Insomnia is a condition where a person has difficulty to start sleeping, difficulty to maintain sleep, and dissatisfaction with sleep. Sleep disturbance is often found in elderly people living in nursing homes, especially the elderly who usually work and after the nursing home is not working, the mourning atmosphere, or living alone without family. Of the various problems that occur in the elderly, the family is the main system support for elderly in preventing the onset of insomnia. Family support has an active role in maintaining and improving the health status of the elderly, but some families prefer to leave the elderly in nursing homes when home care is felt increasingly difficult. Living in the orphanage can give pleasure to the elderly because good togetherness with peers can bury the loneliness that is usually experienced by the elderly. However, far from their hearts feel more comfortable to be near his family. This study aims to determine the difference between insomnia occurrence of elderly living in Panti Wredha and Living with Family. This research, using analytic observational method, through cross sectional approach. The sample was taken by purposive sampling technique as many as 31 samples of elderly group living in the orphanage and 31 elderly living with family. The research was conducted in Panti Wredha Dharma Bhakti Surakarta and Posyandu Lansia Puspasari Abadi V Nilasari, Gonilan Village, Kartasura, Sukoharjo. Data analysis used in this study with Mann Whitney U test with the result of significance value (ρ = 0,013 <α = 0,05) which mean there is significant difference between insomnia incidence in elderly living in orphanage with living with family
