Empowering Elderly People at Risk of Stroke Through Health Education, Physical Activity, and Community-Based Technology

Sri Yani, Nanang Nasrulloh, Agus Joko Susanto

Sari


ABSTRACT

 

Stroke is one of the leading causes of disability and death in Indonesia, especially in the pre-elderly and elderly groups with risk factors for hypertension, diabetes, obesity, and a sedentary lifestyle. This community service program aims to increase public awareness, knowledge, and skills in stroke prevention through health education, physical activity, dietary management, and clean, healthy living behaviors (PHBS). Implementation includes socialization, health counseling, physical activity training, healthy eating support, and optimization of Posbindu and Elderly Posts. The activity results showed increased knowledge among cadres and the elderly about stroke risk factors, increased participation in physical activity, changes in healthy eating behaviors, and greater compliance among the elderly with routine health check-ups. The use of simple technologies, such as WhatsApp groups, gymnastics videos, and applications of the Ministry of Health's Posbindu information system, supports the program's sustainability. The elderly have a moderate stroke risk of 62%, which is the highest risk of stroke. Cadre knowledge increased from 57.5 to 84. Systolic and diastolic blood pressure decreased after interval walking training (IWT). Community-based empowerment through educational approaches, physical exercise, and simple technology has been shown to increase the capacity of people at risk of stroke and to improve health and productivity. It is recommended that this community-based empowerment model be integrated into public health programs on an ongoing basis to expand its impact on stroke prevention and productivity.

 

Keywords: Stroke Risk, Elderly, Education, Physical Activity.


Kata Kunci


Stroke risk, Elderly, Education, Physical activity

Teks Lengkap:

Download Artikel

Referensi


Avery, H., Sjögren Forss, K., & Rämgård, M. (2022). Empowering communities with health promotion labs: result from a CBPR programme in Malmö, Sweden. Health Promot Int, 37(1). https://doi.org/10.1093/heapro/daab069

Bam, K., Olaiya, M. T., Cadilhac, D. A., Donnan, G. A., Murphy, L., & Kilkenny, M. F. (2022). Enhancing primary stroke prevention: a combination approach. Lancet Public Health, 7(8), e721-e724. https://doi.org/10.1016/s2468-2667(22)00156-6

BKPK, K. (2023). Survei Kesehatan Indonesia (SKI) 2023 Dalam Angka. K. K. B. K. P. Kesehatan.

Bogic, M., Garcia, J. K., Morgan, E., Louise-Hsu, Y. C., & Boyd, A. (2025). Misinformation and digital health literacy among American Indian and Alaska Native people. Digit Health, 11, 20552076251338893. https://doi.org/10.1177/20552076251338893

Chugh, D., Iyer, C. C., Bobbili, P., Blatnik, A. J., 3rd, Kaspar, B. K., Meyer, K., Burghes, A. H., Clark, B. C., & Arnold, W. D. (2021). Voluntary wheel running with and without follistatin overexpression improves NMJ transmission but not motor unit loss in late life of C57BL/6J mice. Neurobiol Aging, 101, 285-296. https://doi.org/10.1016/j.neurobiolaging.2021.01.012

Creighton, R., Paradis, K., Blackburn, N., & Tully, M. (2022). Group-Based Physical Activity Interventions Targeting Enjoyment in Older Adults: A Systematic Review. Journal of Ageing and Longevity, 2, 113-129. https://doi.org/10.3390/jal2020011

Dwi Agustina, M. B. W. (2023). EFEKTIFITAS PENYULUHAN KESEHATAN TERHADAP PENGETAHUAN PHBS DI RW 07 KEL. PEKAYON. Jurnal Kesehatan dan Teknologi Medis, Vol. 05, No.4.

El Husseini, N., Nichols, M., & Owolabi, M. (2025). Improving Access to Primordial and Primary Stroke Prevention: Global Considerations. J Am Heart Assoc, 14(16), e040119. https://doi.org/10.1161/jaha.124.040119

Feigin, V. L., Brainin, M., Norrving, B., Martins, S., Sacco, R. L., Hacke, W., Fisher, M., Pandian, J., & Lindsay, P. (2022). World Stroke Organization (WSO): Global Stroke Fact Sheet 2022. Int J Stroke, 17(1), 18-29. https://doi.org/10.1177/17474930211065917

Hasan, B., Thompson, W. G., Almasri, J., Wang, Z., Lakis, S., Prokop, L. J., Hensrud, D. D., Frie, K. S., Wirtz, M. J., Murad, A. L., Ewoldt, J. S., & Murad, M. H. (2019). The effect of culinary interventions (cooking classes) on dietary intake and behavioral change: a systematic review and evidence map. BMC Nutr, 5, 29. https://doi.org/10.1186/s40795-019-0293-8

Kang, D., Park, J., & Eun, S. D. (2023). The efficacy of community-based exercise programs on circulating irisin level, muscle strength, cardiorespiratory endurance, and body composition for ischemic stroke: a randomized controlled trial. Front Neurol, 14, 1187666. https://doi.org/10.3389/fneur.2023.1187666

Kraemer, W. J., Caldwell, L. K., Post, E. M., DuPont, W. H., Martini, E. R., Ratamess, N. A., Szivak, T. K., Shurley, J. P., Beeler, M. K., Volek, J. S., Maresh, C. M., Todd, J. S., Walrod, B. J., Hyde, P. N., Fairman, C., & Best, T. M. (2020). Body Composition in Elite Strongman Competitors. J Strength Cond Res, 34(12), 3326-3330. https://doi.org/10.1519/jsc.0000000000003763

Maniatunufus, & Nursiswati. (2024). Risk Factors and Stroke Symptoms Knowledge among Diabetes Mellitus, Hypertension and Heart Disease Patients: Literature Review. Journal of Diabetes Research Reviews & Reports, 1-6. https://doi.org/10.47363/JDRR/2024(6)177

Mazur, M., Przytuła, A., Szymańska, M., & Popiołek-Kalisz, J. (2024). Dietary strategies for cardiovascular disease risk factors prevention. Current Problems in Cardiology, 49(9), 102746. https://doi.org/https://doi.org/10.1016/j.cpcardiol.2024.102746

Nemoto, K.-i., Gen-no, H., Masuki, S., Okazaki, K., & Nose, H. (2007). Effects of High-Intensity Interval Walking Training on Physical Fitness and Blood Pressure in Middle-Aged and Older People. Mayo Clinic proceedings. Mayo Clinic, 82, 803-811. https://doi.org/10.4065/82.7.803

Page-Reeves, J. (2019). Community-Based Participatory Research for Health. Health Promotion Practice, 20(1), 15-17. https://doi.org/10.1177/1524839918809007

Sacco, S., Foschi, M., Ornello, R., De Santis, F., Pofi, R., & Romoli, M. (2024). Prevention and treatment of ischaemic and haemorrhagic stroke in people with diabetes mellitus: a focus on glucose control and comorbidities. Diabetologia, 67(7), 1192-1205. https://doi.org/10.1007/s00125-024-06146-z

Saifullah, Y. Y., Rachman, M. E., Limoa, L. T., & Hamado, N. (2024). Literature review: Hubungan hipertensi dengan kejadian stroke iskemik dan stroke hemoragik. Fakumi Medical Journal: Jurnal Mahasiswa Kedokteran, 4(10), 695-708.

Sari, Y., Yusuf, S., Haryanto, H., Sumeru, A., & Saryono, S. (2022). The barriers and facilitators of foot care practices in diabetic patients in Indonesia: A qualitative study. Nurs Open, 9(6), 2867-2877. https://doi.org/10.1002/nop2.993

Sędek, A., Świerczewska, A., Lach, S., Bednarek, I., Kałuża, K., Merchel, L., Błąd, K., Komasara, P., Nowakowska, J., & Czechowska, K. (2025). Effects of hypertension and atrial fibrillation on stroke risk. Archiv Euromedica, 15. https://doi.org/10.35630/2025/15/4.004

Thalib, A. (2025). Hypertension Causes, Impacts, and Control Strategies In The Modern Era. Indonesian Journal of Nursing and Health Care, 2(1: February), 12-19.

The Lancet, N. (2022). Tackling the burden of stroke with primordial prevention. Lancet Neurol, 21(12), 1061. https://doi.org/10.1016/s1474-4422(22)00443-4

Volterrani, M., & Caminiti, G. (2023). Editorial: Physical activity and exercise for the prevention and management of cardiovascular risk and cardiovascular disease. Front Cardiovasc Med, 10, 1298422. https://doi.org/10.3389/fcvm.2023.1298422




DOI: https://doi.org/10.33024/jkpm.v9i2.24004

Refbacks

  • Saat ini tidak ada refbacks.


Disponsori oleh : Universitas Malahayati Lampung dan DPW PPNI Lampung


Creative Commons License
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.