| Summary: | 碩士 === 長庚大學 === 醫務管理學研究所 === 94 === Goal: The purpose of this study was to examine the relationships between stress coping and health-related quality of life among residents at a senior house. Method: Subjects were selected from a senior house in North Taiwan, which were the first organization established according to “Fundamental Requirements for the Senior Houses” and the “Management
Rules for the Senior Houses.” A total of 155 subjects were recruited in the study, among them 127 were interviewed and valid data were collected in the study. ANCOVA was applied to examine the effects of coping strategies upon health-related QoL, taking perceived stress level as covariance. Results: After control the recent stress, health-related quality of life were not significantly related to coping strategies. However, in examination of the subgroup (n=51) of residents who have stayed in the house longer than one year, the coping strategies significantly influenced the social domain of quality of life ( F=4.08, p<0.05), and the physical domain with approaching significance (F=2.25, P=0.09). Moreover, subjects using “voluntary engagement with secondary control ” as their main coping strategies reported to have better physical and social QoL than others. Followed by those using “voluntary engagement with primary control”, and the least was those using “involuntary” or “disengagement”. Conclusion: Senior housing has just been developed as one type of institutionalized care for seniors in Taiwan. The results of this study suggest that length of stay of the elder residents would affect the relationship among perceived recent stress, stress coping strategies, and quality of life. Especially seniors stayed more than one year are more likely to have better quality of life because they become to apply “ voluntary engagement” as their main coping strategies.It may be interested to consider the length of stay of the residents as an important factor for studies in regards to the relationship between coping strategies and QoL.
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