COMMUNITY-BASED STROKE EMERGENCY EDUCATION AND RISK SCREENING AMONG ADULTS: A ONE-GROUP PRETEST–POSTTEST STUDY
DOI:
https://doi.org/10.35328/esh0f762Keywords:
Education, Stroke, Knowledge, Early Detection, Risk FactorsAbstract
Stroke is a leading cause of mortality and disability in Indonesia, with most cases associated with modifiable risk factors. Limited public knowledge regarding stroke contributes to delays in treatment and inadequate early detection of stroke risk factors. This study aimed to analyze the effect of stroke emergency education on improving knowledge and facilitating the early detection of stroke risk among community members. A quasi-experimental study using a one-group pre-test and post-test design was conducted in Mabar Village, Neighborhood VIII, Medan City, in April 2026. The study population consisted of adults residing in Mabar Village, Neighborhood VIII, and a total of 40 respondents were selected using purposive sampling. Data were collected through knowledge assessments using questionnaires administered before and after the stroke emergency education intervention, as well as health screenings including blood pressure, blood glucose, total cholesterol, and uric acid measurements to identify stroke risk factors. Data were analyzed using descriptive statistics and the Paired t-test with a 95% confidence level. The results showed that the mean knowledge score significantly increased from 5.2±1.4 to 8.6±1.1 (p<0.001). Health screening findings revealed that 29 respondents (72.5%) had at least one stroke risk factor, with dyslipidemia identified in 21 respondents (52.5%) and hypertension in 18 respondents (45.0%). Stroke emergency education was effective in improving community knowledge while supporting the early detection of stroke risk factors. Continuous implementation of education and health screening programs is recommended as a promotive and preventive strategy for stroke prevention in the community.
Downloads
References
American Diabetes Association. (2022). Standards of medical care in diabetes—2022. Diabetes Care, 45(Suppl. 1), S1–S264.
Feigin, V. L., Stark, B. A., Johnson, C. O., Roth, G. A., Bisignano, C., Abady, G. G., et al. (2021). Global, regional, and national burden of stroke and its risk factors, 1990–2019: A systematic analysis for the Global Burden of Disease Study 2019. The Lancet Neurology, 20(10), 795–820.
Grundy, S. M., Stone, N. J., Bailey, A. L., Beam, C., Birtcher, K. K., Blumenthal, R. S., et al. (2019). 2018 AHA/ACC guideline on the management of blood cholesterol. Circulation, 139(25), e1082–e1143.
Hankey, G. J. (2017). Stroke. The Lancet, 389(10069), 641–654.
Kementerian Kesehatan Republik Indonesia. (2018). Hasil Utama Riskesdas 2018. Jakarta: Kementerian Kesehatan RI.
Kementerian Kesehatan Republik Indonesia. (2022). Profil Kesehatan Indonesia Tahun 2021. Jakarta: Kementerian Kesehatan RI.
Kim, J., Thayabaranathan, T., Donnan, G. A., Howard, G., Howard, V. J., Rothwell, P. M., et al. (2020). Global stroke statistics 2019. International Journal of Stroke, 15(8), 819–838.
Notoatmodjo, S. (2018). Promosi Kesehatan dan Perilaku Kesehatan. Jakarta: Rineka Cipta.
O'Donnell, M. J., Chin, S. L., Rangarajan, S., Xavier, D., Liu, L., Zhang, H., et al. (2016). Global and regional effects of potentially modifiable risk factors associated with acute stroke in 32 countries (INTERSTROKE): A case-control study. The Lancet, 388(10046), 761–775.
Owolabi, M. O., Thrift, A. G., Mahal, A., Ishida, M., Martins, S., Johnson, W. D., et al. (2022). Primary stroke prevention worldwide: Translating evidence into action. The Lancet Public Health, 7(1), e74–e85.
Powers, W. J., Rabinstein, A. A., Ackerson, T., Adeoye, O. M., Bambakidis, N. C., Becker, K., et al. (2019). Guidelines for the early management of acute ischemic stroke. Stroke, 50(12), e344–e418.
Whelton, P. K., Carey, R. M., Aronow, W. S., Casey, D. E., Collins, K. J., Dennison Himmelfarb, C., et al. (2018). 2017 ACC/AHA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults. Hypertension, 71(6), e13–e115.
World Health Organization. (2021). Cardiovascular Diseases (CVDs). Geneva: World Health Organization.
World Health Organization. (2022). Noncommunicable Diseases Progress Monitor 2022. Geneva: World Health Organization.
World Health Organization. (2022). World Stroke Day 2022. Geneva: World Health Organization.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Al-Asalmiya Nursing: Jurnal Ilmu Keperawatan (Journal of Nursing Sciences)

This work is licensed under a Creative Commons Attribution 4.0 International License.











