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Penguatan kapasitas kader kesehatan melalui strategi pemberdayaan masyarakat dalam meningkatkan keterampilan skrining skilas di wilayah kerja Puskesmas Penimbung Lombok Barat Agus Supinganto; Lalu Unsunnidhal; Idyatul Hasanah; Raudatul Jannah; Ni Ketut Metri; Raufina Riandhani Mulyoto
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 9, No 4 (2025): Juli
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v9i4.31720

Abstract

AbstrakMeningkatnya populasi lansia menuntut peran aktif kader kesehatan dalam melakukan skrining kesehatan secara efektif untuk mendeteksi dini gangguan kesehatan. Tujuan kegiatan ini adalah meningkatkan kapasitas kader kesehatan dalam melakukan deteksi dini melalui pelatihan skrining Skilas, dengan indikator capaian berupa peningkatan pengetahuan kader di Posyandu Desa Kekeri Timur, wilayah kerja Puskesmas Penimbung, Lombok Barat pada tanggal 8-9 Pebruari 2025. Kegiatan ini melibatkan 20 kader kesehatan dari Desa Kekeri dan Desa Mambalan melalui pendekatan Fokus Grup Diskusi (FGD), pelatihan, serta evaluasi pre-test dan post-test. Materi pelatihan mencakup tujuh dimensi skrining yaitu penurunan kognitif, keterbatasan mobilisasi, malnutrisi, gangguan penglihatan, gangguan pendengaran, dan gejala depresi. Hasil kegiatan menunjukkan kemampuan kader kesehatan dalam melakukan skrining Skilas dan terjadi peningkatan signifikan pada pengetahuan kader dari rata-rata skor 4,56 menjadi 9,77, serta keterampilan dari 3,25 menjadi 9,22. Pelatihan ini terbukti efektif dalam meningkatkan kompetensi kader kesehatan untuk mendukung deteksi dini gangguan kesehatan lansia secara mandiri. Kata kunci: kader kesehatan; lansia; pengabdian masyarakat; pelatihan keterampilan; skrining skilas AbstractThe increasing elderly population demands the active role of health cadres in conducting effective health screenings to enable early detection of health disorders. The objective of this activity was to enhance the capacity of health cadres in early detection through Skilas screening training, with the achievement indicator being an improvement in knowledge among cadres at the Posyandu in Kekeri Timur Village, under the jurisdiction of Penimbung Health Center, West Lombok, on February 8–9, 2025. The activity involved 20 health cadres from Kekeri and Mambalan Villages through a Focus Group Discussion (FGD) approach, training sessions, and pre-test and post-test evaluations. The training materials covered seven screening dimensions: cognitive decline, mobility limitations, malnutrition, visual impairment, hearing loss, and symptoms of depression. The results demonstrated that the health cadres were capable of conducting Skilas screenings and showed a significant increase in knowledge scores, from an average of 4.56 to 9.77, as well as skills improvement from 3.25 to 9.22. This training proved effective in enhancing the competencies of health cadres to support independent early detection of health problems among the elderly.Keywords: community service; health cadre; skilas screening; elderly; skill training
Effectiveness of Multicomponent Elderly Exercise on Balance and Fall Risk: SKILAS-based Screening in West Lombok Elderly Schools Agus Supinganto; Raufina Riandhani Mulyoto; Ni Ketut Metri; Ni Nyoman Melani Karang; A A I Ayesa Febrinia Adyasputri; M. Syarif Hidayatullah
Jurnal Ilmiah STIKES Yarsi Mataram Vol. 16 No. 1 (2026): Jurnal Ilmiah STIKES Yarsi Mataram
Publisher : Institut Kesehatan YARSI Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57267/jisym.v16i1.542

Abstract

Background: Falls are a major public health problem among older adults, leading to injuries, disability, and loss of independence. Community-based exercise programs are recommended as a preventive strategy. Objective: This study aimed to evaluate the effectiveness of a 4-week multicomponent elderly exercise program on balance and fall risk among Elderly School participants in West Lombok, Indonesia. Methods: A quasi-experimental one-group pretest–posttest design was conducted in February 2025 in Gunungsari, Mambalan Village. Sixty older adults aged ≥60 years were recruited using purposive sampling. Balance and fall risk were assessed using the Berg Balance Scale (BBS) and Timed Up and Go (TUG), while functional status was recorded using the SKILAS form. The intervention consisted of multicomponent exercise sessions conducted twice weekly for four weeks (eight sessions). Paired t-test or Wilcoxon signed-rank test was applied for continuous variables, and McNemar or chi-square test for categorical outcomes. Statistical significance was set at α = 0.05, with effect sizes and 95% confidence intervals (CI) reported. Results: Mean BBS scores significantly increased from 38.5 (95% CI: 37.42–39.58) at baseline to 45.7 (95% CI: 44.72–46.68) post-intervention, indicating a mean improvement of 7.2 points (p < 0.001; Cohen’s d ≈ 0.72). The proportion of participants at risk of falls decreased from 40% (24/60; 95% CI: 28.6–52.6%) to 18% (10/60; 95% CI: 9.3–28.0%), representing an absolute reduction of 22 percentage points (p = 0.002). Conclusion: A 4-week multicomponent elderly exercise program significantly improved balance and reduced fall risk among older adults. This intervention is recommended for routine implementation in Elderly Schools and primary healthcare settings as a practical and effective fall-prevention strategy.