Setho Hadisuyatmana
Fakultas Keperawatan Universitas Airlangga Kampus C Mulyorejo Surabaya 60115

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PIJAT PERUT MENURUNKAN TINGKAT KONSTIPASI PADA LANJUT USIA Erna Dwi Wahyuni; Silvia Lusiana Suwandi; Setho Hadisuyatmana
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 6 No. 2 (2018): APRIL 2018
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (211.627 KB) | DOI: 10.20473/cmsnj.v6i2.12833

Abstract

Introduction: Constipation is one of the results of decreased body structure and function in the elderly. One way that can be used to prevent constipation is by doing abdominal massage. The purpose of this research was to determine the influence of abdominal massage on prevention of constipation for elderly. Method: This research used Quasy experiment method by using pre-test-post-test with control group design. The study population was elderly at the nursing home which had risk of constipation amounted to 38 respondents. The sample was 30 respondents with sample random sampling technique. Independentvariables were abdominal massage and the dependent variable was constipation level. Data were collected using Constipation Assessment Scale. Data were analyzed using the Wilcoxon sign rank test and Mann-Whitney test.Result: The results showed statistic test using Wilcoxon in the treatment group showed there was a decrease of constipation level before and after receiving an abdominal massage, with p-value = 0.001 and in the control group there was no difference of constipation level with p-value = 0.057. The results of MannWhitney, showed a difference in abdominal massages to prevent constipation in the elderly with a value of p = 0.033.Discussion: Stimulation from the outside with abdominal massage can help stimulate the parasympathetic nerve in the intestine and accelerate blood circulation, so that weakened bowel peristaltic becomes increased. In this study, abdominal massage was statistically significant against the prevention of constipation in the elderly but clinicallynot too significant.
The Correlation between Masculinity and Smoking Behavior among Adolescent in Surabaya Setho Hadisuyatmana
Journal of Global Pharma Technology Volume 12 Issue 02 (2020) Feb. 2020
Publisher : Journal of Global Pharma Technology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (472.942 KB)

Abstract

Smoking behavior is one of the risky health behaviors adopted by adolescents in Indonesia. The behavior was commonly recognized as a masculine among male adolescents. The label of man identity called masculinity influences this condition. This study investigated the association of masculinity as ideology, masculinity norms, and gender role conflict and its correlation with smoking behavior in male adolescents who lived in Surabaya. This study used a descriptive correlative method and involved 314 adolescent males aged 15-18 years old in Surabaya as participants. We employed univariate analysis to identify predictors, including the ideology of masculinity (MNRI-SF), masculinity norms (CMNI-46), and gender role conflict (GRCS-I); and a dependent variable: male adolescents’ smoking behavior. The data were collected electronically, following waived written consents. Bivariate analyses were conducted to investigate each of the predictor's questionnaires and dependent variables using chi-square with the level of significance of p<0.05. Adolescents as participants in this study have low levels of ideological masculinity, high norms of masculinity and gender role conflict in the moderate category. The results indicated that ideology masculinity, masculinity norms, and gender role conflicts are positively associated with smoking behavior (p=0,001, p=0,029, and p=0,001 respectively). The findings of this study suggested that smoking behavior was constructed as an element to the idea of masculinity in the perspective of male adolescents in Surabaya, despite the available warning to prevent the circulation of tobacco products to adolescents. Thus, this study recommends the need for reinvention around tobacco-products circulation as not to involve the youth. Keywords: Adolescent, Gender role conflict, Masculinity, Smoking behavior.
Men’s Attachment to Masculinity and Preference in Accessing Primary Health Care Service in URBAN Area of Surabaya, Indonesia Setho Hadisuyatmana
Journal of Global Pharma Technology Volume 12 Issue 02 (2020) Feb. 2020
Publisher : Journal of Global Pharma Technology

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Abstract

Men’s attachment to masculinity is believed to contribute to the low access to health services. However, there is a paucity in the available literature to explain this further in Indonesia. This study aimed to narrow the gap by providing scientific evidence to explain whether a similar situation is occurring in Indonesia. We conducted a cross-sectional study involving 134 men aged 20-40 years old who lived in Surabaya as participants. The ideology of masculinity, masculinity norms and the gender role conflict were assessed for their correlations with men’s access to primary health care. Univariate analysis was employed to identify the studied variables; and bivariate analysis was conducted to the correlation with men’s use of the primary health care services, using Spearman’s correlation test. The men were moderately attached to the ideology of masculinity (52.2%), masculinity norms (56.7%) and have moderate gender role conflicts (53.7%), and used the primary health care center for services (54.5%). The bivariate analysis resulted that all the three studied variables did not correlate with men’s access to primary health care centers (p = 0.455, 0.654, 0.300 respectively). The results refute the widely accepted notion and suggest that the men’s attachment to masculinity did not contribute to their use of primary health care service. Instead, the men would access the primary health service as early as physical symptoms started to occur.Keywords: Health service utilization, Indonesia, Masculinity, Men, Primary health care.
Pemberdayaan Keluarga Rawan Pangan Melalui Penguatan Aspek Kognitif Dan Psikomotor Sebagai Upaya Peningkatan Pemenuhan Kebutuhan Nutrisi Balita Di Wilayah Kerja Puskesmas Mulyorejo Surabaya Mar’ah Has, Eka Mishbahatul; Ulfiana, Elida; Hadisuyatmana, Setho; Syarifah. Has, Dwi Faqihatus
Indonesian Journal of Community Dedication in Health (IJCDH) Vol. 1 No. 01 (2020): IJCDH Vol 01 No 01
Publisher : Universitas Muhammadiyah Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (322.148 KB) | DOI: 10.30587/ijcdh.v1i01.2085

Abstract

Malnutrisi masih menjadi masalah gizi utama anak di Indonesia. Malnutrisi dan rawan pangan hampir tidak dapat dipisahkan. Rawan pangan didefinisikan sebagai suatu kondisi ketidakmampuan untuk memperoleh pangan yang cukup dan sesuai untuk hidup sehat. Tujuan kegiatan pengabdian masyarakat ini adalah penguatan kemampuan kognitif dan psikomotor keluarga rawan pangan dalam memenuhi kebutuhan nutrisi balita di wilayah kerja Puskesmas Mulyorejo, Kecamatan Mulyorejo, Kota Surabaya. Metode pendekatan yang akan dilakukan dalam kegiatan pengabdian masyarakat ini adalah memberikan informasi dan ketrampilan yang sederhana, murah dan mudah untuk diaplikasikan oleh ibu dari keluarga rawan pangan dalam memenuhi kebutuhan nutrisi balitanya. Pelaksanaan kegiatan pengabdian masyarakat akan dilakukan secara bertahap, meliputi: 1)Pendidikan kesehatan melalui tatap muka dan diskusi, 2)Pelatihan pemilihan bahan, pengolahan, dan penyajian makanan bergizi untuk balita, serta 3). Monitoring dan evaluasi. Evaluasi dilaksanakan di awal, proses, dan akhir kegiatan dengan cara berikut: 1) Pre-test: diberikan kuesioner untuk di jawab oleh peserta, 2) Proses: dilakukan saat pelatihan; ceramah, diskusi, demonstrasi berdasarkan respon dan keaktifan peserta serta Post-test: diberikan kuesioner setelah selesai mengikuti pelatihan. Dari hasil evaluasi kegiatan masyarakat didapatkan hasil peningkatan kemampuan kognitif dan psikomotor dengan rata rata 75%. Hasil evaluasi ini membuktikan bahwa kegiatan pengabdian masyarakat ini berhasil dan sesuai dengan target. Kata kunci: Pemberdayaan, Keluarga Rawan Pangan, Peningkatan Kognitif dan Psikomotor
MEN’S HEALTH IN INDONESIA: BREAKING THE SILENCE Setho Hadisuyatmana, S.Kep.Ns., M.NS (CommHlth&PC)., Ph.D.
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 10, No 1 (2025): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v10i1.990

Abstract

Indonesia is burdened with the steadily increasing chronic diseases, and men are quietly bearing much of it. Despite this, men’s health remains an underpresented and under- addressed topic in both clinical practice and public health policy. This oversight contributes to disparities in life expectancy and lack health professional’s attention to their general health and well-being (Handayani et al., 2021; Mboi et al., 2022). A notable example is the underreported of cases of erectile dysfunction (ED)—a condition that is widely regarded as a significant marker of underlying cardiovascular disease (Hackett, G., 2018; Rakovac Tisdall et al., 2018). Despite its clinical significance, ED is often overlooked due to cultural taboos, limited provider training, overcrowding patients, and the absence of structured indications in the available guidelines (Hadisuyatmana et al., 2025).Our recent qualitative research sheds light on this silent burden. Interviews with men diagnosed with T2DM in several regions of Indonesia revealed a strong desire for support, yet an equally strong fear of judgment or dismissal (Hadisuyatmana et al., 2021).“I won’t go to a Puskesmas if I can avoid it. It’s always full of people and there is a very long queue.”“The Puskesmas was always busy, there will not be sufficient time for us to consult with the doctor.”This silence is echoed in the voices of healthcare professionals working at the frontlines in Puskesmas (Indonesia’s public health centers), who often feel ill-equipped to manage such issues despite their clinical relevance (Hadisuyatmana et al., 2025).“Personally, no patient has ever come to me for erectile dysfunction, and we’ve never asked them about it either,” – A nurse.“Based on my personal experience, they never asked us about ED,” – A doctor.This dual discomfort among patients and providers represents a critical gap in Indonesia’s primary healthcare system. Sexual health is not a luxury; it is a vital aspect of holistic care. ED, in particular, is not only a quality-of-life concern but often an early warning sign of cardiovascular complications. Unfortunately, sexual health is not currently covered under Indonesia’s national health insurance scheme (BPJS), leaving men with limited options and structured support for seeking care.“We told him to get his blood pressure as normal as possible and make his lifestyle healthier to prevent his ED from getting worse,” – A nurse (Hadisuyatmana et al., 2025).Fortunately, the Indonesian Ministry of Health has recently acknowledged the consequences of longstanding neglect of men’s health, including men’s poor quality of health and shorter average life expectancy compared with women (Yang J., 2021). This disparity is not purely biological; it reflects systemic neglect, and potentially causing Indonesia to fail to upholding its commitment to health equity as articulated in Sustainable Development Goal (SDG) No. 3: “Ensure healthy lives and promote well-being for all at all ages.”The Ministry’s recent recognition of this issue can be seen as a positive sign—marking a future direction for research, policy development, and service improvement to ensure health for all citizens and a better Indonesia. The attention can be interpreted as an opportunity, indicating a pathway forward for innovation in health services and greater equity in care.However, this moment must also be viewed through a sceptical lens. As researchers, we bear the responsibility to ensure that such acknowledgements do not become rhetorical statements. Pioneering research and development must begin now, grounded in action, evidence, and accountability.Policy and system-level reforms are urgently needed, including: Integration of men’s sexual health into chronic disease management guidelines,particularly within the Ministry of Health’s T2DM protocols.Structured training for primary care providers to discuss men’s health and sexual dysfunction with sensitivity and clinical confidence.Public health campaigns that reduce stigma and encourage men to seek help early before complications arise.Inclusion of men’s health in national health indicators, ensuring equitable planning and resource allocation.Without deliberate attention to men’s unique health needs, we risk delivering incomplete care and worsening gender-based health inequities. Silence is not neutral—it is harmful. These emerging concerns drive the need to build a responsive, inclusive, and empathetic health system. Now is the time to break the silence on men’s health in Indonesia.
Efektivitas Intervensi Community Health Worker dalam Pelayanan Kesehatan: A Systematic Review Jimni Maulana; Ferry Efendi; Setho Hadisuyatmana
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.55081

Abstract

The risk of heart disease and stroke can be reduced with adequate cardiovascular disease prevention, as outlined in the American Heart Association's Life's Essential 8 guidelines for modifiable health behaviors. This review examines the role of Community Health Workers (CHWs) in CVD prevention trials across the United States. In the 24 clinical trials identified, our review emphasized the effectiveness of CHWs in improving health behaviors and outcomes, particularly for underserved populations with limited access to health care. CHWs were actively involved in implementing interventions, providing culturally sensitive education, offering health coaching, and supporting lifestyle modifications, such as increased physical activity and medication adherence. It is noteworthy that most studies focused on heart disease. Beyond the CHW's role in delivering behavioral interventions, training for community health workers (CHWs) generally includes disease-specific knowledge and communication skills. CHW training programs vary widely in scope and standards, with unclear role definitions and inadequate collaboration. To improve CHW-led preventive health care, it is recommended to develop a standardized training framework, define CHW responsibilities in clinical and research collaborations, and build sustainable community-academic partnerships. This action could significantly enhance the role of CHWs in reducing cardiovascular disease (CVD) disparities, thereby promoting more equitable health care.