Impression of Twitter and Whatsapp on Sleep Quality Among Nursing Students In Indonesia

Yosi Maria Wijaya, Fransiskus Xaverius Widiantoro

Abstract views = 146 times | views = 22 times


Introduction: The widely used social media by mobile-platform, which makes communication easier, faster, enhance effective flow of information. However, it may have the potential negative effect in quality of sleep in nursing students. The purpose of this study was to examined the impact of using social media and identified predictors of poor sleep quality among nursing students. Methods: A school-based survey design was conducted. Totally, 264 students at school of health sciences in West Java with usage social media platform were participated in this study. The extensive self-administered questionnaires were used to assess extent of using social media and the Pittsburgh Sleep Quality Index. Logistic regression analysis by a backward-stepwise technique was used to determine predictors of poor sleep quality. Results: One out of two nursing students (59.5 %) used both Instagram and WhatsApp, mostly at nights (59.8%), and more than 4-hour daily (19.3%). Majority nursing students (94.3%) have poor quality of sleep. Quality of sleep was differed significantly in bachelor students (p=0.03) in 8th semester (p = 0.006). Younger nursing students (β = 0.025, p = 0.021, 95% CI 0.001-0.566) who use social media less than 3-month (β = .019, p = 0.001, 95% CI 0.002-0.212), mostly during weekends and in 8th semester (β = 41.32, p = 0.018, 95% CI 1.902-897.73) were predictor of poorer sleep quality. Conclusion: Findings indicated a strong need for integrating sleep quality education and provide health-education to promote correct and effective use of social networks to minimize possible side effects in nursing students.


nursing students; social media; sleep quality

Full Text:



Abdulghani, H. M., Alrowais, N. A., Bin-Saad, N. S., Al-Subaie, N. M., Haji, A. M., & Alhaqwi, A. I. (2012). Sleep disorder among medical students: relationship to their academic performance. Medical teacher, 34(sup1), S37-S41.

Adaja, T. A. & Ayodele, F. A. (2013). Nigerian youths and social media: Harnessing the potentials for academic excellence. Arabian Journal of Business and Management Review, 2(5), 65–75. Retrieved from KD_VOL_2_5/8.pdf

Afandi, O., Hawi, H., Mohammed, L., Salim, F., Hameed, A. K., Shaikh, R. B., ... & Khan, F. A. (2013). Sleep quality among university students: Evaluating the impact of smoking, social media use, and energy drink consumption on sleep quality and anxiety. Inquiries Journal, 5(06). Retrieved from

Ahrberg,K.,Dresler,M., Niedermaier, S., Steiger, A. & Genzel, L. (2012). The interaction between sleep quality and academic performance. Journal of Psychiatric Research 46 (12), 1618-1622

Ahn, S. Y., & Kim, Y. J. (2015). The influence of smart phone use and stress on quality of sleep among nursing students. Indian Journal of Science and Technology, 8(35).

A’lamElhuda, D. & Dimetry, D.A. (2014). The Impact of Facebook and Others Social Networks Usage on Academic Performance and Social Life among Medical Students at Khartoum University. International Journal of Scientific & Technology Research, 3(5), 41-46.

Amali, I. O., Akintola, M., Bello, M. B., & Yusuf, A. (2016). Chapter Five Drives, Derivatives and Deterrents of Social Media Usage among University Undergraduates in Nigeria. Theory, Knowledge, Development and Politics: What Role for the Academy in the Sustainability of Africa?, 113.

Andreassen, C. S., & Pallesen, S. (2014). Social network site addiction-an overview. Current Pharmaceutical Design, 20, 4053–4061.

Aung, K. T., Nurumal, M. S., & Zainal, S. N. B. (2016). Sleep quality and academic performance of nursing students. IOSR Journal of Nursing and Health Science, 5(6 Ver. 1), 145-149

Balakrishnan, V., & Shamim, A. (2013). Malaysian Facebookers: Motives and addictive behaviours unraveled. Computers in Human Behavior, 29, 1342–1349.

Bauer, A. A., Loy, L. S., Masur, P. K., & Schneider, F. M. (2017). Mindful instant messaging: Mindfulness and autonomous motivation as predictors of well-being in smartphone communication. Journal of Media Psychology, 29(3), 159-165. 1105/a000225

Bello, M., Akintola, M., & Daramola, D. (2015). Usage of Whatsapp as a social media platform among undergraduate in Kwara state. Nigerian International Journal of Educational Technology, 1(1),48

Błachnio, A., Przepiorka, A., Senol-Durak, E., Durak, M., & Sherstyuk, L. (2017). The role of personality traits in Facebook and Internet addictions: A study on Polish, Turkish, and Ukrainian samples. Computers in Human Behavior, 68, 269–275.

Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of personality and social psychology, 84(4), 822. doi: 10.1037/0022-3514.84.4.822

Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R. & Kupfer, D. J. (1989). Pittsburgh Sleep Quality Index (PSQI): A New Instrument for psychiatric practice and research. Psychiatry Res, 28(2),193-213.

Charoensukmongkol, P. (2015). Mindful Facebooking: The moderating role of mindfulness on the relationship between social media use intensity at work and burnout. Journal of Health Psychology, 21(9), 1966-1980. 15569096

Chen, X., Sekine, M., Hamanishi, S., Wang, H., Gaina, A., Yamagami, T., & Kagamimori, S. (2005). Lifestyles and health-related quality of life in Japanese school children:a cross-sectional study. Preventive medicine, 40(6), 668-678.

Choudhary, S.R., Momin, M.I.H. & Kantharia, S.L. (2015). Facebook and WhatsApp: Beneficial or Harmful? Journal of Evidence Based Medicine and Healthcare, 2(17), 2506-2511.

Curtis, A. (2013). The Brief History of Social Media. Retrieved from:

Espinoza, G., & Juvonen, J. (2011). The pervasiveness, connectedness, and intrusiveness of social network site use among young adolescents. Cyberpsychology, Behavior, and Social Networking, 14(12), 705-709.

El Desouky, E. M., & Awed, H. A. M. (2015). Relationship between quality of sleep and academic performance Among Female Nursing Students. International Journal of Nursing Didactics, 5(9), 06-13.

Exelmans, L., & Van den Bulck, J. (2015). Sleep quality is negatively related to video gaming volume in adults. Journal of sleep research, 24(2), 189-196.

Gianfredi, V., Nucci, D., Tonzani, A., Amodeo, R., Benvenuti, A. L., Villarini, M., & Moretti, M. (2018). Sleep disorder, Mediterranean Diet and learning performance among nursing students: inSOMNIA, a cross-sectional study. Annali di igiene: medicina preventiva e di comunita, 30(6), 470-481.

Higuchi, S., Motohashi, Y., Liu, Y., & Maeda, A. (2005). Effects of palying a computer game using a bright display on presleep physiological variables, sleep latency slow wave sleep and REM sleep. Journal of sleep research, 14(3), 267-273.

Khalil, A. I. (2017). Sleep pattern disturbance among undergraduate nursing students and the association with their academic performance. International Journal of Health, Wellness & Society, 7(2), 1-17.

Khassawneh, B. Y., Alkhatib, L. L., Ibnian, A. M., & Khader, Y. S. (2017). The association of snoring and risk of obstructive sleep apnea with poor academic performance among university students. Sleep and Breathing, 22(3), 831–836.

Kline, C. (2013). Encyclopedia of Behavioral Medicine. Marc D. Gellman and J. Rick Turner (Editors). Springer, New York

Kuss, D. J., & Griffiths, M. D. (2011). Online social networking and addiction: A review of the psychological literature. International Journal of Environmental Research and Public Health, 8, 3528–3552.

Olaniran, S. (2014). Social media and changing communication patterns among students: An analysis of twitter use by university of Jos students. Covenant Journal of Communication, 2(1), 40–60. Retrieved from amuel.pdf

Przybylski, A. K., Murayama, K., DeHaan, C. R., & Gladwell, V. (2013). Motivational, emotional, and behavioral correlates of fear of missing out. Computers in Human Behavior, 29(4), 1841-1848. .2013.02.014

Sajadi, A., Farsi, Z., & Rajai, N. (2014). The rel

ationship between sleep quality with fatigue severity and academic performance of nursing students. Nurse Practice Today, 1(4), 213-220

Scott, H., & Woods, H. C. (2018). Fear of missing out and sleep: Cognitive behavioural factors in adolescents' nighttime social media use. Journal of adolescence, 68,61-65.

Siddiqui, A. F., Al-Musa, H., Al-Amri, H., Al Qahtani, A., Al-Shahrani, M.,& Al-Qahtani, M. (2016). Sleep patterns and predictors of poor sleep quality among medical students in King Khalid University, Saudi Arabia. The Malaysian journal of medical sciences: MJMS, 23(6), 94.

Smith, A., & Anderson, M. (2018). Social media use in 2018: A majority of Americans use Facebook and YouTube, but young adults are especially heavy users of Snapchat and Instagram. Pew Research Center.

Statista. (2017). Statistics and Facts about Internet Usage Worldwide. Retrieved from:

Steptoe, A., Peacey, V., & Wardle, J. (2006). Sleep duration and health in young adults. Archives of Internal Medicine, 166(16), 1689–1692.

Tang, J. H., Chen, M. C., Yang, C. Y., Chung, T. Y., & Lee, Y. A. (2016). Personality traits, interpersonal relationships, online social support, and Facebook addiction. Telematics and Informatics, 33, 102–108.

Taylor, D. J., Gardner, C. E., Bramoweth, A. D., Williams, J. M., Roane, B. M., Grieser, E. A., & Tatum, J. I. (2011). Insomnia and mental health in college students. Behavioral Sleep Medicine, 9(2), 107–116.

Tariq, W., Mehboob, M., Khan, M. A., & Ullah, F. (2012). The impact of social media and social networks on education and students of Pakistan. International Journal of Computer Science Issues, 9(4), 407-411

Vandelanotte, C., Spathonis, K. M., Eakin, E. G., & Owen, N. (2007). Website-delivered physical activity interventions: A review of the literature. American journal of preventive medicine, 33(1), 54-64.

Valerio, T. D., Kim, M. J., & Sexton-Radek, K. (2016). Association of stress, general health, and alcohol use with poor sleep quality among U.S. college students. American Journal of Health Education, 47(1), 17–23.

Van den Bulck, J. (2003). Text messaging as a cause of sleep interruption in adolescents, evidence from a cross‐sectional study. Journal of Sleep Research, 12(3), 263-263. 6/j.1365-2869.2003.00362.x

Vorderer, P., Krömer, N., & Schneider, F. M. (2016). Permanently online– Permanently connected: Explorations into university students’ use of social media and mobile smart devices. Computers in Human Behavior, 63, 694-703.

Woods, H. C., & Scott, H. (2016). # Sleepyteens: Social media use in adolescence is associated with poor sleep quality, anxiety, depression and low selfesteem. Journal of adolescence, 51, 41-49. ce.2016.05.00

Zaremohzzabieh, Z., Samah, B. A., Omar, S. Z., Bolong, J., & Kamarudin, N. A. (2014). Addictive Facebook use among university students. Asian Social Science, 10, 107.


  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This journal is indexed by:



Creative Commons License

Copyright of Indonesian Nursing Journal of Education and Clinic (INJEC) (e-ISSN:2527-8819, p-ISSN:2527-8800).

View My Stats