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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

Background: Increased of uric acid levels can be caused other disorders in the human body such as a feeling of aches and pains in the joint area and is often along with extreme pain for the sufferer. This disease is better known as gout (Andry, 2021 ). Objective: This study aims to find out the effectiveness of consumption the pineapple fruit on reducing uric acid levels in the Batu Lubang Lembeh Selatan Village. This research uses a Pre-Experimental method with a One Group Pre-Post Test Design approach. The samples in this study were 12 early adult men who with having gout in Batu Lubang Lembeh Selatan Village, using an accidental sample. The data collected using observation sheets and analyzed using the non-parametric Wilcoxon test using SPSS. The results of the research showed the conditions of uric acid sufferers before and after consumption pineapple analysis the value of 0.003, there was a significant effect between giving pineapple fruit on reducing uric acid levels in the Batu Lubang Lembeh Selatan sub-district. The conclusion in this study there were an effect of giving pineapple on reducing uric acid levels in Batu Lubang Lembeh Selatan Village. Based on the research results, it is recommended the Respondents be expected to frequently consume pineapple so that uric acid levels can decrease till the normal limits.

Routine health checkups are simple and easy to do. Health checks can include physical examinations, laboratory tests, and followed by consultations. The purpose of this service activity is to be able to provide counseling to residents regarding the prevention of non-communicable diseases (PTM) and conduct examinations such as blood pressure checks and cholesterol checks. The purpose of these tests is to detect previously unknown diseases or health problems. This way, you can improve your health early on, before the condition gets worse. There are many health problems that can be detected through regular health checks. These diseases are the main diseases that are commonly suffered by citizens, especially in Indonesia. Residents of KM 14 neighborhood in Palembang City mostly consist of working age residents, who have more opportunities to work and have less time to undergo health checks and when residents are on vacation, health services are also closed.  Most of the residents of KM 14 Palembang City do not know the importance of health checks and do not have the right time to visit health services. So the PKM team began to offer solutions by conducting physical examinations and education about systemic diseases such as high blood pressure, gout, and diabetes.  

Gout Arthritis is an inflammatory joint disease caused by the accumulation of monosodium urate crystals in the body. Onion compress is a current form the treatment of gout arthritis with no side effects. The aim of this research is a to determine the effectivennes of shallot (Allium Cepa Var Aggregatum) compress on joint pain Gout Arhtritis patients at the Working Area, Public Health Center Tuminting Manado. The research conducted by using a pre-experimental (pre and post test design). The samples were 13 subjekts which taken using total sampling technique. Research instruments used observation sheet and SOP for measurement with the NRS (Numeric Rating Scale). Analyzed data by using a Wilcoxon test with the significance level α = 0,01. The results of this research obtained a value p=0.002 (α≤0.05), which means that Ha is accepted and Ho is rejected, so that can be concluded there were an effectivennes of shallot (Allium Cepa Var Aggregatum) compress on joint pain Gout Arhtritis patients at the Working Area, Public Health Center Tuminting Manado. The conclusion of this research is that there is an effectivennes of shallot (Allium Cepa Var Aggregatum) compress on joint pain Gout Arhtritis patients at the Working Area, Public Health Center Tuminting Manado. Advice to subjekts who often experience gout arthritis pain is to treat it themselves by using shallot compresses.

Elderly is an age group that is susceptible to disease due to decreased function in the body due to the aging process. Uric acid is produced by every living thing as a result of the main metabolic process, namely a chemical process in the cell nucleus that functions to support survival. To overcome complaints of pain that appear in patients with gout, there are various pharmacological and non-pharmacological therapies. The usual pharmacological therapy is taking painkillers, namely the Nonstereoidal Antiinflammatory Drugs (NSAID) group. Complementary therapy is a natural therapy including herbal therapy in the form of bay leaves. The aim of the study was to describe a decrease in uric acid levels by giving bay leaf boiled water to the elderly at the Cilacap Dewanata Institution. The results of this study were obtained after therapy by giving boiled bay leaf water, the patient was more comfortable, the pain was reduced, the last day's observations of vital signs (TTV) showed Td: 110/80 mmHg, Respiration: 20 x/minute, Pulse: 96 x /minute pain scale 2. In conclusion, the application of giving bay leaf boiled water is proven to be able to overcome the problem of diagnosing acute pain associated with physical injury agents, the implementation of self-invasion care was carried out for 3 days, with extraction the results of reduced pain.

Gouty arthritis is a degenerative disease caused by abnormal purine metabolism which is characterized by increased levels of uric acid in the blood (hyperuricemia). Gouty arthritis can attack men aged 30 - 50 years and is a disease inherited from previous generations, but not in women. Women can develop gouty arthritis after experiencing menopause. This is related to the presence of the hormone estrogen which plays a role in the process of regulating uric acid in the blood. Uric acid levels are said to be high, if the uric acid level in the blood is more than normal levels. The normal level of uric acid in men is 3.4 - 7.0 mg/dl while in women it is 2.4 - 5.7 mg/dl (Yulianingsih et al., 2022). The prevalence of gout arthritis in Central Java based on doctors' diagnoses in the elderly group 75 years and over was ranked first at 16.03%, then in the elderly group 65-74 years it was 13.90%, and in the elderly group 55-64 years it was 13.69 % (Access et al., 2022). Based on data from the Kutamendala Community Health Center, the prevalence of gouty arthritis in Kutayu Village reached 4.3%. The percentage of residents suffering from gouty arthritis in Kutayu Village is 15 people out of 346 elderly people (Kutamendala Health Center, 2022).

Gouty arthritis is a condition that can cause persistent symptoms of pain, swelling and burning in the joints. Normal uric acid levels in women range from 2.4 - 5.7 mg/dl, while in men it ranges from 3.4 - 7.0 mg/dl, and in children 2.8 - 4.0 mg (Health et al ., n.d, 2019).

The musculoskeletal system is part of the body system which is responsible for movement actions and as support for the body, consisting of joints, skeletal muscles, tendons, ligaments, bursae, and other tissues that connect these structures (Kalengkongan, et al, 2021). There are several different musculoskeletal tissues and systems, the musculoskeletal system often experiences various kinds of disorders including carpal tunnel syndrome, gout, osteoarthritis, osteomyelitis, osteoporosis and fractures (Kalengkongan, et al, 2021).

uric acid is the result of purine metabolism, it will cause pain and rheumatic pain in the joints. Handling to reduce pain is with warm ginger compresses and rgonomic exercises. The purpose of this study was to analyze the effectiveness of ginger warm compresses and ergonomic exercises on reducing gout arthritis pain in the elderly in Mojolegi Village, Gading District, Probolinggo Regency.This type of research is quasi-experimental with a cross over group design approach. The population of 51 people was selected by purposive sampling technique and obtained 36 respondents who met the inclusion and exclusion requirements of the study. The instrument used is the numerical pain scale observation sheet (NRS). The results showed that the pain scale of ginger warm compresses for period I pre-test was 5.17 post-test 3.00, period II pre-test was 3.94 post-test 2.39. In the ergonomic exercise group, period I pre-test was 5.39 post-test 3.67, period II pre-test was 3.89 post-test 2.61. The results of data analysis obtained valuesρV 0.000 in the warm ginger compress group and the ergonomic exercise group so that it can be concluded that both therapies were equally effective, there was no difference between warm ginger compress and ergonomic exercise in reducing gout arthritis pain in the elderly.Ginger warm compresses and ergonomic exercises are non-pharmacological measures that can be applied to relieve pain and provide a sense of comfort. Thus, implementing these two therapies requires sufficient recovery time (wash out) so that the effects of the first intervention are not carried over to the second intervention.    

There are a number of factors that can impact the value of uric acid levels, which can result in increased blood uric acid levels.This study aims to determine variables influencing uric acid levels. This research method used correlational analytic with cross sectional approach. The sampling technique used  total sampling of gout respondents with a total sample of 51 responents. The results of this study found that there was a relationship between all the  factors stuied, both from diet, age, physical activity  and BMI with p value ≥ 0.05, while the dominant factor releted to the level of uric acid levels is the dietary factor with p value = 0.000, a ≥ 0.05 and OR value = 30.664. It can be concluded that diet, age, physical activity  and BMI can affect uric acid levels but the most dominan factor in creasing uric acid levels is diet, so that future researchers are expected to provide can examine dietary variables in gout patients and increase the number of samples so that the results of the study are maximized .                                                                                  

Hypertension or high blood disease is actually a disorder of blood vessels that results in the supply of oxygen and nutrients carried by the blood is hampered to the body tissues in need.hypertension is often called the silent killer dark killer, because it includes diseases that women are declared hypertensive if their blood pressure is 160/95 mmHg. (Nurhaidar, 2010).In addition to hypertension, gout is now also a topic that is very much discussed by women, because most uric acid attacks women, especially the elderly. However, in this day and age it is not only the elderly who can get gout, adults can also get this gout. Irianto in his book entitled Public Health Science said that gout is referred to as a degenerative disease because the incidence rate is related to the degeneration process in old age that takes place according to time and age. (Simamora and Saragih 2019).  Research conducted in the scientific journal Permas shows the results that of the 13 causes of gout, most of the causes are diet and lifestyle. So that those who should be more susceptible to gout are men because their serum uric acid levels are higher than women.(Sulistyoningtyas and Khusnul Dwihestie 2022).Community service activity entitled  "Socialization on the Application of Ergonomic Gymnastics to Reduce Blood Pressure in Kabil Village, Kavling Baru, RT 003 RW 013, Danau Indah Punggur" The activity was welcomed by RW 013 Kavling Baru, Punggur with the hope of getting information about handling hypertension and gout, so as to control and prevent various kinds of disorders of the cardiovascular system in the form of hypertension,  heart, or stroke that can interfere with public health.

Community nursing or community health nursing is the practice of maintaining and improving public health using knowledge from nursing, social sciences and public health sciences. Another definition of community nursing is a form of professional service based on nursing knowledge and tips aimed primarily at high-risk groups to improve community health status by emphasizing efforts to improve health, disease prevention and not neglecting curative and rehabilitative (Kholifah & Widagdo, 2016). In RW 04 Kelurahan Periuk Jaya, which is a village with densely populated residential houses with houses attached to one another, the average building in Pabuaran village has new buildings but is not well maintained and settlements are dominated by old buildings. own property, in terms of the environment the area of ​​the house has a yard, there are several cattle pens around the settlement. The characteristics of the area and health problems that arise in RW 04 Periuk Jaya Village are information about prevention and diet for Hypertension, Gout Arthritis and ISPA. To carry out this task requires a person nurses who are competent in providing community nursing care, to get optimal results requires experience in addition to knowledge. One way to gain experience is through community nursing practice in Periuk Jaya Village RW 04 Periuk District, Tangerang City

Gout is a type of arthritis that occurs due to the expansion of uric acid crystals that occur in several joints. The average level of uric acid in the blood depends on gender and age. Someone who is old is usually more susceptible to advanced uric acid. This is the background of this research. This study aims to describe uric acid levels in the elderly at Posyandu Melati, Cipayung District, East Jakarta. This type of research is descriptive with a cross sectional design. The sample selection was obtained by purposive sampling technique with a large sample of 30 people. The results showed that the average uric acid level of male respondents was higher, namely 6.8 mg/dl compared to the average uric acid level of female respondents, which was 5.3 mg/dl. From the results of this study, it can be concluded that uric acid levels in elderly men are higher than those in elderly women, although the levels are still relatively normal.

In the elderly there is a deterioration of cells due to the aging process which can result in organ weakness, physical deterioration, the onset of various diseases such as increased uric acid levels. Another treatment that can be used to overcome increased uric acid levels is with herbal remedies, one of which uses bay leaves, but there are still many elderly who have not used bay leaf decoction to lower uric acid. The purpose of this study was to identify the effect of bay leaf decoction on reducing uric acid in the elderly in the Griya Lansia Janati area, Gorontalo Province. Pre-experimental research method with one group pre post test design, samples of 5 people who meet the sample criteria, the instrument used is easy touch GCU to measure uric acid levels and the data analysis used is univariate analysis by describing differences in uric acid levels for three days. The research findings obtained before being given bay leaf decoction in the results of uric acid in the five clients were, in client 1 uric acid 7.3 mg / dl, in client 2 uric acid 7.1 mg / dl and client 3 uric acid 7.4 mg / dl, client 4 uric acid 8 mg / dl, client 5 uric acid 7.9 mg / dl. The average patient has gout. After the intervention of giving bay leaf water decoction for 4 consecutive days, the results were obtained in client 1 there was a decrease with uric acid 5.3 mg / dl, in client 2 there was a decrease with uric acid mg / dl, client 3 also had a decrease in uric acid 5.2 mg / dl, client 4 decreased uric acid 6 mg / dl, and client 5 decreased uric acid to 5.8 mg / dl. The implication of this research is that the institution can facilitate the use of bay leaf herbal medicine in the elderly in lowering uric acid levels so that this therapy can be continued.    

People with gout arthritis complain of pain in the joints, toes, hands, knees and have never used lemongrass water to reduce joint pain and choose analgesic drugs as pain relief. Lemongrass plant contains essential oil that has chemical properties and pharmacological effects, namely a spicy and warm taste as an anti- inflammatory and relieving analgesic pain.. The purpose of this research was to find out the effect of lemongrass (cymbopogon citratus) on the reduction of gout arthritis pain in The Community In The 1st Winenet Village, Bitung. This research used a pre experimental method with one group pretest-posttest design. The population were residents who suffered from gout arthritis and who experienced joint pain. Sampling using a purposive sampling technique with the number of samples were 12 respondents using the Lamesho formula. The instruments used in this research were observation sheets and pain intensity scale measurement sheets using the Numeric Rating Scale (NRS). The collected data was processed by running the computer program be analyzed by a Wilcoxon Signed Rank test with the significance level α = 0,05.The results of this research indicated that there are differences in pain intensity before and after giving lemongrass, with a ρ value (0,001) < (0,05), meaning that there is an effect of giving lemongrass on reducing gout arthritis pain.The conclusion of this research is that lemongrass can be used as a non- pharmacological therapy to reduce pain in gout arthritis. It is expected that the result of this research will be useful in reducing pain in patients with gout arthritis and can be used as an additional reference for further research.    

Background of the study: The Excessive of uric acid levels can cause the sedimentation process of uric acid crystals it can cause the gout. The antioxidant in soursop leaves is effective to slowdown and also prevent the gout. The purpose of this study is to find out the effect of soursop leaf decoction on reducing uric acid levels in the work area at UPTD Adow Health Centre. The research method use the Quasy Experiment, with a one group pre-post test method . The samples in this study taken 15 respondents by the total sampling techniques. The research instruments use an uric acid level checking and observation sheets. Then the data collected processed by Friedman's Statistical Test. Findings , the friedman statistical test results obtained a p value = 0.001 with a significance of < 0.05. The conclusion is giving soursop leaf decoction is effective on reducing uric acid levels in the working area at UPTD Adow Health Centre. It is hoped the decoction of soursop leaf can be useful as alternative medicine to lower  the uric acid levels.  

Gout Arthritis is a disease characterized by pain that occurs repeatedly caused by deposits of monosodium urate crystals that accumulate in the joints as a result of high levels of uric acid in the blood. One of the complementary therapeutic measures is a warm red ginger compress in gout arthritis patients. The purpose of this research is to determine the Effect of Giving Warm Red Ginger Compresses to Pain in Gout Arthritis Patients in Mahawu Village, Manado. The design of this study used a pre- experimental (one-group, pre-post test design). The sample in this study was 35 respondents taken using a total sampling instrument. The study used observation sheets and SOPs for measurement using the NRS (Numeric Rating Scale). The data were then analyzed using the Wilcoxon statistical test with a significance level of = 0.05. The results of this study indicate that there is an effect of giving red ginger warm compresses to pain in gout arthritis patients with p value = 0.000 <0.05 so Ha is accepted and Ho is rejected. So it can be concluded that there is an effect of giving red ginger warm compresses to reducing pain in gout arthritis patients in Mahawu Village, Manado. The conclusion of the study is that there is an effect of warm red ginger compresses on Gout Arthritis patients in Mahawu Village, Manad.

Penyakit gout merupakan penyakit metabolisme yang disebabkan karena tingginya kadar asam urat dalam darah akibat dari metabolisme purin. Salah satu tanaman yang sering digunakan dalam pengobatan tradisional adalah tanaman kumis kucing. Kandungan kumis kucing orthosiphon glikosida yang dapat menurunkan kadar asam urat dalam darah. Tujuan penelitian ini untuk mengetahui pengaruh air rebusan kumis kucing terhadap penurunan asam urat di Desa Manawa Kecamatan Patilanggio. Metode dalam penelitian ini adalah penelitian kuantitatif yang menggunakan equivalent control group desaign dengan jumlah sampel 32 responden dibagi dalam dua kelompok yaitu kelompok perlakuan sebanyak 16 responden dan kelompok kontrol sebanyak 16 responden yang didapatkan dengan menggunakan teknik total sampling. Hasil penelitian menunjukan hasil bivariat menggunakan uji Parametric karena data berdistribusi normal. Nilai p-value yaitu 0,000, artinya ada perbedaan asam urat sebelum dan sesudah pada kelompok perlakuan dan kelompok kontrol. Dapat disimpulkan bahwa ada pengaruh air rebusan kumis kucing terhadap penuruanan asam urat di Desa Manawa Kecamatan Patilanggio. peneliti dapat menerapkan air rebusan kumis kucing ini untuk mencegah atau menurunkan asam urat dan tidak hanya sebatas pada saat penelitian ini dilakukan.    

Nyeri gout arthritis bersifat akut yang biasanya dirasakan pada malam hari, Tetapi tanpa penanganan yang efektif, nyeri dapat berkembang menjadi kronik. Salah satu terapi non farmakologi untuk mengurangi nyeri dengan kompres kayu manis. Tujuan penelitian ini untuk mengetahui pengaruh kompres kayu manis terhadap nyeri gout arthritis pada lanjut usia di Desa Tihu Kecamatan Bone Pantai. Desain penelitian quasi eksperimen dengan non equivalent control group dengan jumlah sampel 30 orang menggunakan teknik sampling secara purposive sampling. Hasil penelitian tingkat nyeri sebelum kelompok perlakuan yaitu nyeri sedang sebanyak 15 lansia (100%) dan kelompok kontrol yaitu nyeri sedang sebanyak 15 lansia (100%). Tingkat nyeri sesudah kompres kayu manis pada kelompok perlakuan mayoritas nyeri ringan sebanyak 12 lansia (80%) dan tingkat nyeri sesudah kelompok kontrol mayoritas nyeri sedang sebanyak 11 lansia (73,3%). Hasil uji statistik kelompok perlakuan diperoleh nilai p-value 0,000 dan kelompok kontrol nilai p-value 0,054. Kayu manis mengandung senyawa minyak atsiri yang tersusun sebagian besar atas sinamaldehid berfungsi sebagai penurun nyeri asam urat. Ada pengaruh kompres kayu manis terhadap nyeri gout arthritis pada lanjut usia di Desa Tihu Kecamatan Bonepantai.    

Perubahan demografi akan berpengaruh terhadap berbagai aspek kehidupan lanjut usia (lansia) baik secara individu maupun dalam kaitannya dengan keluarga dan masyarakat. Dengan meningkatnya jumlah penduduk lansia harus diupayakan agar kelompok lansia tetap mempunyai kondisi fisik dan mental yang prima untuk menjadi sumberdaya manusia yang optimal. Masalah gizi yang umum terjadi pada lansia selain kekurangan gizi juga kelebihan gizi  yang memacu timbulnya  penyakit degeneratif  seperti penyakit  jantung  koroner,  hipertensi,  diabetes  mellitus,  batu empedu, gout (reumatik), ginjal, sirosis hati dan kanker. Sehingga dengan peningkatan status gizi pada lansia diharapkan keadaan kesehatan dapat dipertahankan atau bahkan ditingkatkan (Dep.Kes. RI, 2000).             Penelitian kuantitatif ini menggunakan desain penelitian cross sectional, dimana variabel terikat (dependen) yaitu Status Gizi berdasarkan Indeks Massa Tubuh (IMT) dengan karakteristik lansia (umur, jenis kelamin, status perkawinan, tingkat pendidikan, status pekerjaan, dan tingkat pendapatan), perilaku (kebiasaan merokok, aktivitas fisik) dan asupan konsumsi makanan sebagai variabel bebas (independen). Penulis melakukan observasi atau pengukuran  pada  saat bersamaan dan wawancara food recall. Penelitian dilakukan di Wredha Rineksa daerah binaan Puskesmas Tugu Kota Depok dengan jumlah 110 orang lansia. Pemilihan lokasi dengan alasan Wredha Rineksa merupakan rumah singgah (sekarang disebut Pos Pembinaan Terpadu). Instrumen yang digunakan dalam penelitian adalah : Kuesioner tentang karakteristik lansia, perilaku (kebiasaan merokok, aktivitas fisik) dan asupan konsumsi makanan, Format Form Food Recall 24 jam, Alat ukur Tinggi Badan yaitu Microtoise dan Berat Badan dengan timbangan Seca Digital, KMS Lansia.             Hasil penelitian adalah : Sebagian besar (56,4%) lansia di Wredha Rineksa (WR) daerah binaan Puskesmas Tugu Kota Depok berstatus gizi normal, dengan rata-rata IMT 23,5 kg/m² dengan nilai terendah 16 kg/m² dan tertinggi 32,8 kg/m², sedangkan status gizi lebih dengan IMT > 25 kg/m²  adalah  33,6% ; Karakteristik lansia umur > 60 tahun (59,1%), perempuan (73,6%), berstatus kawin (71,8%), berpendidikan menengah (50,9%), tidak bekerja (84,5%), dan tingkat pendapatan rendah  sebanyak 62,7%. Sebagian besar lansia tidak mempunyai kebiasaan merokok (91,8%), dan aktivitas fisik  dengan aktivitas sedang 37,3%. Asupan Konsumsi lansia di WR rata-rata kurang dari Angka Kecukupan Gizi, hanya asupan protein yang lebih dari AKG. Asupan rata-rata konsumsi energi pada laki-laki 87,73% dan perempuan 95,5% dari AKG ; rata-rata konsumsi karbohidrat pada laki-laki 89% dan perempuan 91% dari AKG ;  rata-rata konsumsi protein pada laki-laki 138% dan perempuan 131% dari AKG ;  rata-rata konsumsi lemak pada laki-laki 83,6% dan perempuan 77,8% dari AKG. Pada penelitian ini didapatkan  hubungan yang bermakna antara umur, tingkat pendidikan, tingkat pendapatan, dan asupan energi dengan status gizi.