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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, 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.

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.

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.

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).

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).      

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.