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Hyperuricemia is a condition of increased uric acid levels in the blood that can develop into various metabolic disorders, including gouty arthritis and kidney disease. Physical activity is known to play an important role in controlling uric acid levels by increasing excretion and inhibiting purine production. This activity uses the Plan-Do-Check-Act (PDCA) approach which includes checking uric acid levels using the Point-of-Care Testing (POCT) method in 91 productive-age individuals, as well as education about the importance of physical activity. The results were obtained directly and presented to the participants along with interpretive explanations and preventive recommendations. The average uric acid levels of the participants were recorded at 3.78 ± 0.60 mg/dL with a range of 2.5 to 5.6 mg/dL. All participants (100%) had uric acid levels within the normal range. Physical activity contributes to the regulation of uric acid levels, so proper education remains important even though the examination results show normal values. Education-based interventions play a role in strengthening primary prevention.

The use of drugs for hyperuricemia and gout arthritis is given for conditions that cause higher purine metabolism in the body. This study was conducted at RSU Royal Prima Marelan to determine the pattern of drug use for hyperuricemia and gout arthritis due to inflammation caused by uric acid deposits in the joints. Data collection in this study was carried out retrospectively by collecting medical records of patients with hyperuricemia and gout arthritis. The descriptive method used in this study was a cross-sectional plan. Qualitative descriptive analysis was applied to the data. Tables or narratives were used to present the data in this study. The results showed that 30 patients out of 50 were male and 20 were female. The results of the evaluation of the rationality of drug use for hyperuricemia and gout arthritis showed that patients who were given several versions of drugs with the xanthine oxidase inhibitor group 64% were allopurinol with patients with the most appropriate indications, the right patient, and the right dose of 96%.

Gout is an inflammatory arthritis caused by the accumulation of uric acid crystals. Dietary adherence is one of the managements of gout. The purpose of this study is to determine the influence of peer group therapy on the dietary adherence of gout sufferers in Mentor Village, Sumberasih District, Probolinggo Regency. This study uses a one-group pre-post test design (pre-experiment) research design. The total population was 36 respondents with gout, the sample studied was 33 respondents with gout using the Purposive Sampling technique, In accordance with the inclusion criteria willing to be a respondent, Permanent Resident of Mentor Village, Patients who have gout, Gout level value above seven point zero for men and Women more than six point zero Exclusion criteria Patients with comorbidities that interfere with the research (kidney, janttung, lung and so on), Patients do not participate in the entire activity or resign.Peer group therapy was carried out four times in 14 days. Statistical Test for dietary adherence using the Wilcoxon Test. The results of the study Before peer group therap was coalited, the Gout Diet Compliance value was moderate,  24 respondents (72.7%),while the after tritmen value of goud diet compliance of  31 respondents (93.9%), The results of the Wilcoxon statistical test,obtained p value = 0.000. This shows that Peer Group therapy affects dietary adherence of gout patients. Peer Group Therapy is a program that can be applied to gout patients who have low dietary adherence. Nurses are expected to be able to use Peer Group Therapy as a health promotion program. 

Gout is a condition where high levels of uric acid in the blood that causes pain, and pain in the joints. One of the measures to lower joint pain is non- pharmacologically with ergonomic Gymnastics and warm compresses of lemongrass decoction. The purpose of this study is to analyze the effectiveness of ergonomic gymnastics and warm compresses of lemongrass decoction on the scale of joint pain in patients with gout in Alassumur lor village. This type of research was quasi-experimental with cross over group design approach. A population was 38 people selected by purposive sampling technique obtained 34 respondents who meet the inclusion requirements. This research used the numeric pain scale (NRS) observation sheet Instrument. The normality of the data had been tested with Kolmogorov-smirnov. The results of the study obtained ergonomic gymnastics pain scale period I pre-test was 6.94 and post-test was 2.94, stew period II pre-test was 5.18 post-test was was 2.59. In the warm compress group lemongrass stew period I pre-test was 3.18, post-test 1.82, period II pre-test was 3.76, post-test was 1.94. The results of data analysis obtained the value of pV 0.000 with a significant level of p value <a = 0.005, the value of Z prepost period I ergonomic exercise -3.695, warm compress of lemongrass stew -3.676, in period II ergonomic exercise -3.580 and warm compress lemongrass stew -3.531, so that it can be stated that ergonomic exercise is more effective to decrease the joint pain scale in patients with gout in Alassumur lor village. Ergonomic Gymnastics turns out to be more effective to reduce joint pain in gout and is expected to be one of the alternative interventions to reduce joint pain in people with gout.      

Background: A low-purine diet is one of the treatments that can be carried out by elderly who suffer from gout to control their uric acid levels. This study aims to determine the effectiveness of low purine diet education on the knowledge level of elderly with gout. Methods: This research used a quasi-experimental design with a non-equivalent control group approach. This research was carried out on May 16th – 20th 2024 in the Harapan Raya Health Center working area, Pekanbaru City with a total sample of 34 respondents selected based on inclusion criteria using purposive sampling technique. The analysis used is univariate and bivariate analysis with the Wilcoxon test and Mann-Whitney test. This research used a low-purine diet knowledge questionnaire and a flip sheet containing material about a low-purine diet. Result: There is an increase on knowledge in the experimental group by 29% with the majority of respondents having a level of knowledge in the good category of 47.1% after being given low-purine diet education. Statistical tests obtained the results of the p value (0.000) < α (0.05) which means that there is an increase in knowledge after the intervention. Conclusion: Low-purine diet education is effective on the knowledge of elderly suffering from gout.

High uric acid which causes joint pain is a disease where there is a buildup of purine which causes the joints to become inflamed to the point of swelling. Gout which occurs in people of course when they have a disease that causes gout they will undergo medical treatment to reduce uric acid levels and the pain that occurs in the elderly due to high levels. And most people assume that by taking medication they assume that the pain will disappear, according to Ilham (2019) that to reduce joint pain you can do ginger compress therapy on the joint pain, because the spicy effect of ginger can reduce pain in the joints. Objective: To determine the effect of ginger compress therapy on the level of joint pain in the elderly. Method: The design in this research uses a quasi-experiment using a one group pretest posttest design approach. Results: based on the results of statistical tests using the Paired Samples Test, the resulting P value is 0.000 < 0.05. Conclusion: it can be concluded that there is an influence of ginger compress therapy on the level of joint pain in the elderly in the working area of ??the Central Jampang Community Health Center. Suggestion: It is recommended for future researchers to measure the influence of respondent characteristics such as age, gender, education level, length of time suffering from joint pain, type of work and type of medication used.

Gout arthritis (gout) is a disease that occurs suddenly and repeatedly, characterized by the formation of monosodium uric acid crystal deposits that attack the joints, due to high levels of uric acid in the blood (hyperuricemia). The aim of this activity is to be able to understand gouty arthritis and the practice of making non-pharmacological drugs from pineapple juice and honey to reduce uric acid levels in the body. This health education can increase the knowledge of Purwodadi village residents to do their best to treat gout arthritis using traditional medicine. Health education for residents can increase knowledge and skills in using simple traditional medicines

Gout is a type of inflammatory joint disease that occurs due to the accumulation of uric acid crystals. It usually occurs in several joints, such as the toes, ankles, knees, and big toes. Gout is also commonly called gout. This study aims to determine the Effect of Bay Leaf Decoction on Reducing Uric Acid in the Elderly at the Binjai Estate Health Center in 2024. The design of this study uses a descriptive correlation research method ( correlation study). The population in this study were all elderly people as many as 26 respondents, a total sampling of 26 samples. The variables in the study were the independent variable, namely boiled bay leaves and the dependent variable, uric acid levels in the elderly. The research instrument used a questionnaire and chi-square test. The results of the study show that regular elderly drink stew leaf greetings , grade sour tendon down as many as 16 people (84.2%) and elderly minority drink stew leaf regards regular , level sour tendon No down as many as 3 respondents (15.8%) while majority elderly who do not regular drink stew leaf greetings , grade sour tendon down as many as 1 respondent (14.2%) and a minority elderly who do not regular drink leaf greetings , grade sour tendon No down as many as 6 respondents (85.8%). The chi-square test shows that mark significant p-Value = 0.002< a( 0.05), so H 1 is accepted. Conclusion This research is There is connection influence stew leaf regards to decline level sour veins in the elderly at the Community Health Center Binjai Estate.

Jamu is a traditional health drink that has survived in society until now. One of the traditional health drinks that is still ethnic until now is jamu. Jamu has taken root and become the foundation of the strength of the existence of Indonesian culture since ancient times. The purpose of this experiment is to understand the theory of Spectrophotometry, analyze the levels of samples, know the principles of the tools used, and be able to explain the application of spectrophotometry analysis in the pharmaceutical field. This study was conducted using the uv-visible spectrophotometry method using a sample of bone flu herbal medicine that wanted to know the level of paracetamol in the sample. The results obtained from the analysis of the paracetamol content in the bone flu gout herbal medicine showed that the herbal medicine was indicated to contain BKO paracetamol. The levels obtained from the three replications were 0.004%, 0.0016%, and 0.0014% with an average of 0.0010%, so, the paracetamol content in the bone flu herbal medicine sample was 0.0010%. According to BPOM (2006) BKO that is often added to herbal medicine is one of them is paracetamol. This is proven through our observations which show the presence of paracetamol content of 0.0010% in herbal medicine for gout and bone flu.

Uric acid is the end product of purine metabolism which can cause hyperuricemia if levels increase. Hyperuricemia, if left untreated, can cause joint inflammation, pain, and various other health problems. This study aims to evaluate Halu Oleo University students' understanding of gout and its impact on health. Using a quantitative approach and analytical descriptive design, this research involved 50 randomly selected respondents. Examination of uric acid levels is carried out by taking blood samples using the Nesco Multi Check device. The results showed that 70% of respondents had uric acid levels within normal limits, while 30% experienced hyperuricemia, which indicates a potential risk of developing gout. These findings suggest that unbalanced eating patterns, lack of physical activity, and inadequate fluid intake contribute to increased uric acid levels among college students. This research emphasizes the importance of education about healthy eating patterns and an active lifestyle to prevent health problems related to gout.

Gout is a metabolic disorder whose prevalence continues to increase in society. This study aims to evaluate public health by examining uric acid levels in the local population and analyzing the risk factors that influence it. The research method used is a quantitative approach with field surveys and checking uric acid levels using a portable diagnostic tool. Data was collected from 50 respondents who were randomly selected in the Anduonohu ​​sub-district area. The research results showed that the average respondent had uric acid levels above the normal threshold. The main risk factors identified include consumption of foods high in purine, lack of physical activity, and family history of similar diseases. This study underlines the importance of regular check-ups and public education about healthy lifestyles to prevent increased uric acid levels. Community-based interventions are recommended to reduce the prevalence of this disease. It is hoped that this research can become a reference in planning more effective public health programs.

Spices are parts of plants such as leaves, stems, rhizomes, seeds and other parts. One product made from spices is a functional drink. This functional drink has many good benefits for the body, including preventing various diseases, preventing the aging process, and maintaining the body's immune system. Herbal drinks are a functional drink that has many benefits for the body, the basic ingredients for which are made using spices that are often found around. People in Cimalaka Village are used to using kitchen spices to make herbal drinks.  The aim of this research is to determine the benefits of kitchen spices used by the people of Cimalaka Village as ingredients for making herbal drinks which are commonly consumed by the people in the village. The research was conducted in September-November 2024. The method used in this research used a quantitative approach with the measurement parameters Use Value (UV) and Informant Consensus Factor (ICF). This sample was taken using the snawball sampling technique with a total of 31 respondents. The research results showed that the highest spice utilization value was lemongrass (UV = 0.61) with a UV percentage of 22%, and the lowest spice utilization value was garlic (UV = 0.16) with a UV percentage of 6%. With the highest ICF value of 1, namely rheumatism, gout and gastritis with a percentage value for each disease of 21%. And the disease with the lowest uniformity value, the ICF value is 0.86, namely cholesterol disease with a percentage value of 18%. Herbal drinks have benefits for the people of Cimalaka Village which can be seen from the diversity of benefits.

The prevalence of arthritis gout in the world is 34, 2% dominated by degenerative diseases found in the elderly. The increase in gout incidences not only occurs in developed countries but also developing countries such as Indonesia. This study aimed to examine the effects of soursop leaf decoction on reducing uric acid levels in Indrapuri Public Health Center, Aceh Besar. This study used a quasi-experimental design with a pretest-posttest approach. The population was 203 gout sufferers, while the sample was 22 patients, chosen using the Random Sampling technique. This study was carried out on May 2nd – 18th, 2024 with the univariate and bivariate questionnaire analysis using a Paired T-test. The results prove that before the soursop leaf decoction treatment, the average uric acid level of the respondents were 7, 08 mg/dl. However, after the treatment, the uric acid level was 5, 97 mg/dl. It indicates that the uric acid level decreased to 1,109 mg/dl with a ρ-value 0,000. This result proves that soursop leaf decoction treatment (Annona Muricata Linn) is effective in reducing uric acid level. It hopes that the community will be aware of health on the non-pharmacological treatment of uric acid by utilizing soursop leaf decoction

Uric acid is the end product of purine metabolism in the body, generated from the breakdown of purine substances found in certain foods. When uric acid levels in the body exceed normal limits due to excessive production or impaired excretion, uric acid crystals can accumulate in the joints, leading to a condition known as gout. This Community Service initiative aims to enhance understanding among adults regarding the risks of high uric acid levels and preventive efforts through routine screening and health education. The program is structured using the Plan-Do-Check-Act (PDCA) method to provide comprehensive education on risk factors and prevention, as well as to assess participants' uric acid levels. This initiative emphasizes the importance of a healthy lifestyle and routine examinations as preventive measures, supporting early detection and management of health risks related to uric acid. The continuity of this service activity is expected to improve community quality of life over time.

Gout is a musculoskeletal disease that occurs in the joints due to an increased concentration of uric acid in the blood. Risk factors that can cause high levels of uric acid include age, gender, obesity, purine diet, alcohol, and some medications. Therapies that can be given to the elderly who experience gout include ergonomic exercises. Objective : To determine the effectiveness of applying ergonomic exercise therapy as a non-pharmacological method to reduce high uric acid levels in the elderly. This study used a case study approach with two elderly had high uric acid levels. The intervention was carried out for 2 weeks by giving ergonomic exercises 4 times in 1 week consecutively with a duration of 20 minutes of exercise. There were changes in uric acid levels in both respondents and they decreased. Ergonomic gymnastics is a potential non-pharmacological method in reducing high uric acid levels in the elderly.

Gout arthritis is a disease in which there is excessive accumulation of uric acid in the body. Based on WHO, the prevalence of gouty arthritis in the world is 34.2%. The impact of gouty arthritis pain can be caused in the form of decreased quality of life of sufferers due to pain that greatly interferes with daily activities: Research objectives the description of the pain level of gouty arthritis in UPTD Puskesmas 1 Baturetno Wonogiri. Methods: Descriptive with a quantitative approach. The research subjects were 196 patients with purposive sampling technique totaling 66 patients. Research instrument (NRS) nurmetic rating scale. Results: Characteristics The majority of gouty arthritis pain levels were elderly at 35 respondents (53%), female gender at 37 (56.1%), the majority of the length of suffering ≥ 5 years at 44 (67.7%), the majority of moderate pain levels with a scale of 4-6 at 31 (47%). Conclusion: the description of the pain level of gouty arthritis at UPTD Puskesmas 1 Baturetno is mostly elderly, female gender, long suffering ≥ 5 years, moderate pain level.

Gout arthritis, commonly known as gout, is a degenerative disease caused by abnormal purine metabolism, characterized by elevated levels of uric acid in the blood. (hiperurisemia). According to data from the World Health Organization, the number of people suffering from gout reaches 230 million, or 34.2% of all non-communicable diseases. In Indonesia, it is increasing. Gout disease based on age characteristics is particularly high in individuals aged ≥ 75 years (54.8%). Central Java is estimated to be around 2.6 - 47.2%, varying across different populations. The percentage of the population suffering from gout arthritis at Puskesmas Kecipir is 13.67%. The number of people affected is 3,084 out of 22,560 in the productive age group. In the village of Kalibuntu, the percentage of the elderly population suffering from gout arthritis is 9 out of 37. The purpose of this scientific paper is to provide nursing care for Mrs. R's family with musculoskeletal system disorders: gout arthritis in Kalibuntu Village, Rt 04 Rw 01, Losari District, Brebes Regency. The assessment results of Mrs. R's family indicate that they are unaware of gout arthritis, its causes, classification, symptoms, as well as how to prevent and manage gout arthritis when pain occurs. The nursing problems that arise are knowledge deficit and chronic pain.

Bay leaves are one of the toga plants (family medicinal plants) which can be used to stop excessive defecation. Apart from that, bay leaves can also be used to treat gout, stroke, high cholesterol, improve blood circulation, stomach inflammation, itching and diabetes. Therefore, there is a need for education in the form of counseling regarding the use of bay leaves and how to process them as herbal medicine to help cure diseases. Kaffir lime is a natural ingredient in various food and beverage products in Indonesia and other Asian countries. Kaffir lime plants contain compounds including essential oils which are also rich in benefits such as antioxidants, antimicrobials, antileuchemicals, antitussives, insecticides, illaricides and phenolic compounds such as flavonoids, flavanones, flavones, flavonols and glycerolipids which according to research function as a source of antioxidants, anti-inflammatory , antiviral, anti-allergic, and anti-carcinogenic, anti-aging for the human body. The planting of kitchen spices in the form of bay plants and orange leaves is grown using organic and environmentally friendly materials.

Background: The prevalence of gouty arthritis has increased significantly by 2023, reaching 33.3% according to WHO. In Indonesia, 35% of cases occur in men aged over 45 years, while Central Java has a prevalence of 26.4%. In Sukoharjo District, Mandan Village recorded the highest number of gout patients with 150 cases, followed by Gayam (75 cases) and Sukoharjo (35 cases). The use of warm water compresses is recommended to relieve joint pain due to gouty arthritis by increasing blood flow and reducing joint stiffness. Objective: Knowing changes in the pain scale in two respondents with gouty arthritis before and after a warm compress method: This research is applied research with a case study using pre-post test results: There was a decrease in Mrs. S's pain scale which initially 6 decreased to 3 while in Mr. T, the pain scale 7 decreased to 5. Mr. T is a pain scale of 7 decreasing to 5. Conclusion: After the application of warm compresses on Mrs. S and Mr. T, there was a decrease in the pain scale. T there is a decrease in the pain scale. Mrs. S from moderate pain to mild pain, Mr. T from severe pain to moderate pain. T from severe pain to moderatepain. This shows that warm compresses can reduce pain in people with gout.

Non -communicable disease (PTM) is one of the increasing health problems in society every year and contributes to the largest proportion of death worldwide. According to a global status report on non -communicable diseases, non -communicable diseases can occur due to lack of exercise, smoking and malnutrition, which causes increased blood pressure, increased blood sugar levels and increased blood lipids. If not prevented, this increase will get worse and lead to chronic diseases such as hypertension, diabetes, cholesterol, dysplidemia, gout arthritis and obesity. The World Health Organization (WHO) reports that 40 million people worldwide suffer from non -communicable diseases, with the cause of cardiovascular disease, diabetes and injuries to be the main cause (Syam'ani, 2023).