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All Journal (MJN) Jurnal Pengabdian Masyarakat dan Riset Pendidikan
Izzah, Raihana Nurul
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Humanities Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary Other

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Optimalisasi Penatalaksanaan Hipertensi melalui Edukasi Penggunaan Nifedipine pada Pasien Lansia Puskesmas Pajang: Penelitian Suhesti, Iin; Izzah, Raihana Nurul; Ardianto, Riko Tri; Tyas, Hesty Hayuning
Jurnal Pengabdian Masyarakat dan Riset Pendidikan Vol. 4 No. 2 (2025): Jurnal Pengabdian Masyarakat dan Riset Pendidikan Volume 4 Nomor 2 (October 202
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jerkin.v4i2.4309

Abstract

Hypertension is a significant public health issue, especially among the elderly, with a high risk of cardiovascular complications. The use of nifedipine as an antihypertensive drug is effective in lowering blood pressure; however, patient understanding of medication use and healthy lifestyle remains limited. This community service activity aimed to improve knowledge of elderly patients at Puskesmas Pajang regarding hypertension and nifedipine use through educational counseling. The method involved interactive material delivery, leaflet distribution, and a question-and-answer session attended by 27 elderly Prolanis members. The results showed an increased understanding of nifedipine’s mechanism of action, side effects, and the importance of a healthy lifestyle summarized by the acronym CERDIK. The interactive discussion provided participants the opportunity to clarify various questions related to hypertension management. Although there were technical limitations such as leaflet shortages and limited discussion time, the activity successfully enhanced health literacy among the elderly and supported therapy adherence. This activity is expected to contribute to hypertension control and complication prevention at the primary healthcare level.
COST OF ILLNESS STROKE TREATMENT: A SYSTEMATIC REVIEW Izzah, Raihana Nurul; Alia, Dina Fatma; Amalia, Annora Rizky; Sari, Yunita Dian Permata
Medical Journal of Nusantara Vol. 5 No. 1 (2026): Medical Journal of Nusantara (MJN)
Publisher : Tahta Media Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55080/mjn.v5i1.1957

Abstract

Cardiovascular disease remains the leading cause of death worldwide, with stroke playing a significant role in increasing morbidity, mortality, and the global economic burden. This study aimed to systematically review the cost of illness and health expenditure associated with stroke across different countries. A systematic review was conducted using PubMed, ScienceDirect, and Springer databases for articles published between 2021 and 2026, following PRISMA guidelines. Studies included in the criteria were original research that reported direct and/or indirect costs due to stroke, both in primary health care facilities and in hospitals. Data extraction, screening, and quality assessment were performed using the CHEERS checklist. A total of 13 studies met the inclusion criteria. The findings showed that most studies (76%) applied the Cost Of Illness (COI) approach, while the rest used Health Expenditure (HE) methods. Direct medical costs, particularly those from inpatient care, constitute the largest component of stroke-related expenditures. Cost estimates show considerable variation between countries, with expenditures tending to be higher in high-income countries than in middle-income countries. Clinical severity, length of hospital stay, stroke subtype, and sociodemographic factors were identified as key determinants influencing total costs. Indirect cost components such as lost productivity and premature death also contribute significantly, but their reporting has not been consistent across studies. In conclusion, stroke imposes a substantial and heterogeneous economic burden influenced by methodological approaches, perspectives, and healthcare system differences. Comprehensive evaluation including both direct and indirect costs is essential to support effective health policy and resource allocation.
Co-Authors Alia, Dina Fatma Amalia, Annora Rizky Ardianto, Riko Tri Sari, Yunita Dian Permata suhesti, iin Tyas, Hesty Hayuning