Abstract

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.

Highlights

  • The widely used social media by mobile-platform, which makes communication easier, faster, enhance effective flow of information

  • Quality of sleep differed significantly according to students’ duration (p = 0.000), and frequency (p=0.000) use of Twitter/WhatsApp/Instagram with highest prevalence of poor sleep quality among those who spend more than 2 years, and irregular daily using Twitter/WhatsApp/Instagram

  • In the hierarchical regression analysis that controlled for the aforementioned confounding variables and included the social media indicators simultaneously, duration of using social media did predict poorer sleep quality (β = .039, SE = .664, p = 0.000, 95% confidence interval (95% CI) 0.011-0.145); nursing students who use Twitter/WhatsApp/Instagram less than 3month tended to report poorer sleep quality

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Summary

Introduction

The widely used social media by mobile-platform, which makes communication easier, faster, enhance effective flow of information. It may have the potential negative effect in quality of sleep in nursing students. The social media as a revolutionary medium of socialization for dismantling previously existing man-made obstacles to information dissemination and sharing (Olaniran, 2014). This enormous increase in use of social media with long daily online sessions has led to its addiction

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