PENGARUH PEMBERIAN KOMBINASI SENAM ERGONOMIK DAN KOMPRES HANGAT JAHE UNTUK MENURUNKAN NYERI PADA LANSIA PENDERITA GOUT ARTHRITIS
Keywords:
gout arthritis, warm ginger compress, ergonomic exercise, pain, elderlyAbstract
Background : Gout arthritis is a chronic non-communicable disease caused by impaired purine metabolism, leading to elevated uric acid levels and the deposition of uric acid crystals in the joints. This condition is characterized by pain, swelling, stiffness, and redness, which may interfere with daily physical activities and quality of life, especially in the elderly. Non-pharmacological therapies are recommended to complement pharmacological treatment in reducing pain and preventing long-term complications. Warm ginger compresses, known for their anti-inflammatory and analgesic properties, can relieve joint stiffness and improve blood circulation. Ergonomic exercise, on the other hand, helps restore joint flexibility, enhances muscle elasticity, and supports circulation. The combination of these interventions may provide a more effective approach to pain reduction in elderly patients with gout arthritis.
Methods : A quasi-experimental one-group pretest–posttest design was conducted with 33 elderly respondents diagnosed with gout arthritis. The intervention consisted of daily warm ginger compresses and ergonomic exercise every two days for 10 days. Pain intensity was measured using the Numeric Rating Scale (NRS), and data were analyzed with the McNemar test.
Results : The study involved 33 participants, predominantly female (81.8%), with most aged 61–70 years (72.7%). Pain intensity decreased after the 10-day intervention. The mean pain score reduced from 4.73 (pretest) to 2.39 (posttest). Statistical analysis using the McNemar test showed a p-value of 0.00001 (<0.05), indicating a significant effect of the intervention. Most participants who initially experienced moderate pain reported reduced pain intensity to mild levels after treatment.
Conclusion : The combination of warm ginger compresses and ergonomic exercise significantly reduced pain intensity in elderly patients with gout arthritis. This non-pharmacological intervention may be considered as an effective complementary therapy to improve comfort and quality of life in elderly individuals with gout arthritis.
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