Nelly Rustiati
Program Studi D-III Keperawatan Baturaja, Poltekkes Kemenkes Palembang, Indonesia

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Breast self-examination education as an effort to promote early detection of breast cancer among women in the Al-Wahab religious study group Air Paoh Village Aisyah Aisyah; Nelly Rustiati; Meilina Estiani; Suparno Suparno
Bakti Nusantara Pengabdian Masyarakat Indonesia Vol. 3 No. 1 (2026): January - June
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/bnpmi.v3i1.199

Abstract

Background: Breast cancer remains a major public health concern among women, while delayed recognition of breast abnormalities continues to reduce opportunities for timely diagnosis and treatment. Breast self-examination provides a practical approach for increasing breast awareness and encouraging women to seek professional evaluation when they identify unusual changes. However, limited knowledge and inadequate practical skills frequently prevent women from performing breast self-examination correctly and regularly. Objective: This community service programme aimed to improve the knowledge and practical skills of women in performing breast self-examination as an early breast cancer detection effort in the Al-Wahab religious study group, Air Paoh Village. Methods: The programme applied an integrated participatory health education approach involving 20 women from the Al-Wahab religious study group. The intervention included health counselling, PowerPoint presentations, printed leaflets, an educational video, direct demonstration using a breast phantom, and guided redemonstration. The implementation team assessed participants’ knowledge through pre-test and post-test questionnaires and evaluated their practical skills through direct observation using a structured checklist. The team analysed the data descriptively by presenting frequencies and percentages for each knowledge category and level of practical competence. Results: Before the intervention, 10 participants (50%) had poor knowledge, 10 participants (50%) had moderate knowledge, and no participant had good knowledge. After the intervention, 17 participants (85%) achieved good knowledge, three participants (15%) achieved moderate knowledge, and no participant remained in the poor-knowledge category. The proportion of participants with good knowledge therefore increased from 0% to 85%. The practical assessment also showed that all 20 participants (100%) could independently and correctly perform the essential steps of breast self-examination after receiving demonstration and guided practice. Conclusion: Integrated education using audiovisual materials, breast-phantom demonstration, and guided redemonstration effectively improved participants’ knowledge and practical competence in breast self-examination. Regular community-based education should be maintained to strengthen breast awareness and support the early recognition of breast abnormalities.
Implementation of tandem walking and balance exercise combination for fall prevention among older adults with balance disorders : A case study Lisdahayati Lisdahayati; Gunardi Pome; Saprianto Saprianto; Umar Hasan Martadinata; Nelly Rustiati; Ratna Sukmawati
Lentera Perawat Vol. 6 No. 3 (2025): July - September
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i3.565

Abstract

Background: The aging process leads to a progressive decline in physiological function, including muscle strength and body balance, which increases the risk of falls among older adults. Falls are one of the leading causes of injury-related morbidity and mortality in the elderly, significantly reducing quality of life.. Objective: This study aimed to implement a combination of tandem walking and balance exercises as an intervention to prevent falls in older adults with balance impairments at the Tanjung Agung Community Health Center. Methods: A descriptive case study design with a nursing process approach was applied. Two elderly participants with moderate fall risk, as assessed by the Berg Balance Scale (BBS), were included. The intervention consisted of tandem walking and balance exercise sessions twice weekly for four weeks. Balance outcomes were measured pre- and post-intervention using the BBS, complemented by structured interviews and direct observation.. Results: Both participants demonstrated improvement in balance performance. The BBS score of Participant 1 increased from 40 to 51, shifting from moderate to low fall risk. Participant 2 improved from 39 to 46, reflecting enhanced postural stability, though still within moderate risk. Both reported greater confidence and stability during standing and walking, with reduced reliance on external support. Conclusion: The combination of tandem walking and balance exercises was effective in improving static and dynamic balance while reducing fall risk in older adults with balance disorders. This intervention is recommended as a practical fall-prevention strategy in community and primary healthcare settings.