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Empowering Communities To Outsmart Stroke: Strengthening Coping Skills Through The Cerdik Movement And Cadre Leadership Ismoyowati, Tri Wahyuni; Sohilait, Hana Priscilla Frudence
Jurnal Medika: Medika Vol. 4 No. 4 (2025)
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/zertxe13

Abstract

Stroke is a leading cause of disability and death among the elderly. Risk factors such as hypertension, diabetes, high cholesterol, and chronic stress are often not optimally managed due to a lack of knowledge and adaptive coping strategies among the elderly and their families. This community service activity aimed to enhance the coping management capacity of the elderly and their families in dealing with stroke risk factors through an educational approach based on the CERDIK program (Regular health check-ups, Eliminate smoking, Routine physical activity, Balanced diet and nutrition, Adequate rest, and Stress management). The implementation methods included situation analysis, interactive counseling, coping skills training, mentoring, and pre- and post-intervention evaluation. The results showed a significant improvement in knowledge, health behavior changes, and adaptive coping abilities among the elderly and their families. This intervention proved effective in a community setting and is considered feasible for replication as a primary stroke prevention effort. The community service outcomes revealed that prior to the education, most community members had a moderate level of stroke prevention awareness (46.7%), and some had poor prevention practices. After the educational intervention, there was a notable increase, with the majority demonstrating good prevention practices (60%) and none remaining in the poor category. Post-intervention, a significant increase in stroke prevention awareness and understanding of the CERDIK principles was observed among participants. This intervention is recommended for integration into Puskesmas (community health center) and elderly Posyandu (integrated health posts) programs..  
Education And Rapid Response To Choking In Adults: Enhancing Community Awareness And Skills Sohilait, Hana Priscilla Frudence; Ismoyowati, Tri Wahyuni
Jurnal Medika: Medika Vol. 4 No. 4 (2025)
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/c0axgr30

Abstract

Choking is a medical emergency caused by an obstruction of the airway due to food, liquids, or foreign objects, which can lead to serious complications such as hypoxia, brain damage, and even death. Elderly particularly those with swallowing disorders resulting from degenerative diseases, are at high risk of choking. The objective of this choking management training program is to raise awareness, provide education, and equip the community with first aid skills to reduce the risk of injury and death caused by choking. The benefits include increased public knowledge, improved preparedness among healthcare workers, and the strengthened role of educational institutions in first aid training. The implementation methods included analysis, interactive health education, choking response training, mentoring, and pre- and post-intervention evaluations. The results showed a significant increase in participants’ knowledge and skills in managing choking incidents in adults. This intervention proved to be effective in a community setting and is considered replicable as a strategy to improve community capabilities in handling choking emergencies. The community service outcomes revealed that before the intervention, 43.3% of participants had only moderate knowledge of choking management, and some had poor understanding. After the intervention, there was a marked improvement, with 66.7% of participants demonstrating good skills, and none remaining in the poor category. This intervention is recommended for integration into Puskesmas (community health center) and elderly Posyandu (integrated health posts) programs.
Kolaborasi Interprofesi dalam Peningkatan Kapasitas Lansia dan Keluarga untuk Pencegahan Stroke melalui Edukasi dan Manajemen Koping Sehat Ismoyowati, Tri Wahyuni; Rahardjo, Wylianty; Suharso, Eddy; Nando, Aryaprana; Kang , Hari Iskandar
NuCSJo : Nusantara Community Service Journal Vol. 2 No. 1 (2025)
Publisher : Lembaga Penelitian Dan Publikasi Ilmiah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70437/s0c75d19

Abstract

Stroke merupakan penyebab utama kecacatan dan kematian di Indonesia, dengan prevalensi tertinggi pada kelompok lansia. Faktor risiko seperti hipertensi, diabetes, dislipidemia, obesitas, dan stres kronis dapat dikendalikan melalui intervensi promotif dan preventif berbasis komunitas. Pengabdian kepada masyarakat ini bertujuan meningkatkan kapasitas lansia dan keluarganya dalam pencegahan stroke melalui kolaborasi interprofesi antara dosen keperawatan dan kedokteran. Kegiatan dilaksanakan di Kelurahan Tambelang, Kabupaten Bekasi, melibatkan 30 lansia berisiko stroke dan 30 anggota keluarga. Pendekatan kolaboratif dilakukan melalui empat tahap kegiatan: skrining kesehatan medis oleh tim dokter, edukasi perilaku hidup sehat oleh dosen keperawatan, pelatihan manajemen stres, dan pendampingan keluarga dalam pengawasan faktor risiko. Evaluasi dilakukan menggunakan pre–post test terhadap pengetahuan dan perilaku pencegahan stroke. Hasil menunjukkan peningkatan signifikan pada pengetahuan peserta (p = 0,001) serta perubahan perilaku menuju gaya hidup sehat sebesar 62%. Lansia melaporkan peningkatan kemampuan koping dan penurunan keluhan stres setelah mengikuti pelatihan. Kolaborasi dosen keperawatan dan kedokteran terbukti efektif meningkatkan literasi kesehatan, deteksi dini, dan kemandirian lansia dalam pencegahan stroke. Kegiatan ini menunjukkan bahwa pendekatan interprofesi dapat menjadi model pemberdayaan masyarakat yang berkelanjutan, serta memperkuat peran akademisi kesehatan dalam pengendalian penyakit tidak menular berbasis komunitas.
Co-Authors Abdullah Al Mamun Agnes Toding Layuk Agriffa, Ebner Agus, Henry Aprilisa Putri Handayani Arief Budiono Bahtiar Bahtiar Benne, Krista Bernadeta Kristanti Brilian Yudistira Nugraha Candra Trilukita Nugraha Ceacilia Nika Candra Kusuma Cicilia Nony Ayuningsih Bratajaya Dandi Sanjaya Desty Irlani Dewi Setia Rini Ediati Sasmito Eka Kristin Ellisabeth Ella Ardini Emiliana Binarti Emmelia Kristina Hutagaol Fadli, Muhamad Arief Fajar Ferdianto Feliks Hendrikjayanto Laoli Fransisca Winandari Fransisca Winandari Gian Lisuari Adityasiwi Handoyo Handoyo Heru Santoso Wahito Nugroho I WAYAN SUDARTA Imelda Sri Desisi Teku Intening, Vivi Retno Istiarin, Ch. Hatri Jen Christin Banik Joel Rey Ugsang Acob Kang , Hari Iskandar Kartika Sulistyaningrum Koesmantoro, Hery Kristina Angwarmase La Ode Muhammad Anwar Lido Sianipar Lolita Elensari Wahyuning Maria Raphelina Rosari Mega Agape Timisela Melati, Nimsi Mrabawani, Ineke Tulus Muhamad Arief Fadli N. Surtinah Nando, Aryaprana Rafif Naufi Waskitha Hapsari Rahardjo, Wylianty Rahmawati Vita Kurniasari Rasydy, La Ode Akbar Ratna Puspita Adiyasa Restu Mahanani Rineke Anitya Oryza Sativa Rohmah, Hajar Nur Fathur Rozan Asyrofi Rakyan Risang Aji Salma Hilmy Rusydi Hashim Salomo, Sahat Tumpal Sanglar Polnok Sari, Kristiana Nilam Sartika, Aprilina Sianipar, Lido Silas Silas Siregar, Rohani Sohilait, Hana Priscilla Frudence Suharso, Eddy Sunarto, Sunarto Sundari, Erlina Suparji Suparji Susanti, Neng Imas Tanko Titus Auta Teta Puji Rahayu Theresia Rini Yuwanti Vicky Maranata Saputra Wicaksono, Ronald Andreas Wijane, Wayan Agus Ximenes, Joao Manuel Correia yanti, Puji Yenny Dwiutami