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All Journal Jurnal Abdi Kesehatan dan Kedokteran Clinical and Pharmaceutical Sciences Journal
Puspita, Nanda
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Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health

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Investigating the Prevalence of Medication-induced Falls in Older Patients with Ischemic Stroke during Hospitalization Puspita, Nanda; Verawati, Nurul; Hasbi, Fatwa
Clinical and Pharmaceutical Sciences Journal Vol. 1 No. 2 (2025)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/clips.v1i2.372

Abstract

Stroke is among the most devastating neurological conditions that affect the elderly. In cases of acute ischemic stroke, hospitalised older patients will receive various regimens both for comorbidities and to prevent recurrent stroke. Multiple pathologies are the main reason geriatric patients receive large amounts of drug therapy. This phenomenon, known as polypharmacy, poses a significant issue in geriatric care. This requires monitoring, so it would not be potentially inappropriate medications that aggravate adverse drug reactions, including the risk of falls. Fall is a complex problem in old age, one of which is associated with medication use. This study aimed to identify potentially inappropriate medications according to the Beers Criteria list that are related to fall risk in older ischemic stroke patients in the hospital. A cross-sectional study used electronic health records (EHR) from 342 geriatric patients at the National Brain Centre Hospital, Jakarta, Indonesia. Systematic random sampling was employed to retrieve samples from the population. Demographic and clinical data were documented, and medications prescribed for patients were analysed. The majority of patients were aged 65 to 74 years (73.1%), male (57.9%), had a length of stay of 7 days (86%) and had comorbidities (94.4%). Medication categories that need monitoring for risk of falls are anxiolytics (14.04%), anticonvulsants (9.36%), antipsychotics (9.36%), and antidepressants (4.09%), and opioid analgesics (3.51%). There were no significant differences between patients with and without yellow wristbands who received drug regimens associated with a fall risk (p=0.674). Reviewing medication for older patients before discharge may be imperative to prevent the risk of falls due to taking potentially inappropriate medications. Keywords: Beers criteria, geriatric, medication-induced falls, stroke
Pengaruh Edukasi Pencegahan Stroke terhadap Pengetahuan pada Lansia di Gereja Isa Al-Masih Kota Kediri: The Effect of Stroke Prevention Education on Knowledge of Elderly at the Church of Isa Al-Masih, Kediri City Maharani H, Claudy; Widiastutik, Cornelia; Ayu W, Debora Aurelia; Nugraha, Jonathan Adjie; Ambu K, Maria Aldanita; Devinda P.M, Putri; Puspita, Nanda; Suwardianto, Heru
Jurnal Abdi Keperawatan dan Kedokteran Vol 5 No 1 (2026): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v5i1.130

Abstract

Stroke is one of the leading causes of disability and mortality among the elderly. Preventive efforts focusing on increasing knowledge and awareness are essential to reduce stroke risk and improve quality of life. This study used a pre–post-test design with 62 elderly participants who regularly attended the Church Isa Al-Masih in Kediri City. The intervention consisted of stroke prevention education delivered through a standardized procedure (SOP) using leaflets and flipbooks. Knowledge was assessed with a 6-item questionnaire covering hypertension, causes of high blood pressure, normal blood pressure ranges, medication adherence, diet, and breathing relaxation techniques. Data were collected before and after the education and analyzed using descriptive statistics and the Wilcoxon Signed-Rank Test. The Wilcoxon test indicated a significant increase in participants’ knowledge following the stroke prevention education (p < 0.05). Structured, interactive, and community-based education enhanced understanding of stroke risk factors, blood pressure management, medication adherence, diet, and relaxation techniques. Stroke prevention education is effective in enhancing knowledge among elderly individuals and may encourage preventive health behaviors. Community-based approaches can serve as a model for similar health promotion programs targeting older adults.
Co-Authors Ambu K, Maria Aldanita Ayu W, Debora Aurelia Devinda P.M, Putri Hasbi, Fatwa Heru Suwardianto Maharani H, Claudy Nugraha, Jonathan Adjie Verawati, Nurul Widiastutik, Cornelia