The Effectiveness of Butterfly Hug Therapy on Insomnia Among Undergraduate Students at Institut Teknologi Kesehatan Malang Widya Cipta Husada

Muhammad Taufiqul Akbar; Zilvi Fuadiyah Nur; Angriani Newa Lapur

doi:10.33541/pro-life.v12i3.7373

Authors

Muhammad Taufiqul Akbar Program Studi Profesi Ners, Institut Teknologi Kesehatan Malang Widya Cipta Husada, Kota Malang
Zilvi Fuadiyah Nur Program Studi Profesi Ners, Institut Teknologi Kesehatan Malang Widya Cipta Husada, Kota Malang
Angriani Newa Lapur Program Studi S1 Ilmu Keperawatan, Institut Teknologi Kesehatan Malang Widya Cipta Husada, Kota Malang

DOI:

https://doi.org/10.33541/pro-life.v12i3.7373

Keywords:

insomnia, butterfly hug therapy, non-pharmacological intervention, sleep quality

Abstract

Insomnia is a prevalent sleep disorder characterized by dissatisfaction with sleep quality and duration, leading to difficulty initiating sleep, frequent awakenings, early morning waking, and impaired daytime functioning. Non-pharmacological interventions, such as the butterfly hug technique, help improve sleep quality. The butterfly hug involves self-administered positive suggestions to promote relaxation and comfort. These studies examining the effectiveness of the butterfly hug among university students are still limited; therefore, based on the aforementioned background, the researcher is encouraged to conduct this study. This quasi-experimental study employed a nonequivalent control group design. A total of 54 final-year university students were recruited and divided into two groups: an intervention group and a control group. The intervention group received butterfly hug therapy, while the control group did not. The study was conducted over 14 consecutive nights. Insomnia levels were assessed using the KSPBJ-IRS questionnaire. Data normality was assessed using the Kolmogorov-Smirnov test, which revealed a non-normal distribution (p = 0.000 < 0.05). Therefore, the Mann-Whitney U test was used for hypothesis testing. The Mann-Whitney U test revealed a statistically significant difference between the intervention and control groups (p = 0.031, p < 0.05). This finding suggests that butterfly hug therapy was effective in reducing insomnia levels in the intervention group compared to the control group. Butterfly hug therapy has a significant effect on reducing insomnia among university students and may be considered a practical non-pharmacological intervention to improve sleep quality.

References

Amano, T., & Toichi, M. (2016). The role of alternating bilateral stimulation in establishing positive cognition in EMDR therapy: A multi-channel near-infrared spectroscopy study. PLOS ONE, 11(10), e0162735. https://doi.org/10.1371/journal.pone.0162735

Aulia, A. W. Z., Yuliastuti, E., & Suyatno, S. (2024). Pengaruh terapi butterfly hug terhadap tingkat kecemasan pada remaja. ASJN (Aisyiyah Surakarta Journal of Nursing), 5(1), 1–8. https://doi.org/10.56754/asjn.v5i1.2859

Babicki, M., Krawczyk, E., Białek, M., & Mastalerz-Migas, A. (2023). Insomnia, daytime sleepiness, and quality of life among 20,139 college students in 60 countries around the world – A 2016–2021 study. International Journal of Environmental Research and Public Health, 20(2), 692. https://doi.org/10.3390/ijerph20020692

Chan, N. Y., Chan, J. W. Y., & Li, S. X. (2021). Non-pharmacological approaches for the management of insomnia. Neurotherapeutics, 18(1), 32–43.

Girianto, P. W. R., Widayati, D., & Agusti, S. S. (2021). Butterfly hug reduce anxiety on elderly. Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery), 8(3), 295–300. https://doi.org/10.26699/jnk.v8i3.ART.p295-300

Gunawan, I., Nurgahayu, & Haeruddin. (2022). Faktor determinan kejadian insomnia pada mahasiswa tingkat akhir Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia. Prosiding Seminar Nasional, 488–517.

Oktari I.P. (2023). Hubungan antara tingkat stres dengan tingkat insomnia pada mahasiswa kedokteran angkatan 2020 Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi [Skripsi, Universitas Jambi]. Repository Universitas Jambi.

Juwita, D., Nulhakim, L., & Purwanto, E. (2023). Hubungan kecemasan dengan insomnia pada pralansia dan lansia hipertensi di Posyandu Lansia Desa Tengkapak Kabupaten Bulungan. Aspiration of Health Journal, 1(2), 240–251. https://doi.org/10.56754/ahj.v1i2.30

Kountul, Y. P. D., Kolibu, F. K., & Korompis, G. E. C. (2018). Faktor-faktor yang berhubungan dengan tingkat stres pada mahasiswa Fakultas Kesehatan Masyarakat Universitas Sam Ratulangi Manado. KESMAS: Jurnal Kesehatan Masyarakat Universitas Sam Ratulangi, 7(5), 1–7.

Léger, D., Poursain, B., Neubauer, D., & Uchiyama, M. (2008). Nocturnal sleep problems among university students from 26 countries: A cross-national study. Sleep Medicine, 9(8), 953–960. https://doi.org/10.1016/j.sleep.2007.09.010

Lubis, H., Ramadhani, A., & Rasyid, M. (2021). Stres akademik mahasiswa dalam melaksanakan kuliah daring selama masa pandemi Covid-19. Psikostudia: Jurnal Psikologi, 10(1), 31. https://doi.org/10.30872/psikostudia.v10i1.5454

Madari, S., Golebiowski, R., Mansukhani, M. P., & Kolla, B. P. (2021). Pharmacological management of insomnia. Neurotherapeutics, 18(1), 44–52. https://doi.org/10.1007/s13311-021-01010-z

Politeknik Kesehatan Surakarta. (2020). Hubungan stres dan kualitas tidur pada mahasiswa tingkat akhir Prodi Sarjana Terapan Terapi Okupasi. Jurnal Kesehatan Terapan, 7(1), 34–41.

Yekti, R. & Rambe, R. (2021). Hubungan kualitas tidur dengan prestasi belajar mahasiswa angkatan 2017 Fakultas Kedokteran Universitas Kristen Indonesia. Pro-Life: Jurnal Pendidikan Biologi, Biologi, dan Ilmu Serumpun, 7(2), 45–52.

Ramdhiani, S. (2023). Pengaruh butterfly hug terhadap penurunan tingkat stres pada remaja di SMK Al-Mafatih Jakarta [Skripsi, Universitas Nasional]. Universitas Nasional Repository.

Saraswati, N., Dwidiyanti, M., Santoso, A., & Wijayanti, D. Y. (2021). Hubungan efikasi diri dengan kecemasan menyusun skripsi pada mahasiswa keperawatan. Holistic Nursing and Health Science, 4(1), 1–7. https://doi.org/10.14710/hnhs.4.1.2021.1-7

Satyani, D. J., Sari, I. Y., & Sudibyo, G. A. (2025). Butterfly hug untuk menurunkan gangguan tidur pada pasien anemia: Case report. Jurnal Ilmiah Kesehatan, 12(1), 1–7.

Schlarb, A. A., Friedrich, A., & Claßen, M. (2017). Sleep problems in university students – an intervention. Neuropsychiatric Disease and Treatment, 13, 1989–2001. https://doi.org/10.2147/NDT.S142067

Setia, H. (2021). Pengaruh butterfly hug terhadap tingkat stres mahasiswa tingkat empat Program Studi Sarjana Keperawatan dalam penyusunan skripsi di STIKES Bethesda Yakkum Yogyakarta 2021 [Skripsi, STIKES Bethesda Yakkum Yogyakarta]. STIKES Bethesda Yakkum Yogyakarta Repository.

Oryza W., & Daryanti, M. S. (2016). Hubungan tingkat stres dengan kejadian insomnia pada mahasiswa tingkat akhir DIV Bidan Pendidik Reguler dalam penyusunan skripsi di Universitas ‘Aisyiyah Yogyakarta [Skripsi, Universitas ‘Aisyiyah Yogyakarta]. Repositori Digital Universitas ‘Aisyiyah Yogyakarta.

Xiao, Y., Tang, J., Zheng, X., & Li, X. (2015). A systematic review of studies on the prevalence of insomnia in university students. Sleep Medicine Reviews, 23, 19–28.

Yudha, S. K., Kusuma, F. H. D., & Widiani, E. (n.d.). Hubungan antara tingkat kecemasan dengan kejadian insomnia pada mahasiswa yang akan menghadapi ujian akhir semester (UAS) di Universitas Tribhuwana Tunggadewi Malang. Nursing News: Jurnal Ilmiah Keperawatan, 2(1). https://doi.org/10.33366/nn.v2i1.200

Zulkefli, M. Y., Fuad, A. F. A., & Lateh, R. (2024). Unveiling social learning through emotional experience: A phenomenological study on the impact of It’s Okay to Not Be Okay Korean drama in Malaysia. Jurnal Pengajian Media Malaysia, 26(1, Suppl. 1), 63–76.