Stroke Emergency Education among Diabetes Mellitus Patients in the Working Area of Puskesmas Martapura Barat, Banjar Regency
DOI:
https://doi.org/10.71456/adc.v4i2.1848Keywords:
Diabetes Mellitus, Kegawatdaruratan Stroke, Edukasi KesehatanAbstract
Stroke is the second leading cause of death and the third leading cause of disability worldwide. Patients with Diabetes Mellitus (DM) have a 1.8 times higher risk of recurrent stroke in men and 2.2 times higher in women. Based on data from Puskesmas Martapura Barat in 2025, this area recorded a high prevalence of DM, with most patients experiencing hypertension as a comorbidity. However, no prior education on stroke emergencies had been conducted. This condition may increase the risk of disability and mortality due to delays in stroke management. Therefore, educational and health empowerment–based interventions are needed.
This Community Service Program aimed to improve the knowledge of DM patients regarding stroke emergency management through structured health education using posters and banners as educational media. The program was conducted in the working area of Puskesmas Martapura Barat, Banjar Regency, in May 2026, involving 30 DM patients as participants. The methods included a pretest, interactive health education sessions using PowerPoint presentations, posters, and banners, early stroke detection simulations using the SEGERA method, and a posttest. The effectiveness of the program was evaluated through improvements in pretest and posttest scores, which were analyzed descriptively.
The results demonstrated a significant increase in participants’ understanding, with the mean pretest score improving from 58.4 to 85.6 in the posttest, representing a 46.6% increase. All DM patients were declared competent in performing early stroke detection simulations. This program is expected to promote a stroke-responsive community through continuous educational approaches and the empowerment of local community potential.
References
American Stroke Association. (2021). Stroke risk factors. Diakses dari https://www.stroke.org/en/about-stroke/stroke-risk-factors
Badan Penelitian dan Pengembangan Kesehatan. (2018). Laporan Nasional Riskesdas 2018. Jakarta: Kementerian Kesehatan RI.
Balgis, B., Sumardiyono, S., & Handayani, S. (2022). Hubungan antara prevalensi hipertensi, prevalensi DM dengan prevalensi stroke di Indonesia (Analisis data Riskesdas dan Profil Kesehatan 2018). Jurnal Kesehatan Masyarakat (Undip), 10(3), 379-384.
Chen, R., Ovbiagele, B., & Feng, W. (2020). Diabetes and stroke: Epidemiology, pathophysiology, pharmacotherapy and outcomes. American Journal of the Medical Sciences, 359(6), 319-329.
Dinas Kesehatan Kabupaten Banjar. (2026). Laporan Tahunan Puskesmas Martapura Barat Tahun 2025. Martapura: Dinas Kesehatan Kabupaten Banjar.
Emergensi, E., Soewondo, P., & Purnamasari, D. (2020). Diabetes melitus sebagai faktor risiko stroke. Jurnal Penyakit Dalam Indonesia, 7(2), 85-92.
Feigin, V. L., Brainin, M., Norrving, B., et al. (2022). World Stroke Organization (WSO): Global Stroke Fact Sheet 2022. International Journal of Stroke, 17(1), 18-29.
Global Burden of Disease Stroke Collaborators. (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.
International Diabetes Federation. (2019). IDF Diabetes Atlas (9th ed.). Brussels: International Diabetes Federation.
Kementerian Kesehatan RI. (2020). Tetap Produktif, Cegah dan Atasi Diabetes Melitus. Jakarta: Pusat Data dan Informasi Kementerian Kesehatan RI.
Kementerian Kesehatan RI. (2021). Pedoman SEGERA untuk Deteksi Dini Stroke. Jakarta: Kementerian Kesehatan Republik Indonesia.
Kementerian Kesehatan RI. (2022). Profil Kesehatan Indonesia Tahun 2021. Jakarta: Kementerian Kesehatan RI.
Manuntung, A. (2019). Psikologi Kesehatan. Yogyakarta: Deepublish.
Powers, W. J., Rabinstein, A. A., Ackerson, T., et al. (2019). Guidelines for the early management of patients with acute ischemic stroke: 2019 update to the 2018 guidelines for the early management of acute ischemic stroke. Stroke, 50(12), e344-e418.
Purwanti, N. S., Sumartini, S., & Madani, U. (2025). Efektivitas leaflet dan poster terhadap peningkatan pengetahuan kegawatdaruratan stroke pada kelompok risiko. Media Kesehatan Masyarakat Indonesia, 21(1), 33-40.
Sasmito, P., Susilawati, S., Royani, R., Madani, U., Sumartini, S., Purwanti, N. S., et al. (2024). Pendidikan kesehatan kegawatdaruratan stroke pada ibu rumah tangga. Journal of Public Health Concerns, 4(2), 65-69.
Suharto, D., Metasari, S., Pujiastuti, R. E., & Lestari, T. W. (2024). Pemberdayaan keluarga tanggap emergency stroke. Jurnal Pengabdian Masyarakat Kesehatan, 4(2), 45-52.https://doi.org/10.71456/adc.v3i2.1168
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Meggy Wulandari Kai, Emilda Sari, & Ferry Fadli Fratama

This work is licensed under a Creative Commons Attribution 4.0 International License.
License and Copyright Agreement
- Authors retain copyright and other proprietary rights related to the article.
- Authors retain the right and are permitted to use the substance of the article in their own future works, including lectures and books.
- Authors grant the journal the right of first publication with the work simultaneously licensed under Creative Commons Attribution License (CC BY 4.0) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post or self-archive their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.







