Metode Fast Untuk Pengenalan Segera Stroke Bagi Warga Muhammadiyah

Sodikin Sodikin, Asiandi Asiandi, Sarwito Rachmad Barmawi

Abstract


The World Health Organization (WHO) reported that 15 million people worldwide suffered from stroke per year, of which 5 million dies and 5 million living with permanent disability and becoming a burden to families and communities. Hence, an effective strategy is needed in recognizing the signs and symptoms of stroke, one of which is the “FAST” (Face, Arm, Speech, Time) method. This activity aims to increase the knowledge of Muhammadiyah Branch Management (MBM) members of Rawa Pakis Gumiwang Village on the early detection of stroke with the “FAST” method. This training was applied health education to 30 participants (n = 30). Statistical analysis was employed paired t-test and Wilcoxon’s test. Knowledge about stroke was significantly different between before and after IbM of stroke detection using the FAST method, t (df) = -8.345 (29), p < 0.001, r = 0.84 and similarly on knowledge about FAST, T = 15, p < 0.001, r = -0.71. The IbM stroke detection program with the FAST method increased participants’ knowledge about stroke and the FAST method, both with greater effect. Strengthening through similar training using various methods that are more creative and innovative needs to be done to prevent premature death and life with disabilities due to stroke.

 

 

 World Health Organization (WHO) melansir bahwa 15 juta orang di seluruh dunia mengalami stroke per tahunnya; 5 juta meninggal; dan 5 juta dengan hendaya tetap sehingga menjadi beban bagi keluarga dan komunitas. Oleh karena itu, diperlukan strategi yang efektif dalam pengenalan tanda dan gejala stroke, salah satunya dengan metode “FAST”(Face, Arm, Speech, Time). Jadi, tujuan kegiatan ini adalah untuk meningkatkan pengetahuan pada anggota Pengurus Ranting Muhammadiyah (PRM) Rawa Pakis Desa Gumiwang tentang deteksi dini pada penderita stroke dengan metode “FAST”. Pelatihan ini menggunakan metode penyuluhan kesehatan terhadap 30 peserta (n = 30) yang tergabung dalam PRM Rawa Pakis Desa Gumiwang. Hasil pelatihan ini dianalisis menggunakan analisis statistik uji t tes berpasangan dan uji Wilcoxon. Ada perbedaan bermakna pada pengetahuan tentang stroke sebelum dan sesudah program Ipteks bagi masyarakat (IbM) deteksi stroke dengan metode FAST, t (df) = -8,345 (29), p <0,001, r = 0,84 dan pada pengetahuan tentang FAST, T = 15, p <0,001, r = -0,71. Program IbM deteksi stroke dengan metode FAST meningkatkan pengetahuan peserta tentang stroke dan tentang metode FAST. Keduanya berdampak efek yang besar. Penguatan melalui pelatihan serupa menggunakan metode beragam yang lebih kreatif dan inovatif. Oleh karenanya, hal ini perlu dilakukan untuk mencegah kematian prematur dan kehidupan dengan disabilitas akibat stroke.


Keywords


early detection, stroke, FAST, deteksi dini, stroke, FAST

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References


Alfira, N. (2019). Pengaruh penyuluhan metode FAST terhadap pengetahuan perawat dalam deteksi dini penyakit stroke di RSUD H. A. Sulthan Daeng Radja Kabupaten Bulukumba. Jurnal Ilmiah Kesehatan Diagnosis 14(1), 58-61.

Cohen, J. (1988). The concepts of power analysis. In J. Cohen (Ed.), Statistical Power Analysis for the Behavioral Sciences (2nd ed., pp. 1-17). Hillsdale, NJ: Lawrence Elbaum Associate.

Handayani, F. (2019). Pengetahuan tentang stroke, faktor risiko, tanda peringatan stroke dan respon mencari bantuan pada pasien stroke iskemik di Kota Semarang. Jurnal Ilmu Keperawatan Medikal Bedah, 2(2), 12-21.

Kemenkes. (2019). Strategi Pencegahan dan Pengendalian PTM di Indonesia. Retrieved from http:// www.p2ptm.kemkes.go.id/profil-p2ptm/latar-belakang/strategi-pencegahan-dan-pengendalian-ptm-di-indonesia

Kemenkes. (2020). Indikator Program Kesehatan Masyarakat dalam RJPMN dan Renstra Kementerian Kesehatan 2020-2024. Jakarta: Kementerian Kesehatan RI.

Khalil, H. M., & Lahoud, N. (2020). Knowledge of stroke warning signs, risk factors, and response to stroke among Lebanese older adults in Beirut. Journal of Stroke and Cerebrovascular Diseases, 29(5), 104716. doi:10.1016/j. jstrokecerebrovasdis.2020.104716

Khariri, & Saraswati, R. D. (2021). Transisi epidemiologi stroke sebagai penyebab kematian pada semua kelompok usia di Indonesia. Paper presented at the Seminar Nasional Riset Kedokteran (SENSORIK II).

Kleindorfer, D. O., Miller, R., Moomaw, C. J., Alwell, K., Broderick, J. P., Khoury, J., . . . Kissela, B. M. (2007). Designing a message for public education regarding stroke: does FAST capture enough stroke? Stroke, 38(10), 2864-2868. doi:10.1161/strokeaha.107.484329

Komolafe, M. A., Obembe, A. O., Olaogun, M. O., Adebiyi, A. M., Ugalahi, T., Dada, O., . . . Fawale, B. (2015). Awareness of stroke risk factors and warning signs in Nigerian adolescents compared with adults. Journal of Stroke and Cerebrovascular Diseases, 24(3), 687-693. doi:10.1016/j. jstrokecerebrovasdis.2014.11.013

Kothari, R. U., Pancioli, A., Liu, T., Brott, T., & Broderick, J. (1999). Cincinnati Prehospital Stroke Scale: Reproducibility and validity. Annals of Emergency Medicine, 33(4), 373-378.

Marx, J. J., Nedelmann, M., Haertle, B., Dieterich, M., & Eicke, B. M. (2008). An educational multimedia campaign has differential effects on public stroke knowledge and care-seeking behavior. Journal of Neurology, 255(3), 378-384. doi:10.1007/s00415-008-0673-5

Naguib, R., Fayed, A., AlFadhliah, A. B., AlMansour, N. S., AlDakheel, R. M., & AlQahtani, R. M. (2020). Awareness about stroke and proper actions to be taken; A room for improvement. Journal of Stroke and Cerebrovascular Diseases, 29(6), 104794. doi:10.1016/j. jstrokecerebrovasdis.2020.104794

Norris, M., Allotey, P., & Barrett, G. (2012). ‘It burdens me’: the impact of stroke in central Aceh, Indonesia. Sociology of Health and Illness, 34(6), 826-840. doi:10.1111/ j.1467-9566.2011.01431.x

Rachmawati, D., Ningsih, D. K., & Andarini, S. (2020). Factors affecting the knowledge about stroke risks and early symptoms in emergency department. MNJ: Malang Neurology Journal, 6(1), 11-19. doi:10.21776/ ub.mnj.2020.006.01.3

Rasura, M., Baldereschi, M., Di Carlo, A., Di Lisi, F., Patella, R., Piccardi, B., . . . Inzitari, D. (2014). Effectiveness of public stroke educational interventions: A review. European Journal of Neurology, 21(1), 11- 20. doi:10.1111/ene.12266

Rosenthal, R. (1991). Meta-analytic Procedure for Social Research (2nd ed.). Newbury Park/New Delhi: Sage Publication, Inc.

Setyopranoto, I., Bayuangga, H. F., Panggabean, A. S., Alifaningdyah, S., Lazuardi, L., Dewi, F. S. T., & Malueka, R. G. (2019). Prevalence of Stroke and Associated Risk Factors in Sleman District of Yogyakarta Special Region, Indonesia. Stroke Research and Treatment, 2019, 2642458. doi:10.1155/2019/2642458

Silver, F. L., Rubini, F., Black, D., & Hodgson, C. S. (2003). Advertising strategies to increase public knowledge of the warning signs of stroke. Stroke, 34(8), 1965-1968. doi:10.1161/01. STR.0000083175.01126.62

Sobotkova, P., Goldemund, D., Reif, M., & Mikulik, R. (2014). Predictors of noticing stroke educational campaign. Journal of Stroke and Cerebrovascular Diseases, 23(6), 1662-1668. doi:10.1016/j. jstrokecerebrovasdis.2014.01.013

Sudirman, H., Yuliyanti, C., & Sari, A. I. (2018). Effectiveness of ‘FAST’ stroke campaign for fast stroke recognition and response: A systematic review. Paper presented at the International Conference on Applied Science and Health

Tsai, Y. T., Li, R., Jao, T., Fang, C. W., Hsiao, Y. J., Tsai, C. H., & Chang, K. C. (2021). Comparison of FAST and Stroke-112: A randomized study in Taiwan. Journal of the Formosan Medical Association. doi:https://doi.org/10.1016/j. jfma.2021.02.018

Virani, S. S., Alonso, A., Benjamin, E. J., Bittencourt, M. S., Callaway, C. W., Carson, A. P., . . . Stroke Statistics, S. (2020). Heart disease and stroke statistics-2020 update: A report from the American Heart Association. Circulation, 141(9), e139-e596. doi:10.1161/ CIR.0000000000000757

WHO. (2021a). The Atlas of Heart Disease and Stroke. Global burden of stroke. Retrieved from https:// www.who.int/cardiovascular_ diseases/en/cvd_atlas_15_burden_ stroke.pdf?ua=1

WHO. (2021b). Disability-adjusted life years (DALYs). Retrieved from https://www.who.int/data/gho/ indicator-metadata-registry/imr-details/158

Widjaja, K. K., Chulavatnatol, S., Suansanae, T., Wibowo, Y. I., Sani, A. F., Islamiyah, W. R., & Nathisuwan, S. (2020). Knowledge of stroke and medication adherence among patients with recurrent stroke or transient ischemic attack in Indonesia: a multi-center, cross-sectional study. International Journal of Clinical Pharmacy. doi:10.1007/s11096-020-01178-y

Zhao, J., Eckenhoff, M. F., Sun, W. Z., & Liu, R. (2018). Stroke 112: A universal stroke awareness program to reduce language and response barriers. Stroke, 49(7), 1766-1769. doi:10.1161/strokeaha.118.021729

Zhao, J., Li, X., Liu, X., Xu, Y., Xu, J., Xu, A., . . . Liu, R. (2020). Changing the strategy and culture of stroke awareness education in China: implementing Stroke 1-2- 0. Stroke and Vascular Neurology, 5(4), 374-380. doi:10.1136/svn- 2019-000324




DOI: https://doi.org/10.29313/ethos.v10i1.8324

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