• 제목/요약/키워드: Mental-health

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한국 호스피스 전문간호사 교육과정 개발을 위한 기초조사 (A Study on the Curriculum Development for the Professional Hospice Nurse in Korea)

  • 최의순;노유자;한성숙;김남초;김희승;박호란;안성희
    • 대한간호학회지
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    • 제28권4호
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    • pp.1027-1035
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    • 1998
  • The purpose of this study is to develop the first domestic professional hospice educational program. We investigated the present condition of Korean hospice education and analyzed the prerequisite need for a dedicated hospice course in the professional education process. Research was conducted between June and November 1996 for nursing professors teaching at each nursing education institute to find out how much hospice is being discussed and by whom, in which course it is being discussed, and also to find out the contents that needed to be included in the professional education process. From a total of 49 colleges(29 three year colleges, 20 four year colleges) out of 99, 162 nursing professors replied, the collection rate was 49.5%. The conclusions are as follows ; 1. The present condition of the hospice nursing education. 1) Whether hospice is included in the education program. \circled1 89.65% of 3 year colleges and 90% of 4 year colleges included hospice education in their education program. \circled2 In graduate studies three schools included hospice in their program and three schools expressed their plans to include hospice education 2) Hospice related education were commonly discussed in adult nursing(26.3%), fundamental nursing(22.8%), and psychiatric nursing(20.2%). In 3 year colleges its commonly discussed in the first and second year and in 4 year colleges it is taught in the second and third year. 3) Hospice related theory/practical education hours were averages of 6.5/7.0 hrs in 3 year colleges and 14.2/11.3 hrs in 4 year colleges. 4) The majority of professors in charge of hospice education were in the following order adult nursing, psychiatric nursing, and fundamental nursing. 5) The courses that are thought to be adequate to manage hospice related education were adult nursing(29.3%), community health nursing(21.7%) and the desired method of education was the method currently being used (36.5%). 2. The demand for hospice nursing education. 1) Over 70% demanded professional hospice education program, the highest demand was for the value and meaning of life followed by the role and qualification of the hospice team and the mental maintenance of a dying patient. 25 categories showed over 90% demand. 2) The highest demand was for the value and meaning of life (98.2%) and the lowest demand were for danjeon breathing(71.0%)and acupuncture(71.0%). 3) Other contents that need to be discussed in the professional hospice education program were hospice nursing, the attitude and reaction of death, bereavement care, and the prospects of hospice.

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산림치유 프로그램이 대학생의 정서안정과 긍정적 사고에 미치는 영향 (The Effects of Campus Forest Therapy Program on University Students Emotional Stability and Positive Thinking)

  • 이주은;신원섭
    • 한국환경생태학회지
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    • 제33권6호
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    • pp.748-757
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    • 2019
  • 본 연구에서는 학교숲을 활용한 산림치유 프로그램이 대학생의 정서안정과 긍정적 사고에 영향을 미치는가를 알아보기 위하여 실시하였다. 연구대상은 실험군과 대조군으로 구분하였으며 실험군 35명, 대조군 25명이다. 실험군을 대상으로 2018년 9월 4일부터 2018년 12월 4일까지 총 120분씩 8회기의 산림치유 프로그램을 실시하였다. 프로그램 참가 전과 후의 정서안정과 긍정적 사고를 살펴보았다. 산림치유프로그램 실시 전과 후에 정서안정과 긍정적 사고의 차이를 알아보기 위해 대응표본 t-test를 실시하고 그 자료는 SPSS 21.0 프로그램으로 분석하였다. 연구 결과, 실험군의 정서안정과 긍정적 사고의 사전-사후 평균값이 증가하였음을 확인했다. 본 연구를 통해 학교 숲을 이용한 산림치유 프로그램이 대학생의 정서를 안정시키며 긍정적으로 사고하는 것에 영향이 있음을 확인하였다. 이에 산림치유 프로그램은 대학생의 정신건강을 치유하고 예방하기 위한 대안활동으로 활성화 되어야 한다.

약물남용 청소년의 주관적 경험에 관한 연구 (A Study On Subjective Experience Of Drug Abuse Adolescent)

  • 김미희
    • 대한간호학회지
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    • 제30권1호
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    • pp.7-17
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    • 2000
  • The purpose of this study is to affect health improvement of adolescent, to understand behavioral causes follow adolescent's drug abuse, to understand recovery and rehabilitaton process of adolescent drug abuser. The data are collected through open questionnaire and interview of 25 adolescents from the experienced drug abuse 16 students(male 8, female 8) in two vocational high schools and admissing adolescents 9 person in Alcohol-Drug Addiction Care Centre in Seoul from June 28th to August 31st, 1994. The collected data are arranged and explained through categorizing method stated contents about motives, causes, experiences and effected behaviors for using the drugs of drug abuser adolescents. DRUG USING MOTIVATION They are almost first son and daughter in their family. In their conversation person, male converses to their mother well, but female does not converse to their parents include family. Both groups respond positively to companionship and attitude to other, but negatively to self-confidence and actualizing attitude. They hope always peace of family and want to do their best for their life. In school group, hard and difficult things are school life and family problems, also using the drugs for resolving the them. About drug using behaviors, male responds to bad habbit and shamfull, but female is unconcerned with drug using attitude. The first background of drug using, male gets to use because of curiosity and to be induced from friends or seniors, but female gets to use for feminine beauty(thin body) and escape from reality. Used the drugs, male uses frequently Bond, Butane-Gas among inhalation materials and also marijuana, but female uses various diuretics. The times of drug using, both groups repond to use during the chaging of emotion or filling with stress. The place of drug using, both groups take drugs in vacant houses or in the mountain. The frequency of drug using, they use almost once in a day and they use mostly alone or drug user in friends. Experienced mental changing after drug using, which is fantasy, ecstasy, anxiety and suicidal feeling, and experienced physical changing after drug using, which is elevating sense, headach, abdominal pain, dyspnea and chaging of skin colour and reddish. They coincide with inconvenience feeling due to drug using. RECOVERY AND REHABILITATION PROCESS OF DRUG USING ADOLESCENTS The reason for reforming drug using behavior and attitude, both groups respond to reforming for oneself and social life. The difficult things during the stop to using drugs, all of them responed to family problems, friends problems and temptation and impulse. As for stop to using drug, they need good advise, understandable attitude and family love. But they do not need to be stigmatized, scolding, over protect and ridicule of friends. Also they entreat continuous understanding, advise, concern and the method for resolving stress. For the friends to want to use the drug, they will talk about the stories of their personal experiences and for the friends to stop to using the drug, they will consider for them how to stop. From the theses results, drug users understand personal problems due to drug using, and consider about why to stop and how to stop. Also drug users need to resolve the family problems, personal problems, stress and temptations or impulses. Accordingly this paper suggests that drug users in adolescents need understandable and acceptable atitudes, loving and tenderness, continuous advice and concern, and hopes for life.

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수녀와 기혼여성의 갱년기증상 호소에 관한 비교연구 (A Comparative Study on Complaints of Menopausal Symptom of Nuns and Married Women)

  • 유명숙
    • 대한간호학회지
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    • 제30권1호
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    • pp.18-28
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    • 2000
  • The Purpose of this study is to extend the understanding and knowledge of menopause by comparing menopausal symptoms of married women and nuns in order to improve health and the quality of life for women. In this study a questionnaires were distributed to 116 nuns and 121 married women, from forty to fifty nine years old in Daegu metropolitan city. This study used the measurement of menopausal symptoms (Cronbach's Alpha=0.96) corrected and complemented by this student with consideration of various literature centered around menopausal symptoms, suggested by Janette M. Perz as 51 questions including 4 realms; [mental psychological factors], [physical physiological factors], [eyesight factors], and [urinary generative factors] in order to measure the degree of menopausal symptoms. The results are as follows : 1. There was a significant difference between educational background, religion, occupation, leisure time, satisfaction of marriage or ascetic life, existence of hormonal treatment, name of medical operation, and existence of counselling about menstruation as general and physiological characteristics of the nuns' group and the married women's group. 2. The menopausal symptoms of the nuns' group and the married women's group according to order in which they were presented were; 'feeling tired and lacking in energy(1.71 points)' 'vision not clear or clouded(1.69 points)', and 'be forgetful (1.57 points)' in nuns' group. 'be forgetful (1.87 points)', 'vision not clear or clouded(1.83 points)' and 'feeling tired and lacking in energy(1.76 points)' in the married women's group. The symptoms which showed the highest rank of menopausal symptoms had a maximum score of 4 points. 3. There was a statistical a significance (t=-3.9807, p<.0001) between the two groups which showed, on an average, 57.92 points in the married women's group and 43.03 points in the nuns' group from 0 to 196 of the possible points of menopausal symptoms. In difference of menopausal symptoms by menstrual aspect of the nuns' group and the married women's group, there was statistically significant difference between the two groups, showing 44.81±26.07 score in the nuns' group and 72.33±35.29 score in the married women's group as the mean score of the groups with no menstruation(t=-4.1132, p=0.0001). 4. The differences in menopausal symptoms with respect to the general and physiological characteristics of the nuns' group and the married women's group were that the nuns' group showed less menopausal symptoms on all the items than that of the married women's group. Finally, in these results, the married women's group showed higher menopausal symptoms than that of the nuns' group. Especially as the score of menopausal symptoms since the climacteric was very high it is confirmed to be a new phenomenon. Accordingly, it is considered to be necessary to carry out an indepth study of the factors related to establishing a strategy for nursing service.

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간호원에 대한 사회적인 평가 (Sociological Evaluation for Nurses)

  • 강경자
    • 대한간호학회지
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    • 제2권1호
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    • pp.35-47
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    • 1971
  • This is a research on general evaluation of the nursing profession which is a professional job, a suitable calling to women and is developing academically day by day. The author gave some questions to the patients, doctors, people, student nurses-themselves and got the following results; (A) General concept about nursing profession A nurse is a member, of a medical team who works for people′s health promotion(50.8%). The reason that the nursing profession is a good one is that it is a rewarding job to care for sick patients(78.9%). The spirit is the most important factor for the nurse(84.8%) and the nursing profession is a suitable calling to women (76%). The description of nurses as "The angels in white dress" is an appropriate one (44.6%) or only a beautiful expression(47.4%) (B) Nurses as actually seen by doctors and patients. They work only obligatorily (47.8%)-Doctors They try to relieve, the patient′s physical discomforts in all sincerity (65.6%), also they to decrease the patient′s mental apprehension (56.7%). (C) Satisfaction in the nursing profession. Nurses satisfaction in the nursing profession is general(68.8%) and student nurses satisfaction in selecting nursing is fulfilled (50.9%). One reason for dissatisfaction among nurses and student nurses is people's failure to understanding the nursing profession(40.1%), One reason for satisfaction is that it is a rewarding job caring for sick patients(35%). (D) Is the nursing professional job? People think the nursing profession is a professional job like doctors or lawyers (60.2%). (E) Are they academic? People think the nurses are academic(37.8%) but nurses read only interesting items in the "Journal of Korean Nurse"(67.7%). (F) Opinions about nurses′going out of the country. Doctors and nurses agree that after 1-2 years′experience in this country(78.5%) and student nurses want to go out where there is on opportunity(73.1%). Student's purpose of going out is to enrich their stock of information(71.3%), doctors think, it is for training in nursing knowledge and skills (47.8%). (G) Opinions about nurse′s social affairs. They want nurses to be controlled(44.4%) and also think that the nurse's demonstration in the National Conte. was reasonable (36.3%). (H) Would you make your daughter a nurse? They favour their daughter′s becoming a nurse(17.4%) because they think it is a rewarding job to care for sick patients(42.5%).

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한국형 청소년 자살사고 설문 개발 (DEVELOPMENT OF KOREAN ADOLESCENT FORM OF SUICIDAL IDEATION QUESTIONNAIRE)

  • 서동수;양석훈;이길홍;이영식
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제15권2호
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    • pp.168-177
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    • 2004
  • 연구목적:자살사고에 관한 1차 선별검사 도구를 개발하고자 현재 세계적으로 널리 사용되고 있는 Reynolds의 자가보고형 청소년 자살사고 설문(SIQ-JR)을 번안하여 우리나라 청소년에 적용하여 한국판 SIQ-JR 척도에 대한 신뢰도 및 타당도를 검증하고자 하였다. 방 법:서울시내 남녀 중고등학생 총 1,160명과, 정신과에 내원한 청소년 임상환자 114명을 연구대상으로 하였다. 연구도구로는 SIQ-JR 이외에, 자살관련 8가지 국내 표준화된 척도(분노, 우울, 불안, 절망감, 공격성, 충동성, 내외통제, 자아평가)를 시행하였다. 결 과:전체 SIQ-JR 총점 평균은 여자가 남자 보다 높았고, 고등학생이 중학생 보다 높았지만 모두 통계적으로 유의미하지 않았다. 임상군의 경우 일반 학생군과 높은 변별력(p<0.01)을 보였다. SIQ-JR의 내적일관성을 나타내주는 신뢰도계수는 0.92-0.94, 검사-재검사 상관계수는 0.68-0.78, 항목-전체 상관계수는 0.59-0.82로 모두 높은신뢰도를 보였다. 요인분석 결과 타인에 대한 고려가 독립된 요인으로 추출되었는데 이는 서구의 개인주의와 다른 우리나라의 문화적 배경을 반영한다고 여겨졌다. 공존 타당도 분석결과 자살사고와 자아평가척도와 분노조절척도 점수와는 역상관관계였으며 나머지 6개 척도와는 정상관관계였다. 전체대상의 자살사고 점수와 가장 연관이 높은 척도는 우울척도(r=0.42), 공격성 척도(r=0.36), 특성불안척도(r=0.35), 분노척도의 하위척도인 내재화된 분노(r=0.31) 순이었다. 남자와 고등학생의 경우 공격성(r=0.37)이 가장 자살사고와 관련이 높은 척도였다. 그러나 절망감척도와 충동성척도는 자살사고와 낮은 상관관계를 보였다. 결 론:이상을 살펴볼 때 한국판 자살사고 척도는 만족할만한 신뢰도와 타당도를 얻었다고 여겨지는바 학교, 지역사회, 임상현장에서 1차적 자살사고 선별검사 도구로서의 활용이 기대된다.

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대도시에 거주하는 한국인 성인의 죽음정위 (Death Orientation of the Korean Adult - Data was focused on residents who were living in urban area -)

  • 김순자;길숙영;박창승
    • 기본간호학회지
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    • 제5권2호
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    • pp.237-256
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    • 1998
  • Death and dying of human being is a comprehensive system, and death orientation, the subjective meaning related to every component of the death system is developed throughout life. This study was designed and carried out to identify, describe and classify the orientations of Korean adult towards the death system. In an attempt to measure the subjective meaning of death and dying, unstructured Q-methodology was used. The 65 Q-statements developed by Kim(1994), used by Kim(1994) and Park(1996) were adopted as Q-population and 39 Q-statements were selected by the three researchers for Q-items for this study. Thirty-three P-samples were sampled from P-population of literate Korean men and women, 35 and 55 years of age, lived in urban Korea for the last 10 years. Sortings of the 39 Q-items according to the level of personal agreement, and a forced normal distribution into the 9 levels were carried out by the P-samples. The Z-scores of the Q-sort data were computed, and the principal components factor analysis by PC-QUANL Program were carried out. The demographic, socio-cultural and health-related attributes of the P-samples were descriptively analysed. Eight types of death orientation were identified ; Type I ; 'naturalist'. Six P-samples. Death is a natural phenomena, to be accepted as it is and to follow its natural course. Prefer to be informed of all facts and possibilities concernig the course of dying and death to occur to self. Type II ; 'life-after-life negator'. Three P-samples. Time and process of death is the destiny of each person. Death means 'darkness' and 'end to every thing, the absolute end'. Yet, wish physical integrity at the dying and after death. Type III ; 'life-after-life believer'. Six P-samples. Men are travellers passing by this life bound to the life-after-life. Priority concerns are on the activities to prepare self for the eternal life ahead. Disregard premature and sudden death. Type IV ; 'here-now believer' Five P-samples. Positive regard to the cremation of the body and donation of the organs on death. Regard religious and customary post-motem rituals meaningless. Negate life-after life. Type V; 'believer of rituals'. Five P-samples. Death being accepted as a part of, a natural end to, and destiny of human life. Concerned to ensure a dignified end to personal life and dignified post-mortem rituals. Type VI ; 'Realist'(derived from Type I). Two P-samples. Life and death as universal reality. The abrupt death at golden age at the peak of happiness is favored to avoid inevitable physical and mental distress of self and the family. Agreed to the cremation of the body. Disregard rituals. Type VII : 'Fatalist' (derived from Type II). Five P-samples. Not favored, yet, all man are destined to death, the inevitable end of all living beings. To ensure dignified end by personal consummation, information on one's dying and imminent death are to be shared. Type VIII ; 'reality avoider'(derived from Type III). One P-sample. Negative to longevity, artificial prolongation of, meaningless and distressful life. Highly positive to postmortem organ donation.

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만성신부전환자의 삶의 질 간편도구 개발 (Development and validation of an instrument to assess quality of life for end stage renal disease)

  • 김숙현;김용림;박기수;감신;이원기
    • Journal of the Korean Data and Information Science Society
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    • 제26권3호
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    • pp.707-714
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    • 2015
  • 만성신부전으로 인한 투석환자의 삶의 질 측정도구는 SF-36이 널리 사용되고 있지만 36문항은 설문에 어려운 점이 많아 이를 축소한 RFQoL-K를 개발하고자 하였다. 대상자는 2009년부터 45개월 동안 국내 29개 의료기관에서 만성신부전으로 투석을 시작한 신규등록환자이며 삶의 질 측정은 등록 후 3개월째와 12개월째에 응답한 355명을 대상으로 RFQoL-K를 개발하고 내적타당도를 조사하였으며, 기간 중 한 차례만 응답한 411명을 대상으로 외적타당도를 알아보았다. RFQoL-K는 원도구 36문항 중 신체적요소에서 8개 문항, 정신적요소에서 6개 문항의 14문항으로 축소 하였으며 원 도구를 90~93%설명할 수 있었으며 상관관계도 0.96~0.98로 높았고 내적일치성계수도 0.96~0.98로 매우 높아 RFQoL-K가 원 도구를 잘 반영하였다.

유테이블을 활용한 노인용 게임 (Games for Elderly People using u-Table)

  • 황태두;노영태;이준;박성준;신혜원;김지인
    • 한국컴퓨터그래픽스학회논문지
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    • 제13권4호
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    • pp.13-19
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    • 2007
  • 최근 의료기술의 발전으로 노인의 인구는 범세계적으로 매우 빠른 속도로 증가하고 있다. 이에 따라 그들의 건강과 여가생활을 위한 컴퓨터 게임을 개발할 필요성이 증가되고 있다. 노인들에게는 이미 그들에게 친숙한 전통놀이를 게임화 하는 것이 다른 일반적인 컴퓨터 게임들 보다 더 자연스럽고 친숙하여 접근이 용이할 것이다. 만약 노인들이 컴퓨터 게임에 보다 쉽게 접근하여, 그들의 여가를 즐길 수 있게 되면, 여가 활동을 통한 노화 지연 및 질병 예방 등의 효과가 있을 것으로 기대된다. 그러나 마우스와 키보드를 주로 사용하는 오늘날의 컴퓨터 인터페이스는 노인들이 사용하기에는 복잡하고 어렵다. 본 연구에서는 테이블탑 인터페이스(TableTop Interface)인 유테이블을 이용하여 노인들이 쉽게 즐길 수 있는 전통놀이 게임을 개발하고자 한다. 노인들이 유테이블 위에서 직관적이고 쉬운 동작으로 즐겁고 재미있게 게임을 할 수 있는 환경을 제공하는 것이다. 본 논문에서는 노인용 게임을 개발하고 적용시켜 봄으로써 게임의 타당성을 검증하도록 하겠다.

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대학생의 학업스트레스와 스마트폰 중독 경향성에 따른 잠재집단탐색 및 관련 변인들의 영향력 검증 (Identifying the Latent Group in the Patterns of Academic Stress and Smartphone Addiction Tendency with the Factors Affecting the Group Identification)

  • 이채연;엄정호;강한별;이상민
    • 한국융합학회논문지
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    • 제11권1호
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    • pp.221-235
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    • 2020
  • 본 연구는 대학생의 학업스트레스와 스마트폰 중독 경향성을 중심으로 잠재집단을 분류하고, 잠재집단구분에 영향을 주는 개인 및 학업성취 요인들을 탐색하였다. 잠재계층분석 결과, 대학생의 학업 스트레스와 스마트폰 중독 경향성에 따른 잠재집단은 총 3개로 분류되었다. 첫 번째 집단은 '학업스트레스 없는 중간수준 스마트폰 몰입집단'으로 학업 스트레스의 모든 하위영역이 낮은 점수를 보였으며 스마트폰 중독 척도의 하위영역에서 평균 수준의 수치를 나타냈다. 두 번째 집단은 '중간수준 학업스트레스와 스마트폰 몰입집단'으로 학업 스트레스와 스마트폰 중독의 모든 하위영역에서 상대적으로 평균보다 약간 높은 점수를 보였다. 세 번째 집단은 '중간수준 학업스트레스와 스마트폰 비몰입집단'으로 학업스트레스의 하위영역에서 평균보다는 높은 점수를 보였으나, 스마트폰 중독 경향성은 다른 집단보다 월등히 낮은 점수를 보였다. 이러한 잠재집단에 영향을 미치는 요인을 로지스틱 분석으로 검증한 결과 성별과 학년만이 유의한 영향을 미쳤다. 본 연구는 두가지 다른 요소라고 볼 수 있는 학업 관련 변인인 학업 스트레스와 정신보건 관련 변인인 스마트폰 중독 경향성을 융합적으로 연관시켜 분석을 통해 집단의 특성을 분류하고 차별적 개입을 제시한데 의의가 있다.