Quality of Life Model Based on Perceived Stress and Distress Tolerance of the Elderly in Ilam with the Mediating Role of Hope

Background and Aim:Quality of life is an important concept in a successful elderly life, therefore the aim of this study was to examine the quality of life modeling based on perceived stress and distress tolerance of the elderly in Ilam with the mediating role of hope.Materials and Methods:This applicable study was conducted through a descriptive-structural equation modeling. Statistical population were elderly people of Ilam city during 2020 (N=9496). The sample size was estimated to be 384 cases using Power-G software. The samples were selected through available sampling method. Participants evaluated by standard quality of life questionnaires of the World Health Organization, Cohen Perceived Stress, Distress Tolerance Scale of Simons and Goher and the Schneider Hope Scale. Data analyzed in SPSS25 and Amos 8 software.Results:The results revealed a significant relationship between perceived stress, distress tolerance, and hope with the quality of life of the elderly in Ilam city. Similarly, there was a significant relationship between perceived stress and distress tolerance with hope. The results of structural equation model showed that hope has a mediating role in the relationship between quality of life with distress tolerance and perceived stress. Perceived stress and distress tolerance showed a total, direct, and indirect effects on hope and quality of life.Conclusion:This finding shows that the relationship between stress and distress tolerance with quality of life is not simple and linear. Factors such as hope can affect this relationship.