vision, and to provide reference for improving the quality of life were analyzed by Pearson liner correlation analysis method.

RESULTS: The health status, quality of life and self efficacy scores in the study group were significantly lower than those in the control group(P<0.05). The physiological health in the health status was positively correlated with each dimension of quality of life(r=0.351, 0.541, 0.412, 0.425, all P<0.05). The general health status was positively correlated with the regulating ability in the quality of life(r=0.587, P<0.05). The social health and mental health were positively correlated with the reading and fine work and daily life ability in the quality of life(r=0.412, 0.357, 0.365, 0.452, all P<0.05). The self-efficacy was positively correlated with each dimension of quality of life(r=0.387, 0.415, 0.451, 0.361, all P<0.05).

CONCLUSION:The quality of life of patients with blindness and low vision is correlated with the self-efficacy and health status, and it should be improved the health status of the patients in the treatment process, enhanced self-efficacy, in order to improve their quality of life.