Stress and coping strategies among elderly living in old age home of devghatdham and in community of bharatpur metropolitan city


  • Shruti Regmi Assitant Professor, Department of Nursing, Janamaitri Foundation Institute of Health Sciences, Tribhuvan University, Kathmandu, Nepal
  • Ambika Poudel Professor and Nursing Programme Coordinator, Rapti Academy of Health Sciences (RAHS), Gorahi, Dang, Nepal


community, coping strategies, elderly people, old-age home, stress


Background: Ageing involves bio-psycho-social alterations contributing to stress in the elderly population. Stress produces negative effect on physical and mental health which overall affects the quality of life. Proper coping is needed to adapt and manage the stress.

Objective: This study aimed to identify and compare the level of stress and coping strategies among elderly people between old age home and community.

Research method: A descriptive-comparative cross-sectional study design was applied. Purposive sampling technique was used to select 200 elderly people from old-age homes and community (i.e., 100 from each group). Data was collected using structured interview schedule questionnaire. Analysis was done using descriptive and inferential statistics with SPSS version 20.

Results: Findings showed that mean stress score was more over similar in both of the groups (i.e., 17.51 in old-age home and 18.01 in community). In fact, majority of the elderly had moderate to severe stress in both groups. Religious coping was mostly used by elderly to cope with stress in both groups. There was a significant negative correlation of stress with emotion as well as problem focused coping strategies.

Conclusion: The findings concluded that stress is a major health concern which seems to be more pronounced in geriatric population irrespective of place of residence and effective coping strategies can help the elderly manage the stress. Therefore, efforts should be made to prevent the known stressors and provide specialized care so that they remain active members of our society.


Dhanya N, Jaya S, George M. Assessment of the stress experienced by the senior citizens in Ernakulam district of Kerala. International Journal of Current Research, 2011. Retrieved from http://www.journalcra.com11.

Walker BR, Colledge NR, Ralston SH, Penman I. Davidson's Priniciples & Practices of Medicine (22nd ed.). Elsevier: Churchill Livingstone, 2014.

Talarico JNDS, Caramelli P, Nitrini R, Chaves EC. Stress symptoms and coping strategies in healthy elderly subjects. Revista da Escola de Enfermagem da USP, 2009; 43(4):803-809.

Hinkle JL, Cheever KH. Brunner & Suddarth's Textbook of Medical-Surgical Nursing (12 ed.). New Delhi: Wolters Kluwer (India) Pvt. Ltd, 2010.

Carr D, Umberson D. The Social Psychology of Stress, Health, and Coping. Handbooks of Sociology and Social Research, 2013, 465-487. doi:10.1007/978-94-007-6772-0_16

Stress: The Health Epidemic of the 21st Century. SciTech Connect, 2016. [Last accessed on 2022, May 27]. Available from:

Cohen S, Janicki-Deverts D, Miller GE. Psychological Stress and Disease. JAMA, 2007; 298(14):1685. doi:10.1001/jama.298.14.1685

Nolen-Hoeksema S, Barbara L, Fredrickson GR, Wagenaar WA. Atkinson & Hilgard's Introduction to Psychology (15th ed.). U.K.: Wadsworth Cengage Learning, 2009. Retrieved from

Salleh MR. Life event, stress and illness. The Malaysian Journal of Medical Sciences, 2008, 15(4). Retrieved from

Senior Citizens Act, 2063. Retrieved from

World Health Organization. Life Expectancy. Global Health Observatory (GHO) data, 2015. Retrieved from

Central Bureau of Statistics. Population Monograph of Nepal. Kathmandu: Central Bureau of Statistics. Retrieved from, 2014.

Singh R, Singh B, Lall BS, Jain V. Psychosocial Problems: An Issue among the Elderly in Kathmandu, Nepal. International Journal of Health Sciences and Research, 2013, 3(6). Retrieved from

Yadav RK. Ageing Population in Nepal: Challenges and Management. Academic Voices: A Multidisciplinary Journal, 2012, 2(1). doi:10.3126/av.v2i1.8287

Chalise HN. Depression among elderly living in Briddashram (old age home). Advances in Aging Research, 2014; 03(01):6-11. doi:10.4236/aar.2014.31002

Mathew MA, George LS, Paniyadi N. Comparative Study on Stress, Coping Strategies and Quality of Life of Institutionalized and Non-institutionalized Elderly in Kottayam District, Kerala. Indian Journal of Gerontology, 2009, 23(1). Retrieved from

Sapkota A, Pandey S. Stress level among the geriatric population of urban area in eastern Nepal. Nepal Medical College Journal, 2012. Retrieved from

Rao SS, Chennamsetty SK, Rao SK. A comparative study of psychiatric morbidity, quality of life (QOL), coping skills among elderly living in old age homes(OAH) and in the community. International Journal of Health Sciences & Research, 2014, 4(8). Retrieved from

Sridevi G, Swathi P. Death anxiety, death depression suicidal ideation & geriatric depression among institutionalised & non institutionalized elderly. International Journal of scientific & research publication, 2014. Retrieved from

Cochran WG. Sampling Techniques. 3rd ed. New York: John Wiley & Sons, 1977. Available from:

Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. Journal of Health and Social Behavior, 1983; 24:385-396. doi:10.2307/2136404

Carver CS. You want to measure coping but your protocol’s too long: Consider the Brief COPE. International Journal of Behavioral Medicine, 1997; 4:92-100. Retrieved from

Carver CS, Scheier MF, Weintraub JK. Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psychology, 1989; 56:267-283. Retrieved from

Khanal S, Gautam KM. Prevalence and Management of Health Conditions in Older People’s Homes: A Case Study in Kathmandu. Nepal Geriatric Centre, Kathmandu, 2011. Retrieved from

Singh R, Mahato S. Coping strategies adopted by the institutionalised and non-institutionalised elderly in Kathmandu: A omaprative correlational study, Nepal. International Journal of Research & Development of Health, 2014, 2. Retrieved from

Isaac AA. The Quality of Life, Health and Coping Strategies among the Aged: A Case of Selected Aged in Osu. International Journal of Social Science and Humanities Research, 2016, 4(1). Retrieved from

Vitorino LM, Vianna LA. Religious/spiritual coping in institutionalized elderly. Acta Paulista de Enfermagem, 2012, 25. doi:10.1590/S0103-21002012000800021.

Mani G, Udayakumar S, Annamalai K, Ramasamy DJ. Perceived levels of Stress and its correlates among residents of old age home in Kanchipuram District, Tamil Nadu. Medical Journal of Dr. D.Y.Patil University, 2016. doi:10.4103/0975-2870.144860.

Thakker DV, Singal G, Deviputra S. A Comparative Study of Coping Strategies of Stress by Senior Citizens Residing At Old Age Homes and Living with Family Members. International Journal of Scientific Research, 2013, 2(4). doi:10.15373/22778179/apr2013/100.

Bjorck J, Thurman J. Negative life events, patterns of positive and negative religious coping, and psychological functioning. Journal for the Scientific Study of Religion, 2007; 46:159-167. doi: 10.1111/j.1468-5906.2007.00348.x.




How to Cite

S. Regmi and A. Poudel, “Stress and coping strategies among elderly living in old age home of devghatdham and in community of bharatpur metropolitan city”, J. Soc. Rev. Dev., vol. 1, no. 1, pp. 34–40, May 2022.