Pahari-Stroke: Model Pemberdayaan Rumah Caregiver untuk Mewujudkan Rehabilitasi Pascastroke Berkelanjutan di Desa Antasan Senor Ilir

Bernadetta Germia Aridamayanti, Maulidya Germia Septiany, Ihya Hazairin Germia Noor, Muhammad Alif Bagus Germia Kadhafi, Shintani Germia Maharati

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ABSTRACT

 

Inadequate continuity of post-stroke rehabilitation at the family level has contributed to an increased risk of disability, complications, and dependency among stroke survivors. Limited knowledge and skills of caregivers have remained a major barrier to the implementation of home-based rehabilitation in Antasan Senor Ilir Village. This community service program aimed to improve caregivers' knowledge and skills through the implementation of the PAHARI-STROKE Program as a Caregiver House empowerment model to support sustainable post-stroke rehabilitation. A participatory approach was implemented through health education, training, demonstrations, simulations, mentoring, home visits, monitoring, and evaluation involving 30 participants consisting of stroke survivors, family caregivers, PKK cadres, and community health volunteers. The program was conducted over ten meetings from June to July 2026. Program effectiveness was evaluated using pre-test, post-test, and observational skill checklists. Data were analyzed using descriptive statistics and a paired t-test. The mean caregiver knowledge score increased from 58.40 ± 9.82 to 87.60 ± 5.94 (p<0.001). Caregiver skills significantly improved in Range of Motion exercises, Activities of Daily Living, dietary management, medication adherence, and the utilization of the PAHARI-STROKE Mobile application. The program also established a Caregiver House as a community-based rehabilitation center. The PAHARI-STROKE Program effectively improved caregiver capacity and supported sustainable home-based post-stroke rehabilitation through community empowerment.

 

Keywords: Caregiver, Community Empowerment, Post-Stroke Rehabilitation.

 

 

ABSTRAK

 

Rehabilitasi pascastroke yang tidak berkelanjutan di tingkat keluarga menyebabkan tingginya risiko kecacatan, komplikasi, dan ketergantungan penyintas stroke. Keterbatasan pengetahuan dan keterampilan caregiver menjadi salah satu kendala utama dalam pelaksanaan rehabilitasi berbasis rumah di Desa Antasan Senor Ilir. Kegiatan pengabdian kepada masyarakat ini bertujuan meningkatkan pengetahuan dan keterampilan caregiver melalui implementasi Program PAHARI-STROKE sebagai model pemberdayaan Rumah Caregiver untuk mendukung rehabilitasi pascastroke yang berkelanjutan. Kegiatan menggunakan pendekatan partisipatif melalui penyuluhan, pelatihan, demonstrasi, simulasi, pendampingan, home visit, monitoring, dan evaluasi terhadap 30 peserta yang terdiri atas penyintas pascastroke, caregiver keluarga, kader PKK, dan kader Posyandu. Program dilaksanakan selama 10 kali pertemuan pada Juni–Juli 2026. Evaluasi dilakukan menggunakan pre-testpost-test, lembar observasi keterampilan, dan dianalisis secara deskriptif serta uji paired t-test. Rata-rata skor pengetahuan meningkat dari 58,40 ± 9,82 menjadi 87,60 ± 5,94 (p<0,001). Keterampilan caregiver dalam melakukan rehabilitasi berbasis rumah juga meningkat pada seluruh indikator, termasuk latihan Range of MotionActivity of Daily Living, pengelolaan diet, kepatuhan pengobatan, dan penggunaan aplikasi PAHARI-STROKE Mobile. Program juga menghasilkan pembentukan Rumah Caregiver sebagai pusat rehabilitasi berbasis komunitas. Program PAHARI-STROKE efektif meningkatkan kapasitas caregiver dan mendukung rehabilitasi pascastroke yang berkelanjutan melalui pemberdayaan masyarakat berbasis rumah.

 

Kata Kunci: Caregiver, Pemberdayaan Masyarakat, Rehabilitasi Pascastroke.


Kata Kunci


caregiver, pemberdayaan masyarakat, rehabilitasi pascastroke

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Referensi


Aandarini, D., Susaldi, S., & Suryadi, B. (2024). Response time with successful handling on call patient stroke. 15(2), 130–137. https://doi.org/10.22219/jk.v15i02.33977

Agianto, A., Aridamayanti, B. G., Setiawan, H., Irawan, A., Wibowo, D., Silarat, M., & Zaki, M. A. B. A. (2024). Clinical Learning for Students with the Caregiver Empowerment Program Based-on Adaptation Model (CEP- BAM) in Improving the Quality of Life and Family Ability in Helping the Adaptation of Stroke Patient Training. Indonesian Nursing Journal of Education and Clinic (INJEC), 9(2), 30–38. https://doi.org/10.24990/injec.v9i2.630

Agianto, Aridamayanti, B. G., Firdausi, R., Septiany, M., & Hasibuan, N. A. (2025). Perawatan Stroke di Komunitas. In Nuansa Fajar Cemerlang.

Agustin, T. N., Melizza, N., Ika, A., Rohmah, N., Freeska, O., & Marta, D. (2025). Optimising the FAST program for stroke prevention in rural communities : a literature review. 21(1), 11–21.

Agustina, R., Agustina, S. M., & Fariska, S. (2024). Pemberdayaan Kader dalam Pertolongan Pertama Stroke dengan Deteksi Dini FAST (Face, Arm, Speech, Time) Pada Agregat Dewasa di Desa Pelem. 03(04), 1234–1239.

Aridamayanti, B. G., Septiany, M., Agianto, A., & Diani, N. (2023). Prevention of Hypertension and Diabetes Mellitus Based on Health Education in the Community of Sungai Rangas Village, West Martapura. Jurnal Mandala Pengabdian Masyarakat, 4(1), 261–267. https://doi.org/10.35311/jmpm.v4i1.231

Byrne, S. (2025). The Role of a Stroke Specialist Nurse in Early Supported Discharge and Secondary Prevention in the Community . A Scoping Review. 1–11. https://doi.org/10.1002/nop2.70358

Cahyani, G., Rumahorbo, H., & Sudirman, S. (2023). Youtube-based stroke care education development and its effectiveness on the levels of compliance with physical rehabilitation in post-stroke patients. 18. https://doi.org/10.26714/mki.6.3.2023.234-243

Dinas Kesehatan Provinsi Kalimantan Selatan. (2025). Profil Kesehatan Provinsi Kalimantan Selatan 2025.

Fatmawati, V., & Silmina, E. P. (2025). Model pemberdayaan pasca stroke dalam mengelola nyeri dan kaku dengan exercise Post-stroke empowerment model in managing pain and stiffness with exercise. 3, 1458–1465.

Feigin, V. L. (2024). Global , regional , and national burden of stroke and its risk factors , 1990 – 2021 : a systematic analysis for the Global Burden of Disease Study 2021. Lancet Neurology, 23, 973–1003. https://doi.org/10.1016/S1474-4422(24)00369-7

Indonesia, K. K. R. (2023). Survei Kesehatan Indonesia.

Langitan, R. E., Rantesigi, N., & Palu, P. K. (2025). Empowering community health cadres to drive early stroke risk detection in Sedoa, Poso. 10(9), 1924–1935.

Manga, H. B., Haliru, L., Ahmed, K., Ige, S., Musa, H., Schlundt, D. G., Varughese, T., Tabari, A. M., Debaun, M. R., & Baumann, A. A. (2024). Barriers and facilitators to a task ‑ shifted stroke prevention program for children with sickle cell anemia in a community hospital : a qualitative study. Implementation Science Communications, 1–17. https://doi.org/10.1186/s43058-023-00534-z

Matérne, M., Lindvall, M. A., Appelros, P., Eriksson, O., & Jarl, G. (2025). Post ‑ stroke fatigue : The role of comorbidities and its impact on quality of life. BMC Neurology. https://doi.org/10.1186/s12883-025-04143-2

Pasambo, Y., Karundeng, Y., Bobaya, J., Desyani, N. L. J., Sarimin, D. S., & Alam, S. (2023). Peningkatan Kapasitas Masyarakat Dalam Deteksi Dini Stroke Menggunakan “Metode Fast” Pada Masyarakat Dengan Risiko Tinggi Stroke. Jurnal Pengabdian Kepada Masyarakat Nusantara (JPkMN), 4(4), 3220–3226.

Simanullang, M. S. D., Aridamayanti, B. G., Rustandi, H., Rumbo, H., & Yaman, I. (2025). Edukasi Kesehatan untuk Pencegahan Stroke Pada Dewasa Muda (Vol. 8, Issue 2). Optimal untuk Negeri.

Triwijayanti, R., Husna, H. P., Zahra, N. A.-, Noliawati, H., Dwi, D., & Hati, L. (2025). Kader Tanggap Stroke: Edukasi Berbasis Teknologi sebagai Strategi Deteksi Dini dan Manajemen Risiko. 7, 154–161.

World Health Organization (WHO). (2025a). Data and Framework for the care of acute coronary syndrome and stroke.

World Health Organization (WHO). (2025b). Integrating stroke services in health-care systems: A practical approach.

Wulan, D. R., Huzaifah, Z., Banjarmasin, M., & Artikel, I. (2024). Pengaruh penyuluhan kesehatan metode befast terhadap peningkatan pengetahuan deteksi dini tanda gejala stroke. 5(2), 105–110.




DOI: https://doi.org/10.33024/jkpm.v9i10.26881

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