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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.

Uric acid (UA) is a waste product formed when the body breaks down purines, which are natural compounds found in the body and can be found in various types of foods such as alcohol, shellfish, and liver. Hyperuricemia is caused by increased uric acid production, decreased excretion, or a combination of both processes. Most people with hyperuricemia are asymptomatic (85% to 90%), but increased levels of uric acid in the blood or urine can cause gout or nephrolithiasis. Hyperuricemia and hyperuricosuria are also associated with other disorders such as metabolic syndrome, diabetes mellitus, cardiovascular disease, hypertension, atherosclerosis, obesity, and chronic kidney disease. The Community Service (PKM) activity held in Grogol Village, West Jakarta, aims to increase awareness of the elderly community regarding the importance of early detection of hyperuricemia. This program uses the Plan-Do-Check-Act (PDCA) approach, starting from planning uric acid level examinations and compiling educational materials, followed by implementing interactive screening and counseling, evaluating results, and following up in the form of medical referrals for participants with abnormal results. Of the 71 participants involved, only 1 person had uric acid levels above normal. Through education on low-purine diets, the importance of hydration, and physical exercise, this activity is expected to be able to reduce the incidence of hyperuricemia and its complications, as well as support the realization of a healthier elderly community that is aware of its metabolic health.

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. 

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

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

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

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

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

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

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

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

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