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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).      

Gouty arthritis or gout is a joint disease caused by high levels of purines in the blood. A person is said to be suffering from gout if the uric acid level in their body exceeds the normal limit, the normal limit is 7 mg/dL for men and less than 6 mg/dL for women. Excessive uric acid can cause a buildup of purines in the joints and other body organs, causing pain and inflammation in the joints. This condition can make the joints feel painful when moved and can also cause joint abnormalities and disabilities (Efendi et al., 2022). In Central Java, the prevalence of gout sufferers is approximately 2.6 - 47.2%, which varies in various populations (Zakiudin et al., 2024). Based on data from the Kecipir Community Health Center, the prevalence of gouty arthritis at the Kecipir Community Health Center in 2023 will reach 13.67%. The percentage of residents in Kalibuntu Village who suffer from gouty arthritis in 2023 will reach 24.3% in old age (Kecipir Community Health Center, 2023).

Background: Gout is a disease associated with high levels of uric acid in the blood. Apart from the aging process, gout can also occur due to the inhibition of the secretion process and a decrease in the enzyme uricase. The aging process in the elderly causes various health problems, as a result of which they are susceptible to diseases, one of which is an increase in uric acid. Uric acid numbers can be said to be abnormal if >6 mg/dl for women and >7.2 mg/dl for men. Non-pharmacological therapy that can be done is ergonomic exercise. The purpose of this study is to compare measurements of uric acid levels before and after ergonomic exercise. Methods: A case study of 2 respondents was conducted three times a week, with a duration of 19 minutes for each exercise. Results: The application of the two respondents resulted in a significant decrease in uric acid levels; namely, Mrs. S obtained a result of 4.8 mg/dl, while Mrs. T obtained a result of 5 mg/dl. Conclusion: The results of this study concluded that there was a decrease in uric acid levels in both respondents after ergonomic gymnastics.    

Background: Indonesia is included in the category of gout arthritis sufferers which is quite high at 35% in the world, while in Central Java it reaches 7.3% while based on symptom diagnosis it is 24.7%, for the prevalence of gout arthritis in Sukoharjo City is 21.04%. The highest number of gout arthritis patients at the Sukoharjo Health Center is 134 sufferers, from the high value of gout arthritis in Indonesia if not treated cause pain and tingling in the joint area. For this reason, efforts are needed to control gout. One of the treatment is to do a warm compress of cinnamon. Purpose: Determine the pain scale before and after the administration of cinnamon warm compresses and see the effect of cinnamon warm compresses on pain in patients with gout arthritis. Method: This type of application uses a descriptive research method and by observing 2 respondents with a history of gout arthritis and given the implementation of a warm cinnamon compress. Result: The scale of pain after being given a warm cinnamon compress is mild pain. Conclusion: There is an effect of giving cinnamon warm compresses on pain in people with gout arthritis.

Background: The elderly are more likely to suffer from gout with symptoms of pain and swelling in the joints.  Pain that is not handled properly can trigger a prolonged stress response, which will reduce the body's resistance. One non-pharmacological therapy that can be given to gout sufferers is a warm compress from Moringa leaves.  Warm compresses from Moringa leaves are a technique for applying compresses to joint areas that experience pain due to gout.  Objective: To determine the results of differences in pain intensity before and after applying a warm Moringa leaf compress to Lanisa.  Method: This research used a descriptive research design with a case study approach on 2 respondents in Pucangsawit Village, Jebres, Surakarta who experienced joint pain due to gout, carried out once every morning for 3 consecutive days within 20 minutes.  Results: there was a decrease in the intensity of gout pain after giving therapy to Mrs.  Y from a pain scale of 6 to a pain scale of 3 and in Mrs.  M from a pain scale of 5 to a pain scale of 2. Conclusion: the application showed that after applying a warm compress on Moringa leaves there was a change in the intensity of pain in both respondents.

Hyperuricemia is defined as increased levels of uric acid in the blood, this can result in gout which is characterized by pain and redness in the joints. Currently, increased uric acid levels are often caused by excessive consumption of red meat including offal, being overweight, consuming foods high in cholesterol, and rarely exercising. The purpose of this counseling and examination of uric acid levels is to increase public knowledge about gout and gout screening by conducting uric acid examinations using POCT. The implementation method used is direct delivery of material related to gout, symptoms, and prevention including screening of uric acid examinations using the POCT method.

Serum uric acid (SUA) is the end product of purine metabolism in humans. When the body makes too much uric acid and the kidneys don't get rid of it quickly enough, this is called hyperuricemia. This leads to gouty arthritis because monosodium urate crystals build up in the joints. Normal SUA levels are 3.5–7.0 mg/dL in men and 2.6–6.0 mg/dL in women, influenced by diet, genetics, kidney function and medications. The prevalence of hyperuricemia is increasing globally, both in developed and developing countries. Although often asymptomatic, elevated SUA can cause tissue damage and increase the risk of hypertension, dyslipidemia, obesity, metabolic syndrome, type 2 diabetes, cardiovascular disease, and chronic kidney disease (CKD). This activity uses the PDCA (Plan-Do-Check-Action) method for early detection of hyperuricemia in the elderly at Hana Nursing Home, South Tangerang. Blood test results revealed hyperuricemia in 16 people (26.23%). Routine SUA screening helps identify individuals at risk and allows for preventive measures such as dietary changes and regular exercise.

Uric acid is an end product of purine metabolism that can crystallize at high concentrations, causing gout and other related conditions. This study aims to describe the proportion and risk factors for hyperuricemia in the productive age population. This descriptive research was conducted in March 2024 at Kalam Kudus II High School, Duri Kosambi Village, using purposive sampling techniques. The sample consisted of 74 respondents aged 18-64 years. Data collection includes demographic characteristics and uric acid levels using the Point Of Care Testing (POCT) tool. The results showed that 67 respondents (90.5%) had normal uric acid levels, while 7 respondents (9.5%) had hyperuricemia. Identified risk factors include a high-purine diet, obesity, metabolic syndrome, certain medical conditions, and genetic factors. The results of this research are the importance of changing diet, weight loss, adequate hydration, and the use of medication in managing uric acid levels. Health education has proven important for improving patient compliance with diet and medication, as well as preventing complications. Therefore, it is necessary to develop comprehensive educational programs and further research to improve the treatment of hyperuricemia.  

Gouty arthritis or often known as gout is a disease that attacks the joints, this is caused by high uric acid levels caused by genetic or hereditary factors and a lifestyle that often consumes foods that contain lots of purines. Purine substances are the core part of protein, and protein is widely obtained in offal foods, meat and beans (Uric Acid, 2023). Complementary therapy is a natural therapy including herbal therapy. Herbal therapy can utilize surrounding fruits / plants such as pineapple fruit, soursop fruit, bay leaves, and soursop leaves. This research uses a case study method with a family nursing care approach with gout. data collection instruments use family nursing care assessment formats through the nursing process of assessment, diagnosis, intervention, implementation, evaluation. Based on the results of the study after implementation in the patient, the results showed a decrease in the pain scale and an increase in the patient's sense of comfort. Non-pharmacological pain management carried out is by drinking pineapple juice and honey regularly. Evaluation results found after treatment for 3 days with reduced pain data, pain scale 1-2. The evaluation found after treatment for 3 days of ineffective family health management problems related to the family's inability to care for sick family members with family data can understand about gout and its actions.

Gout is caused by several things, one of which is the consumption of foods high in purine, choosing the right food menu for all foods consumed is an obligation... apart from this, there are various other factors that can increase the risk of this disease, namely increasing age and male gender, family health history, obesity, consumption of certain medications, certain medical conditions, unhealthy lifestyles and injuries due to surgery. The low priority given by health services to non-communicable diseases and inadequate public knowledge. Gout is a public health problem in Indonesia and is still not fully addressed. Knowledge and assistance regarding the right food to consume is a solution in overcoming this problem. For this reason, the authors in this study developed an expert system as a reference for gout risk to improve healthy lifestyle patterns. This system was developed with 2 benefits, namely getting recommendations and monitoring uric acid levels. As a result of the tests carried out, it is known that from a health practitioner's point of view, the system developed is suitable for use to accompany prevention and monitoring activities for gout sufferers and the information regarding the patient's dietary history presented by the system can be used as evaluation material during control. Users strongly agree with the system created due to lack of knowledge and lack of control in consuming foods that cause gout.

Gout is caused by several things, one of which is the consumption of foods high in purine, choosing the right food menu for all foods consumed is an obligation... apart from this, there are various other factors that can increase the risk of this disease, namely increasing age and male gender, family health history, obesity, consumption of certain medications, certain medical conditions, unhealthy lifestyles and injuries due to surgery. The low priority given by health services to non-communicable diseases and inadequate public knowledge. Gout is a public health problem in Indonesia and is still not fully addressed. Knowledge and assistance regarding the right food to consume is a solution in overcoming this problem. For this reason, the authors in this study developed an expert system as a reference for gout risk to improve healthy lifestyle patterns. This system was developed with 2 benefits, namely getting recommendations and monitoring uric acid levels. As a result of the tests carried out, it is known that from a health practitioner's point of view, the system developed is suitable for use to accompany prevention and monitoring activities for gout sufferers and the information regarding the patient's dietary history presented by the system can be used as evaluation material during control. Users strongly agree with the system created due to lack of knowledge and lack of control in consuming foods that cause gout.

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Health education about the benefits of herbal plants as anti-gout arthritis drugs needs to be done to help people increase their knowledge so that they can apply wise actions and attitudes that can improve their quality of life. The purpose of community service activities is to find out the effect of health socialization on the use of herbal plants on gout by assessing the increase in knowledge, attitudes, actions of participants and assistance in making ginger tea as a prevention of gout arthritis, as well as conducting gout screening tests. Methods of community service activities in the form of counseling, outreach, and education as well as assistance in making ginger medang which will then be evaluated with pre and post counseling questionnaires. The number of participants 30 people are people who live in the work area of the Palembang Kertapati Health Center. An indicator of the success of counseling is an increase in the knowledge, attitudes and actions of community service participants. In the results of the study, it was known that the level of knowledge before socialization and education was 36.7% and increased after socialization (86.7%); attitude of participants before socialization 80% after socialization increased to 100%; action before socialization 63.3% after socialization 100%. It is known that there is an influence from education and outreach in the form of increasing knowledge, attitudes and actions of the community at the Kertapati Health Center, Palembang City, South Sumatra so that a follow-up program is needed in the form of intensive counseling for health center cadres as the spearhead of information on a wider range of people.

Gouty arthritis is a metabolic disease that mostly occurs in middle-aged to elderly men and women in the post-menopausal period. This metabolic disease is caused by the accumulation of monosodium urate monohydrate crystals in the joints and connective tissue tophi. Joint pain is a problem for elderly people in the world and in Indonesia. It was recorded according to (WHO, 2023) that in 2019, around 528 million people worldwide suffered from joint pain, an increase of 113% since 1990. Around 73% of joint pain sufferers were over 55 years old, and 60% were women. With a prevalence of 365 million people, the knee is the joint most frequently affected, followed by the hip and hand. By using cinnamon as a non-pharmacological measure to reduce pain caused by signs and symptoms of gouty arthritis. Method: Case study using nursing care for Mr. S by doing a warm cinnamon compress for 7 days. Results and Conclusions: Chronic pain problems were resolved with warm cinnamon compresses marked by Mr. S said the pain had disappeared and he could carry out daily activities. P: pain caused by gout Q: none R: none S: 1 T: none. Mr. S still looks smiling and no longer grimacing, Mr. S doesn't seem anxious, Mr. S appears to be able to carry out activities and does not avoid pain. TTV results TD: 130/80 mmH N: 84x/m RR: 22x/m S: 36.6℃.

Gouty arthritis is an autoimmune disease that occurs in 0.1-0.5% of the population and three-quarters of them are women. According to several researchers, the trigger factors for gout show that the interaction between environmental and genetic factors plays an important role. Genetic factors that play a role in the occurrence of gout arthritis and the severity of gout arthritis are smoking habits, silica inhalation, bacterial infections, viruses, mycobacteria and the hormone estrogen. The aim of this activity is to understand gout and administer bay leaf decoction to determine the efficacy of bay leaf decoction in gout patients. Health education about gout and boiled bay leaves can increase the knowledge of Kalibuntu Village residents to make all efforts to treat gout using traditional medicine. This outreach to residents can increase residents' knowledge and skills in using traditional medicine in a simple way.

The prevalence of gout in Indonesia is the fourth largest country in the world whose population suffers from gout. 35% of gout occurs in men over the age of 45 years. Joint disease in those aged 55-64 years is 45%. Age 65-74 years 51.9%. Age ≥ 75 years 54.8%. The incidence of joint disease based on diagnosis by health workers in Indonesia is 7.3 and based on diagnosis or symptoms 24.7% (RISKESDAS, 2018). This type of research is quantitative using a quasi-experimental research method with pre-test and post-test with control methods. The population of all elderly people suffering from gout who underwent examination and treatment in the Batu Aji Health Center UPT area, namely 140 people as of April 2021. The number of samples in this study was 30 people, divided into 15 elderly people in the experimental group and 15 elderly people in the experimental group. Control. Based on the results of research and data processing that has been carried out by researchers, regarding the effect of boiling bay leaf water on reducing uric acid levels in the elderly in the Batu Aji Health Center UPT area, Batam City in 2021 with a total of 30 respondents, consisting of 15 intervention groups and 15 control groups . The research carried out not only provides conclusions but also provides suggestions to various parties to help improve health and prevent complications in gout patients.

Uric acid is a metabolic waste in the form of purine crystals that are naturally present in the blood. Normal uric acid levels in the blood of adult men are 3.5 – 7.2 mm/dl and in women 2.6 – 6.0 mg/dl. Purine substances are natural substances which are one of a group of chemical structures that make up DNA and RNA derived from the body's own production and from food. This study aims to determine the relationship of knowledge and behavior of the elderly to the prevention of increased gout at the Tampahan Health Center, Tampahan District, Toba Regency. This research was conducted from  Oktober to Desember 2023. Behavioral relationships. This research is a quantitative study using a Cross-sectional Design. The population in this study were all gout sufferers who came for treatment at the Tampahan Health Center, Tampahan  District, Toba Regency. The sample size was 35 respondents using a questionnaire. Data analysis used Chi-square test with significance level = 0.05. From the results of research on 35 respondents showed that the majority were knowledgeable enough as many as 20 people (57.1%), the majority of behavior was in the good category as many as 17 people (48.6%). While the majority for prevention in the good category were 27 people (80.0%). There is no relationship between the knowledge of the elderly about gout and the prevention of increased gout where X2 count < X2 table and there is a relationship between the behavior of the elderly with gout on the prevention of increased gout where the chi-square test X2 count > X2 table. For the elderly with gout to further increase their knowledge about preventing an increase in uric acid and pay attention to their health, especially in reducing consumption of high-protein foods and diligently self-examination to the health center.

Uric acid or gout is a condition with symptoms of unbearable pain, swelling and heat in the joint area. This disease is easier to attack men, especially those over the age of 30 years, and in women will appear after menopause. The purpose of this study was to determine the effectiveness of giving soursop juice on uric acid levels in Paudean Village, South Lembeh District. This research uses Quasy- Experiment and applies the design of One Group Pre-Post Test Design. The sampling technique is using Purposive Sampling. With total 12 people as a sampling who had previously checked uric acid levels, after that the data collected had been tested for normality. The hypothesis was tested with the Paired T-Test to determine the Gout decreases in subject with a meaning level (α) of 0.05. The results showed the most gender categories obtained in the study was men with 7 subject (58.3%), women 5 subject ts (41.7%). And the category of age was most at 56-65 years, with 7 subject (58.4%). As well as many jobs categories from the suffer from gout, namely IRT (house wife). The conclusion in this study giving soursop juice is effected on decrease the uric acid levels. Be expected for the uric acid sufferers to consumption soursop juice and also apply how to make soursop juice.

Background: Gout arthritis (gout) is a disease that arises due to excessive blood uric acid levels, which causes excessive blood uric acid levels, namely the production of uric acid in the body more than its disposal, besides that the cause of excessive uric acid production in the body can occur due to genetic factors (congenital), food factors. Complaints of gout arthritis pain vary from mild, moderate to severe. One of the non-pharmacological therapies that can be used to relieve gout arthritis pain is warm ginger compresses. This study aims to see the effect of warm ginger compresses on the gout arthritis pain scale. Methods: This research is a type of pre-experimental research, namely experimental research without a control group. The research was conducted with a one group pre-posttest design. Sampling using total sampling technique. Results: The results of the Friedman test showed a P value (0.000). The results of this study indicate that warm ginger compresses can reduce gout arthritis pain. Conclusion: There is a significant effect on the level of gout arthritis pain before and after the warm ginger compress intervention