Nadia Sari
STIKes Jabal Ghafur

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EFEKTIVITAS AKUPRESUR DAN EKSTRAK DAUN SALAM TERHADAP KADAR ASAM URAT PADA KLIEN ARTHRITIS GOUT Nadia Sari; Tri Johan Agus Yuswanto; Diyah Fatmasari
Jurnal Rumpun Ilmu Kesehatan Vol. 2 No. 1 (2022): Maret: Jurnal Rumpun Ilmu Kesehatan
Publisher : Politeknik Pratama Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (249.499 KB) | DOI: 10.55606/jrik.v2i1.125

Abstract

Latar Belakang: Arthritis gout merupakan penyakit yang diakibatkan oleh adanya gangguan metabolisme purin yang ditandai oleh hiperuriklemia. Kadar asam urat diatas batas normal dapat menyebabkan resiko kelainan hemodinamik seperti penyakit kardiovaskular dan resiko kelainan metabolik seperti disfungsi ginjal. Penanganan kadar asam urat pada arthritis gout tidak hanya terapi farmakologis namun juga bisa intervensi keperawatan komplementer seperti akupresur dan ekstrak daun salam. Tujuan: Membuktikan akupresur dan ekstrak daun salam efektif dalam menurunkan kadar asam urat pada klien arthritis gout. Metode: Penelitian ini mengunakan true eksperiment dengan pendekatan pre and post test control group design dan jumlah sampel sebanyak 30 responden dibagi menjadi 3 kelompok dengan teknik random simple random sampling kemudian diberikan akupresur pada titik hegu dan taixi dengan durasi 5 menit dan ekstrak daun salam dosis 1 gram selama 12 hari perlakuan. Hasil: Kadar asam urat mengalami penurunan pada kelompok intervensi, kontrol 1 dan kontrol 2. Tetapi berdasarkan uji Anova pada variabel kadar asam urat menunjukkan kelompok intervensi paling efektif penurunannya dengan nilai (1,98±0,53) pada kelompok kontrol 1(0,95±0,28) serta kelompok kontrol 2 (1,17±0,28) dengan nilai signifikan kadar asam urat (p=0,000). Kesimpulan: Kelompok yang paling efektif untuk menurunkan kadar asam urat dalam intervensi keperawatan komplementer yaitu perlakuan akupresur dan ekstrak daun salam pada kelompok intervensi.
EFFECTIVENESS COMBINATION OF HEGU AND TAIXI POINT ACUPRESSURE WITH RED GINGER HYDROTHERAPY ON PAIN SCALE IN GOUT ARTHRITIS CLIENTS Nadia Sari; Lisa Rahmi
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol 6 No 3 (2022): VOLUME 6 ISSUE 3 DECEMBER 2022
Publisher : Bina Sehat Press. Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2022/Vol6/Iss3/417

Abstract

Arthritis gout is a disease caused by a purine metabolism disorder characterized by hyperuricemia and recurrent attacks of acute synovitis causing severe pain in the joint area. One of the treatments for gout arthritis with non-pharmacological therapy is acupressure and warm red ginger hydrotherapy which is able to relax muscles, increase blood circulation, and can stimulate the effector system causing peripheral vasodilation so that blood flow to tissues is smooth, especially tissues that are inflamed so that it can reduce inflammation joint pain. This study aims to determine the effectiveness of the combination of acupressure on the hegu and taixi with red ginger hydrotherapy as a complementary nursing intervention in reducing pain in gouty arthritis sufferers. Quantitative research with true experiment approach pre and post-test control group design involving 30 respondents divided into intervention group (n=10) given acupressure and red ginger hydrotherapy, while control group 1 (n=10) was given acupressure and control group 2 (n =10) was given red ginger hydrotherapy. The sampling technique used probability sampling with simple random sampling based on inclusion and exclusion criteria. Then the research results were analyzed using parametric tests, namely Paired t test, ANOVA test and Post Hoc Bonferroni test. The ANOVA test showed a significant value of p = 0.000 (<0.05), while the Post Hoc Bonferroni test showed that between the intervention group and control 1 there was a difference with a significant value of p = 0.001, between the intervention group and control 2 there was a difference in the value significant p=0.005 and between control group 1 and control 2 there was no difference with a significant value of p=1,000. There was a difference between the intervention group, control group 1 and control group 2, which means that the administration of acupressure at the hegu and taixi with red ginger hydrotherapy was more effective in reducing pain in gouty arthritis patients than acupressure and red ginger hydrotherapy alone.