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Background: Gout arthritis is a metabolic disease caused by excessive uric acid levels in the blood (hyperuricemia), which leads to monosodium urate crystal deposition in the joints. Globally, the prevalence of gout arthritis ranges from 1–4% of the general population. In Indonesia, the national prevalence reaches approximately 7.3% based on medical diagnosis, and in Brebes Regency, cases reach 62.4%. At the Tonjong Health Center service area, the prevalence of gout arthritis in Karanganyar Hamlet, Tonjong Village, reaches 2.04%. Gout arthritis requires comprehensive nursing care including pain management and health education to prevent recurrence. Objective: To implement nursing care for Ny. S, family of Tn. S, with musculoskeletal system disorder: gout arthritis in Karanganyar Hamlet, Tonjong Village, Tonjong District, Brebes Regency. Method: This study used a case study design with a single patient/family subject. Data collection was conducted through interview, observation, physical examination, and study documentation on December 26–27, 2025 at the patient's home. Results: Assessment revealed Ny. S (72 years) experienced acute pain in the right knee joint with a pain scale of 3/10 and uric acid level of 7.3 mg/dL, along with knowledge deficit regarding gout arthritis. Two nursing diagnoses were established: acute pain and knowledge deficit. Nursing interventions included pain management education, non-pharmacological therapy (turmeric decoction), pharmacological therapy (allopurinol), and health education. Implementation was conducted over two visits. Evaluation results showed that acute pain was partially resolved (pain scale reduced to 2/10, uric acid 7.2 mg/dL) and knowledge deficit was resolved. Conclusion: Nursing care for patients with gout arthritis through pain management and health education can reduce pain intensity and improve family knowledge about the disease. Non-pharmacological intervention with turmeric decoction contributed to decreasing uric acid levels and pain. Keywords: gout arthritis, acute pain, knowledge deficit, family nursing care, non-pharmacological therapy

Gout arthritis is joint inflammation that occurs suddenly due to the accumulation of excess uric acid levels in the body (hyperuricemia). In Indonesia, based on the 2018 Basic Health Research, the prevalence of gout diagnosed by health workers ranges from 11.9% to 24.7%, with the highest rates in the elderly age group. This scientific paper aims to provide family nursing care for Mr. T and family with musculoskeletal system disorder: gout arthritis in Tonjong Village, Karanganyar Hamlet, RT 03 RW 04, Tonjong District, Brebes Regency. The method used is narrative descriptive, focusing on nursing care given to patients according to the stages of the nursing process. The method of data collection includes observation, interview, and documentation. The nursing diagnoses that emerged were impaired physical mobility and knowledge deficit. Nursing interventions included ambulation support, oral medication administration, massage therapy, and health education. After 2 days of nursing implementation, the evaluation results showed that both nursing diagnoses of impaired physical mobility and knowledge deficit were resolved.

Background: Community nursing is a specialty field that combines nursing science skills, public health sciences, and social assistance in addressing individual and family health problems, including non-communicable diseases such as gout arthritis. Gout arthritis is a metabolic disease characterized by pain and joint inflammation due to the accumulation of purine crystals (hyperuricemia). The WHO reports a prevalence of gout arthritis reaching 3.74% globally, while in Indonesia the prevalence reaches 11.9% based on health worker diagnosis. In Brebes Regency, the prevalence reaches 13.67%, with 3,078 sufferers out of 22,550 productive-age population. Objective: To provide comprehensive community nursing care to Ny. R with musculoskeletal system disorder: gout arthritis in Tonjong Village, Tonjong District, Brebes Regency. Method: This study uses a case study approach with data collection through interview, observation, physical examination, and documentation study conducted on December 26–28, 2025. Results: Assessment findings showed that Ny. R, a 60-year-old woman, had a history of gout arthritis for 3 months with uric acid levels of 9.6 mg/dL, complaining of pain and aching in the left foot with pain scale 3. Two nursing diagnoses were established: acute pain and knowledge deficit. Nursing interventions included pain management, uric acid level monitoring, lemongrass stem decoction foot soak complementary therapy, and health education using leaflets. After 2 days of implementation, uric acid levels decreased to 8.2 mg/dL and pain scale decreased to 2. Conclusion: Community nursing care through complementary therapy (lemongrass stem decoction foot soak) and health education effectively reduced pain and improved knowledge about gout arthritis in Ny. R.

Non-Communicable Diseases (NCDs) such as Diabetes Mellitus and Gout pose a serious threat to the health of the elderly due to their often asymptomatic nature. Cost barriers hinder the elderly community from accessing laboratory services. This community service activity aims to improve health standards and early detection of NCDs through monitoring blood glucose and uric acid levels in the Generasi Kaleb community of the JKI Injil Kerajaan Church, Semarang. The Participatory Health Screening and Education method used includes health education, screening using the Point of Care Testing (POCT) tool, and personal consultation on the results. The service subjects were 50 elderly respondents. The examination results showed a prevalence of abnormal random blood glucose (GDS) of 8%, 32%, had high uric acid levels with a maximum value of 10.3 mg/dL. This activity successfully transformed the elderly's awareness from subjective perception to awareness based on objective data, and encouraged community independence in managing a healthy lifestyle to prevent further NCD complications. .

A Normocytic normochromic anemia is one of the most common types of anemia found in geriatric patients with chronic diseases or acute bleeding. Upper gastrointestinal bleeding (UGIB) may cause continuous blood loss resulting in decreased hemoglobin levels. This case report discusses a 72-year-old woman who presented to the Emergency Department of Cut Meutia Regional General Hospital with complaints of black stools for four days prior to admission accompanied by epigastric pain, nausea, weakness, and pallor. The patient had a history of long-term use of analgesic and anti-gout medications due to chronic joint pain, which was suspected to be a risk factor for UGIB. Physical examination revealed pale conjunctiva and tachycardia, while laboratory findings showed hemoglobin of 7.1 g/dL, hematocrit of 23.3%, MCV of 82 fL, MCH of 29 pg, and uric acid level of 11.56 mg/dL, leading to the diagnosis of normocytic normochromic anemia caused by UGIB accompanied by gout arthritis. The patient received intravenous fluid therapy, proton pump inhibitors, antifibrinolytic agents, gastroprotective therapy, packed red cell transfusion, and other supportive treatments. During hospitalization, clinical improvement was observed, including cessation of gastrointestinal bleeding, reduced epigastric pain, and increased hemoglobin level to 8.6 g/dL. This case highlights the importance of early diagnosis and comprehensive management in geriatric patients with anemia caused by UGIB and comorbid gout arthritis.

Gout arthritis is a disease characterized by sudden inflammation of the joints due to high levels of uric acid in the body (hyperuricemia). This condition is marked by acute episodes of joint inflammation, often affecting a single joint and preceded by asymptomatic periods of varying duration. Older adults represent the final stage in the human lifespan and experience the natural aging process. This study employed an analytic survey design with a cross-sectional approach. The purpose of this study was to determine the relationship between gout arthritis pain and the level of independence in activities of daily living among patients at the Helvetia Public Health Center. The results showed that the majority of older adults in the working area of UPT Puskesmas Helvetia experienced high levels of pain, with 73 respondents reporting severe pain. Meanwhile, most respondents demonstrated independence in their daily activities, with 72 categorized as independent. The findings indicate a significant relationship between gout arthritis and the level of independence in activities of daily living among older patients at the Helvetia Public Health Center.

Gout arthritis, or often called gout, is a type of arthritis caused by the accumulation of uric acid crystals in the joints and surrounding tissues. Arthritis itself is a term used to describe inflammation of the joints. The process of gout begins with an increase in uric acid levels in the blood, called hyperuricemia. Gout arthritis sufferers in the world affect approximately 10% to 25% of the world's population, the WHO prevalence of gout arthritis in the world is 34.2%. The type of research used in this study is quantitative research using a quasi-experimental research method, namely the pre-posttest control one group design method. This study is a study conducted on 1 group using an intervention without a comparison. This study has been conducted with a total of 20 elderly people who meet the inclusion and exclusion criteria. It is known that the Sig. (2-tailed) value of 0.00 is greater than 0.05. then there is a significant difference between the results before and after the warm cinnamon water compress. So it can be concluded that there is an effect of warm cinnamon compresses (Cinnamomun Burmannii) on gout arthritis in the elderly at the Sei Pancur Community Health Center.

The use of medicinal plants has been an important part of people's lives since the time of our ancestors. Before the advent of modern medicine, people used various types of plants to treat mild to severe illnesses, such as fever, cough, wounds, digestive disorders, and skin diseases. Inventory of medicinal plants plays a very important role in exploring the potential of existing natural resources, especially as an effort to support the development of traditional medicine. The purpose of this study is to identify the types of medicinal plants used by local communities in traditional medicine. The method used in this study is a descriptive method through direct surveys at the research location. The findings obtained in the field concluded that all types of plants mentioned in this study are very beneficial for the people of Duhiadaa District, because they can help in treating various types of diseases experienced by the community. The types of diseases that can be treated include hypertension, gout, stomach acid, cholesterol, kidney disease, diabetes, inflammation, cancer, wounds, diarrhea and digestive disorders.

Background: Hyperuricemia represents a medical condition marked by elevated concentrations of uric acid within the bloodstream, potentially triggering gout alongside various metabolic disorders. Central obesity has been identified as a contributing factor to rising uric acid concentrations, measurable through waist circumference assessment. Methods: An analytic observational design utilizing a cross-sectional approach was employed in this investigation, encompassing 100 male participants characterized by sedentary lifestyles who were employed as office workers in Medan City, North Sumatra Province. Waist circumference measurements were obtained using a flexible measuring tape, while uric acid concentrations were determined through Point of Care Test (POCT) devices. Statistical evaluation was conducted via the Chi-Square test, applying a significance threshold of 0.05. Results: Among all participants, 64 individuals (64%) exhibited waist circumference measurements indicative of central obesity, whereas 56 individuals (56%) demonstrated hyperuricemic conditions. Statistical evaluation revealed a significant association between waist circumference measurements and uric acid concentrations, evidenced by a p-value of 0.000 (p < 0.05). Conclusion: A meaningful correlation exists between waist circumference and uric acid concentrations among males engaged in sedentary occupations.

Unhealthy dietary patterns are usually associated with the consumption of purine-rich foods. These foods can increase blood uric acid levels because dietary purines are metabolized into uric acid. This study aims to examine the relationship between dietary patterns and uric acid levels among community members in Baitussalam Health Center, Aceh Besar. This research employed a quantitative, analytical-descriptive design and a cross-sectional method. The study consisted of individuals diagnosed with gout at Baitussalam Health Center. The population consisted of 453 patients. The sample was 81 patients selected using accidental sampling technique. The data were collected using a Food Frequency Questionnaire (FFQ. The uric acid levels were measured using an Auto-check device. Univariate and bivariate analyses were performed, with the Chi-square test used to determine the association between variables. The findings showed that 35 respondents with good dietary patterns (85.4%), 6 respondents had normal uric acid levels (14.6%) and 35 repsondent had abnormal levels (87.5). In contrast, among those with poor dietary patterns had bad dietary intake 40 respondents with 5 respondents (12.5%) had normal uric acid levels, while 35 respondents (87.5%) had abnormal level. Bivariate analysis revealed a p-value of 0.000 (p < 0.05), indicating that the alternative hypothesis (Ha) was accepted and the null hypothesis (Ho) was rejected. These results prove a significant relationship between dietary patterns and uric acid levels. This study recommends that community members improve their dietary habits by consuming low-purine foods such as fruits, green vegetables, eggs, low-fat milk, and carbohydrate sources (e.g., rice and potatoes). Increasing water consumption is highly recommended to help reduce uric acid levels. 

Gout can be triggered by several interconnected factors, such as genetic predisposition, family history, obesity, hypertension, heart disease, age, being overweight, and insufficient fluid intake. Recommended exercises for gout sufferers include regular exercise, stretching, and gymnastics. Ergonomic exercise is important for lowering uric acid, especially among elderly people with hyperuricemia. Hyperuricemia is a condition where blood uric acid levels are elevated. This study aims to determine whether ergonomic exercise lowers uric acid levels in the elderly at the Peukan Bada Public Health Center. The study used a quasi-experimental design with a one-group pretest-posttest approach. The sample included all 17 elderly with gout, selected using the total sampling method. Uric acid was measured using a Uric Acid measuring device. Data were analyzed using the Paired t-test. The results showed a p-value of 0.000. This proves ergonomic exercise affects uric acid levels in the elderly at the Peukan Bada Public Health Center. In conclusion, ergonomic exercise influences uric acid levels in the elderly at the Peukan Bada Public Health Center. Patients should regularly perform ergonomic exercises, using correct movements and staying within their physical abilities. Ergonomic exercises can be done 3-4 times a week to improve metabolism, maintain joint flexibility, and reduce uric acid in the body.

Gout arthritis is a metabolic disease characterized by elevated uric acid levels in the blood. This condition causes joint pain, especially in the lower extremities. Elderly people with gout arthritis often experience decreased mobility and quality of life due to chronic joint pain. Stretching exercises are an effective non-pharmacological intervention to reduce pain and increase joint flexibility. The purpose of this study was to examine the implementation of stretching exercises in reducing lower extremity joint pain in elderly people with gout arthritis. This study used a descriptive case study approach that applied the medical-surgical nursing care process, including assessment, diagnosis, intervention, implementation, and evaluation. This study used two elderly subjects with gout arthritis and moderate pain scales. Stretching exercises were implemented twice daily for 25-30 minutes for six days, based on the development of nursing interventions according to SIKI (2018). The results showed a decrease in moderate pain scale to mild pain scale after the implementation of stretching exercises in both subjects for six days. The results of this study are expected to be implemented independently and provide motivation to improve the quality of life of gout arthritis sufferers.

Uric acid is a byproduct of purine breakdown, which is a component found in DNA and food. Purine is broken down into uric acid in the body, and if not excreted properly, it can lead to the accumulation of uric acid in the blood, known as hyperuricemia. If left untreated, this condition can develop into gout, which is characterized by joint pain and inflammation, particularly in the foot joints. In addition to medical treatment through medications, uric acid levels can also be naturally reduced through the consumption of certain foods, one of which is pineapple juice. Pineapple juice is known to have beneficial properties in reducing uric acid levels. Pineapple contains vitamin C, flavonoids, and bromelain. Vitamin C plays an important role in increasing the excretion of uric acid through urine, thereby helping to lower uric acid levels in the body. In addition, the flavonoids in pineapple act as antioxidants, inhibiting the enzyme xanthine oxidase, which is involved in the purine metabolism that produces uric acid. By inhibiting this enzyme, the process of uric acid formation can be reduced. Bromelain, a protease enzyme found in pineapple, also provides additional benefits. Bromelain helps accelerate the healing of swelling and joint pain caused by uric acid, as well as having anti-inflammatory effects that help reduce inflammation. This study was conducted using a case study method with a one-group pretest-posttest design to observe changes in uric acid levels in respondents after consuming pineapple juice. For 7 days, four respondents consumed 200 ml of pineapple juice per day. The results showed a reduction in uric acid levels in all four respondents, indicating that pineapple juice is effective as a supportive therapy in lowering uric acid levels. These findings suggest the potential of pineapple juice as a natural alternative to help manage uric acid levels.

Penyakit asam urat (gout) adalah gangguan metabolik yang sering dialami oleh lansia, yang dapat menyebabkan rasa sakit yang hebat, keterbatasan gerakan, serta penurunan kualitas hidup. Penyakit ini terjadi akibat penumpukan kristal asam urat di persendian, yang dapat menyebabkan peradangan dan nyeri yang parah. Faktor risiko utama termasuk pola makan yang kaya purin, obesitas, gangguan ginjal, serta penggunaan obat-obatan tertentu. Namun, banyak lansia yang kurang memahami penyebab, gejala, dan penanganan penyakit ini dengan baik, sehingga kondisi mereka seringkali memburuk. Untuk itu, kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan dan keterampilan lansia dalam merawat penyakit asam urat secara mandiri. Program ini diselenggarakan melalui penyuluhan kesehatan yang interaktif, dengan materi yang mencakup etiologi penyakit asam urat, manifestasi klinis, komplikasi yang dapat ditimbulkan, serta berbagai strategi pengelolaan yang efektif. Salah satu aspek penting yang dibahas adalah modifikasi gaya hidup, yang meliputi diet rendah purin, hidrasi yang cukup, serta pentingnya aktivitas fisik. Selain itu, peserta juga diberikan pemahaman mengenai pentingnya kepatuhan terhadap terapi medis yang direkomendasikan oleh tenaga kesehatan. Metode pelaksanaan kegiatan ini meliputi ceramah yang interaktif, sesi tanya jawab, dan distribusi leaflet informatif untuk memperkuat pemahaman peserta. Kegiatan ini dilaksanakan di wilayah RW 05 Srengseng Sawah, Jagakarsa, Jakarta Selatan, yang diikuti oleh sejumlah lansia yang aktif berpartisipasi. Hasil evaluasi menunjukkan adanya peningkatan signifikan dalam pemahaman peserta tentang penyakit asam urat dan bagaimana cara merawatnya. Lansia menunjukkan antusiasme yang tinggi dan mampu mengidentifikasi langkah-langkah praktis yang dapat mereka terapkan dalam kehidupan sehari-hari untuk mengelola kondisi mereka. Melalui kegiatan ini, diharapkan lansia dapat lebih mandiri dalam mengelola asam urat, mengurangi frekuensi serangan, dan meningkatkan kualitas hidup mereka secara keseluruhan.

Gout arthritis is an inflammatory joint condition that causes severe pain and impacts the patient's quality of life. Joint pain management involves more than just pharmacological therapy using medications; it also requires non-pharmacological approaches. The goal of this community service activity is to improve the knowledge and skills of gout arthritis sufferers in managing joint pain using various non-pharmacological therapy modalities. The results of the community service program indicate an increase in knowledge about non-pharmacological management of joint pain in gout arthritis patients. Non-pharmacological therapy education is an effective way to help people with gouty arthritis manage their joint pain. The significant increase in knowledge following the intervention demonstrates the importance of ongoing education and hands-on demonstrations. The next step is to increase the scope of education and support for the implementation of non-pharmacological therapies in various communities to ensure sustainability.

Komunitas adalah sekelompok orang yang memiliki kesamaan karakteristik. Kesamaan karakteristik tersebut ditentukan dari lokasi, ras, etnis, usia, pekerjaan, kesamaan minat dalam menyelesaikan masalah tertentu, hasil, atau ikatan umum lainnya. Untuk meningkatkan derajat kesehatan masyarakat dapat dimulai dari individu, kelompok sampai tingkat RT dan RW Di wilayah Kp Pengasinan RW 03 Kelurahan Periuk Jaya Kecamatan Periuk Kota Tangerang terdiri dari 4 RT dengan jumlah 644 Kepala Keluarga. Jenis penelitian ini adalah deskriptif dengan pendekatan observasi melalui metode wawancara terpimpin, pengumpulan angket, serta observasi terhadap masyarakat di Kp. Pengasinan RW.03 Kel. Periuk Jaya Kec. Periuk. Jumlah kuesioner yang disebarkan berjumlah 100 kuesioner. Hasil pengkajian di Kp. Pengasinan RW.03 terdapat 644 KK dengan diambil sampel untuk data sebanyak 100 KK. Dari hasil data kuesioner yang dibagikan ke 100 KK secara random ke RT.01, RT 02, RT03, RT 04 yang ada di wilayah RW.03 terdapat 3 penyakit teratas yaitu Hipertensi (49%), Maag (Gastritis) (12%) dan Asam Urat (11%). Telah dilakukan implementasi sesuai dengan rancangan intervensi keperawatan dimana implementasi yang dilakukan adalah memberikan pendidikan kesehatan mengenai Hipertensi, demontrasi senam Hipertensi, demonstrasi pemberian jus buah semangka, pendidikan kesehatan mengenai Gout Athritis, demonstrasi kompres air jahe, pendidikan kesehatan tentang gastritis, demonstrasi perasan kunyit tawar

Gout is a disease that is often found in the world. Usually gout occurs due to the deposition of monosidium urate crystals in the tissue or due to supersaturation of uric acid in the extracellular fluid. Some factors that cause gout include excessive purine intake. An unhealthy diet and high-protein foods with high purine levels. One of the non-pharmacological actions in reducing uric acid levels is the provision of soursop leaf decoction (Annona Muricata L) intervention. To determine the effectiveness of soursop leaf decoction on reducing uric acid levels in the elderly by administering soursop leaf decoction in Rambung Village, South Binjai District, Binjai City. This study uses a One-group pretest-posttest design research design approach. The sample of this study was 8 respondents. The sampling technique uses total sampling. The collection of research data uses demographic data, a consent sheet to become a respondent (Informed Consent). Data collection is carried out through observations by researchers of respondents and conducting observations. Research with Parametric Test Paired Sample T-test obtained a p Value of (0.000) <α (0.05), so there is a significant effectiveness of giving soursop leaf decoction to reduce uric acid levels in the elderly, and can be used as an alternative to reduce uric acid levels.

Hyperuricemia contributes to various metabolic disorders, including gout and kidney disease. Detection of uric acid levels through simple screening is important for early risk identification. One non-pharmacological approach that can help reduce uric acid levels is maintaining adequate fluid intake. Uric acid level examination was performed by taking capillary blood from 104 adult participants. Results were obtained directly using the Point-of-Care Testing (POCT) instrument. Education was provided to all participants using a leaflet discussing the role of hydration in supporting uric acid excretion. The average uric acid level was recorded at 4.08 ± 1.00 mg/dL. A total of 103 participants (99.0%) were in the normal range, and 1 participant (1.0%) had high levels. Most participants have not experienced excessive urate accumulation, but still need education to maintain this status. Uric acid level screening is useful as an effort to detect the risk of metabolic disorders early. Education about the importance of fluid intake is the main strategy to maintain uric acid levels within normal limits and prevent complications due to hyperuricemia.

Hyperuricemia is a medical condition characterized by an increase in uric acid levels in the blood above normal limits, which can trigger various metabolic complications such as gouty arthritis, urate nephropathy, and cardiovascular disease. In the early stages, hyperuricemia is often asymptomatic, therefore routine investigation of uric acid level are an important step in early detection. The Community Service Program (PKM) implemented at the Asisi Church, Tebet District, aims to increase public awareness of the importance of early detection of hyperuricemia through blood uric acid level screening activities. This activity uses the Plan-Do-Check-Act (PDCA) approach, which includes capillary blood tests with Point-of-Care Testing (POCT) tools and education on risk factors, symptoms, and prevention of hyperuricemia. Of the 68 participants, all participants showed uric acid levels within the normal range. These results emphasize the importance of education and routine screening efforts to maintain uric acid levels within normal limits, prevent complications in the future, and build public awareness of the importance of a healthy lifestyle to maintain quality of life sustainably.

The elderly group (elderly), aged 60-69 years, is part of the community that is vulnerable to various health problems, both physically, mentally, and socially. Untreated health problems can reduce the quality of life and become a burden for individuals and society. In Borisallo Village, Parangloe District, Gowa Regency, there are around 320 elderly residents. Through the Community Service (PKM) program of the Fostered Village in collaboration with the Borisallo Village Government and funded by the UMI Endowment Foundation, a series of activities were carried out to improve the quality of personal health of the elderly. The activity was carried out in November 2024 at the Borisallo Village Hall and included two main forms, namely: (1) elderly health checks covering blood glucose, cholesterol, uric acid, blood pressure, body temperature, and weight; and (2) counseling on the importance of maintaining overall health quality. Although only 15 participants registered for the counseling, the number of participants who attended exceeded expectations, indicating high enthusiasm from the community. The results of the examination showed that some elderly people required medical follow-up for further treatment. The program also emphasizes the importance of regular and continuous monitoring of the health of the elderly so that their condition can be monitored objectively and early intervention can be carried out. The activity took place in an atmosphere full of empathy, care, and a spirit of service that respects and loves the elderly.