Relationships between the Smartphone and Internet Addiction Levels of Nursing Students and Their Healthy Lifestyle Behaviors

Abstract

Method: Designed as a cross-sectional study, the research had a population comprised of all students studying at the Department of Nursing of the Faculty of Health Sciences of Sivas Cumhuriyet University. Findings: It was found that the participant nursing students had smartphone and internet addictions below the medium level and healthy lifestyle behaviors above the medium level. The regression analysis indicated that the participant students’ internet addiction affected 25% of their healthy lifestyle behaviors. Conclusion: It was identified that the nursing students’ smartphone and internet addiction levels had a relationship with their healthy lifestyle behaviors, and as the smartphone and internet addictions increased, a downward trend was observed in healthy lifestyle behaviors. Keywords: Nursing Student, Smartphone Addiction, Internet Addiction, Addiction, Healthy Lifestyle Behavior.

Keywords

• addiction
• Smartphone Addiction
• Internet Addiction
• Healthy Lifestyle Behavior

Hemşirelik Öğrencilerinin Akıllı Telefon ve İnternet Bağımlılık Düzeyleri ile Sağlıklı Yaşam Tarzı Davranışları Arasındaki İlişki

Abstract

Yöntem: Kesitsel bir çalışma olarak tasarlanan araştırmanın evrenini Sivas Cumhuriyet Üniversitesi Sağlık Bilimleri Fakültesi Hemşirelik Bölümü'nde öğrenim gören tüm öğrenciler oluşturmuştur. Bulgular: Araştırmaya katılan hemşirelik öğrencilerinin akıllı telefon ve internet bağımlılıklarının orta düzeyin altında, sağlıklı yaşam biçimi davranışlarının ise orta düzeyin üzerinde olduğu bulunmuştur. Regresyon analizi, katılımcı öğrencilerin internet bağımlılığının sağlıklı yaşam biçimi davranışlarının %25'ini etkilediğini göstermiştir. Sonuç: Hemşirelik öğrencilerinin akıllı telefon ve internet bağımlılık düzeylerinin sağlıklı yaşam biçimi davranışları ile ilişkili olduğu ve akıllı telefon ve internet bağımlılıkları arttıkça sağlıklı yaşam biçimi davranışlarında azalma eğilimi olduğu belirlenmiştir. Anahtar Kelimeler: Hemşirelik Öğrencisi, Akıllı Telefon Bağımlılığı, İnternet Bağımlılığı, Bağımlılık, Sağlıklı Yaşam Tarzı Davranışı.

Keywords

• bağımlılık
• akıllı telefon bağımlılığı
• internet bağımlılığı
• sağlıklı yaşam biçimi davranışları

References

1. Akdağ, M., Şahan-Yılmaz, B., Özhan, U., & Şan, İ. (2014). Analysis of the university students’ internet addiction as per certain variables (The case of İnönü University of Turkey). Inonu University Journal of the Faculty of Education, 15(1), 73–96. doi:10.17679/iuefd.98972
2. Aksoy, T., & Uçar, H. (2014). Healthy lifestyle behaviors of nursing students. Journal of Hacettepe University Faculty of Nursing, 1(2), 53–67.
3. Aktan, E. (2018). Assessment of social media addiction levels of university students by numerous variables. Journal of Erciyes Communication, 5(4), 405–421. doi:10.17680/erciyesiletisim.379886
4. Alosaimi, F. D., Alyahya, H., Alshahwan, H., Al Mahyijari, N., & Shaik, S. A. (2016). Smartphone addiction among university students in Riyadh, Saudi Arabia. Saudi Medical Journal, 37(6), 675–683. doi:10.15537/smj.2016.6.14430
5. Ayar, D., Bektas, M., Bektas, I., Kudubes, A. A., Selekoglu Ok, Y., Sal Altan, S., & Celik, I. (2017). The effect of adolescents’ internet addiction on smartphone addiction. Journal of Addictions Nursing, 28(4), 210– 214. doi:10.1097/JAN.0000000000000196
6. Bahar, Z., Beşer, A., Gördes, N., Fatma, E. F., & Kıssal, A. (2008). Healthy lifestyle behavior scale II: A reliability and validity study. Journal of Cumhuriyet University School of Nursing, 12(1), 1–13.
7. Choi, S. W., Kim, D. J., Choi, J. S., Ahn, H., Choi, E. J., Song, W. Y., Kim, S., & Youn, H. (2015). Comparison of risk and protective factors associated with smartphone addiction and internet addiction. Journal of Behavioral Addictions, 4(4), 308–314.doi:10.1556/2006.4.2015.043
8. Cinquetti, M., Biasin, M., Ventimiglia, M., Balanzoni, L., Signorelli, D., & Pietrobelli, A. (2021). Functional gastrointestinal disorders, lifestyle habits, and smartphone addiction in adolescents. Medical and Surgical Pediatrics, 43, 238.doi:10.4081/pmc.2021.238

9. Çoban, D. A. (2019). Investigation of the relationship between smartphone addiction and overweight on university students. Annals of Medical Research, 26(10), 2172–2176.doi:10.5455/annalsmedres.2019.08.446
10. Dalbudak, E., Evren, C., Aldemir, S., Coşkun, K. S., Uğurlu, H., & Yıldırım, F. G. (2013). Relationship of internet addiction severity with depression, anxiety, and alexithymia, temperament and character in university students. Cyberpsychology, Behavior and Social Networking, 16(4), 272–278.doi:10.1089/cyber.2012.0390
11. Demir, S. (2018). Examination of the relationship of smartphone addiction in high school students with emotional intelligence. Master’s Thesis, Institute of Social Sciences of Çukurova University, Adana, Turkey.
12. Demirci, K., Orhan, H., Demirdas, A., Akpinar, A., & Sert, H. (2014). Validity and reliability of the Turkish version of the smartphone addiction scale in a younger population. Bulletin of Clinical Psychopharmacology, 24(3), 226–234. doi:10.5455/bcp.20140710040824
13. Doğan, U., & İlçin Tosun, N. (2016). Mediating effect of problematic smartphone use on the relationship between social anxiety and social network usage of high school students. Adıyaman University Journal of Social Sciences, 22, 99–128.
14. Erzincanlı, S., Zaybak, A., & Khorshid, L. (2015). Healthy lifestyle behaviors and time-management skills, and factors affected them of nursing students. Journal of Ege University Nursing Faculty, 31(2), 8–25.
15. Genç, F., Yeşilyurt, G., Eroğlu, G., Altıparmak, A., Polat, A., & Soğüt, D. (2015). Determination of the healthy promotion behaviors of the health sciences faculty students. Gumushane University Journal of Health Science, 4(1), 15–27.
16. Gökçearslan, Ş., & Günbatar, M. S. (2012). Internet addiction in high school students. Educational Technology Theory and Practice, 2(2), 10–24.
17. Gökçearslan, Ş., Kuşkaya Mumcu, F., Haşlaman, T., & Demiraslan Çevik, Y. (2016). Modeling smartphone addiction: The role of smartphone usage, selfregulation, general self-efficacy and cyberloafing in university students. Computers in Human Behavior, 63, 639–649. doi:10.1016/j.chb.2016.05.091
18. Göldağ, B. (2019). The investigation of the relationship between smart phone addiction and perceived stress and life satisfaction. Turkish Studies-Information Technologies and Applied Sciences, 14(2), 193–212. doi:10.29228/TurkishStudies.22753
19. Hahn, A., & Jerusalem, M. (2001). Internetsucht: Reliabilität und validität in der online-Forschung. http://psilab.educat.huberlin. de/ssi/publikationen/internetsucht_onlineforschung_ 2001b.pdf
20. Kahyaoğlu-Süt, H., Kurt, S., Uzal, Ö., & Özdilek, S. (2016). Effects of smartphone addiction level on social and educational life in health sciences students. Eurasian Journal of Family Medicine, 5(1), 13–19.
21. Kaplan, N. (2016). Analysis of the effects of the middle school students’ internet addiction levels on health. Master’s Thesis, İzmir Katip Çelebi University, İzmir, Turkey.
22. Karaca, F. (2017). The relations between university students’ internet addiction and smart phone usage habits. Mehmet Akif Ersoy University Journal of Education Faculty, 44, 581–597.doi:10.21764/maeuefd.334953
23. Kırağ, N., & Güver, Y. (2019). Relationship between internet addiction and healthy lifestyle behaviors of nursing students. Journal of Dependence, 20(4), 232–240.
24. Kırağ, N., Yıldız, H., Hayar, E., Güdü, G., Kandemir, E., Çınar, H., & Öztürk, N. (2016). Nursing students’ internet addiction and the associated factors. International Refereed Journal of Nursing Research, 8(1), 15–36.
25. Kim, S. E., Kim, J. W., & Jee, Y. S. (2015). Relationship between smartphone addiction and physical activity in Chinese international students in Korea. Journal of Behavioral Addictions, 4(3), 200–205.doi:10.1556/2006.4.2015.028
26. Köse, D., Çınar, N., & Akduran, F. (2012). The relationship of internet addiction with personality traits and timemanagement in nursing students. Sakarya University Journal of Science, 16(3), 227–233.
27. Kumcağız, H., Terzi, Ö., Koç, B., & Terzi, M. (2020). Smartphone addiction in university students. Journal of the Human and Social Science Research, 9(1), 13–39. doi:10.15869/itobiad.629737
28. Kuyucu, M. (2017). Use of smartphone and the problematic of smartphone addiction in young people: “Smartphone(colic)” university youth. Global Media Journal TR Edition, 7(14), 328–359.
29. Küçük, E. E. (2017). Assessment of the problematic internet use of university students and their opinions about its effects on their health. The Journal of Tepecik Education and Research Hospital, 27(3), 211–216. doi:10.5222/terh.2017.211
30. Küçükkaya, B., Kahyaoğlu Süt, H., Aslan, F. (2019). The Relationship Between the Aims of Use of Social Network Sites with Cyberbullying and Cyber Victimization in Nursing Students. Online Journal of Technology Addiction & Cyberbullying, 6(1), 31-53.
31. Kwon, M., Lee, J.Y., Won, W.Y., Park, J.W., Min, J.A., Hahn, C., ..., Kim, D.J. (2013). Development and Validation of A Smartphone Addiction Scale (SAS). Plos One, 8(2),e56936.
32. Levent, A. (2020). Analysis of the Relationship Between Smartphone Addiction and Communication Skills in University Students. Master’s Thesis, Clinical Psychology Program of the Department of Psychology of the Institute of Graduate Studies of Istanbul Gelisim University, Istanbul, Turkey.
33. Mayda, A. S., Yılmaz, M., Bolu, F., & Dağlı, S. C. (2015). The relationship between internet addiction and Beck Depression Inventory scores among university students staying in a dormitory. Konuralp Medical Journal, 7(1), 6–14.
34. Minaz, A., Çetinkaya Bozkurt, Ö. (2017), Investigation of University Students Smartphone Addiction Levels and Usage purposes in Terms of Different Variables. Mehmet Akif Ersoy University Journal of Social Sciences Institute, 9(21), 268-286.
35. Nazik, F., Güneş, G. (2019). Problematic Internet Usage and Healthy Lifestyle Behaviors in University Students. Cukurova Medical Journal, 44(Suppl 1), 41-48. Noyan, C.O., Enez Darçın, A., Nurmedov, S., Yılmaz, O.,
36. Dilbaz, N. (2015). Validity and Reliability of the Turkish Version of the Smartphone Addiction Scale-Short Version Among University Students. Anatolian Journal of Psychiatry, 16(Special Issue 1), 73-81.
37. Özkaya, H., Serdar, M., Acar, H., Pekgör, S., Arıca, S.G. (2020). Evaluation of the Frequency/Addiction of Smartphone Use and Its Effect on Sleep Quality in University Students. Annals of Medical Research, 27(2), 657-663.
38. Özpulat, F. (2010). Health Protection and the Development of Nurse A Role In Contemporary: Trainers For Identity. Maltepe University Journal of Nursing Science and Art, Symposium Special Edition, 293-297.
39. Savcı, M., & Aysan, F. (2017). Technological addictions and social connectedness: Predictor effect of internet addiction, social media addiction, digital game addiction and smartphone addiction on social connectedness. Dusunen Adam: The Journal of Psychiatry and Neurological Sciences, 30(3), 202–216.
40. Serim, Y., Limnili, G., Gökdemir, Ö., & Özçakar, N. (2026). Smartphone addiction and health promotion lifestyle in university students: A cross-sectional analytical study. Primary Health Care Research & Development, 27, e16:1–7
41. Sevgi, L. (2013). Technology, Society, and Health: Mobile Phones and Electromagnetic Pollution Discussions, http://www.emo.org.tr/ekler/e73a9a0d37efb96_ek.p df (Last accessed on 29 August 2016).
42. Şafak, M. (2019). The Effect of Smartphone Addiction Level on Neck Pain, Functional Status and Muscle Activation. Master’s Thesis, Department of Physiotherapy and Rehabilitation of the Institute of Health Sciences of Süleyman Demirel University, Isparta, Turkey.
43. Şahin, C. and Korkmaz, Ö. (2011). Adaptation of Internet Addiction Scale to Turkish. Journal of Ahmet Kelesoglu Education Faculty, 32, 101-115.
44. Şendir, M., Yalçın Atar, N., Açıksöz, S., Kabuk, A., Sümer, G., Doğan, S., Aydın, S.N. (2019). Is the Internet the Manager of Our Time and Success?: Nursing students’ example. Journal of Intensive Care Nursing, 23(2), 81-86.
45. Tambağ, H. (2011). Hatay Health School Students’ Healthy Lifestyle Behaviors and Influencing Factors. Hacettepe University Faculty of Health Sciences Nursing Journal, 47-58.
46. Tohumcu, M.U., Karslı, T.A., Bahadır, E., Kalender B. (2019). Analysis of The Relationship Between Smartphone Addiction and Internet Addiction and Self-Esteem and Loneliness. Trakya University Journal of Social Science, 21(2), 773-787.
47. Üneri, Ö. Ş., & Tanıdır, C. (2011). Evaluation of internet addiction in a group of high school students: A crosssectional study. Journal of Child and Adolescent Mental Health, 18(2), 75–80. doi:10.5455/apd.18318
48. Walker, S.N., Hill-Polerecky, D.M. (1996). Psychometric Evaluation of the Health-Promoting Lifestyle Profile II.Unpublished Manuscript, University of Nebraska Medical Center.
49. Walker, S.N., Sechrist, K.R., Pender, N.J. (1987). The Health-Promoting Lifestyle Profile Development and Psychometric Characteristics. Nursing Research, 36(2),76-81.
50. Yang, S.Y., Chen, M.D., Huang, Y.C., Lin, C.Y., Chang, J.H. (2017). Association Between Smartphone Use and Musculoskeletal Discomfort in Adolescent Students. Journal of Community Health, 42(3), 423-430.
51. Yaşar, Ö., Karadağ, N., Özsezer Kaymak, G. (2018). Investigation of Healthy Lifestyle Behaviors of Nursing Department Students. Balikesir Health Sciences Journal, 7(3), 82-87.
52. Yayan, E.H., Dağ, Y.S., Düken, M.E., Ulutaş, A. (2019). Investigation of Relationship Between Smartphone Addiction and Internet Addiction in Working Children in Industry. Journal of Human Sciences, 16(1), 143-154.
53. Yılmaz, D., Gökdere Çınar, H., Özyazıcıoğlu, N. (2017). The Examination of Relationship Between Smartphone, Internet Addiction and Upper Extremity Functional Activity Levels Among Nursing Students. Suleyman Demirel University The Journal of Health Science, 8(3), 34-39.
54. Yin, J., Tang, X., Liu, Z., Gong, Y., Yang, H., & Zhang, Y. (2025). Associations between both smartphone addiction and objectively measured smartphone use and sleep quality and duration among university students: Cross-sectional study. JMIR Mental Health, 12, e77796.