Asuhan Keperawatan Gerontik dengan Fokus Intervensi Terapi Parem Kocok Rempah pada Lansia Gout Arthritis di Wilayah Puskesmas Bulak Banteng Bandarejo Surabaya

Latar Belakang: Gout arthritis merupakan penyakit nyeri sendi akut yang disebabkan oleh tingginya kadar asam urat (hiperurisemia). Pada wilayah Puskesmas Bulak Banteng Bandarejo menunjukkan tingginya prevalensi lansia (65%) mengeluhkan nyeri sendi. Namun, manajemen nyeri seringkali hanya menggunaan analgetik kimia. Terapi komplementer berupa parem kocok rempah (kencur, serai, kunyit) sebagai alternatif non-farmakologis yang aman dan ekonomis untuk menurunkan intensitas nyeri. Tujuan: Penelitian ini untuk mendeskripsikan Asuhan Keperawatan Gerontik Dengan Fokus Intervensi Terapi Parem Kocok Rempah Pada Lansia Gout Arthritis Di Wilayah Puskesmas Bulak Banteng Bandarejo Surabaya.Metode: Penelitian deskriptif ini menggunakan pendekatan asuhan keperawatan pada dua subjek lansia yang mengalami gout arthritis dengan nyeri akut. Intervensi dilakukan selama lima hari berturut-turut melalui terapi topikal parem kocok rempah. Data dikumpulkan melalui wawancara, observasi, pemeriksaan fisik, serta pengukuran skala nyeri menggunakan Numeric Rating Scale (NRS) dan kadar asam urat menggunakan Point of Care Testing (POCT). Hasil: Penelitian terapi parem kocok rempah selama lima hari, terjadi penurunan skala nyeri pada kedua subjek, yaitu dari skala nyeri sedang bernilai 5 dan 6 menjadi nyeri ringan bernilai 1. Efek termal hangat, vasodilatasi vaskular, dan kandungan zat aktif (etil p-metoksisinamat, sitral, serta kurkumin) terbukti secara klinis mampu mengurangi inflamasi lokal dan kekakuan sendi tanpa menimbulkan efek samping pada lansia. Kesimpulan: Terapi komplementer parem kocok rempah terbukti aman dan dapat menurunkan nyeri sendi secara bertahap, dan mampu meminimalkan efek jangka panjang obat kimia serta meningkatkan kemandirian aktivitas lansia.

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Background: Gout arthritis is an acute joint pain disease caused by high levels of uric acid (hyperuricemia). In the working area of Bulak Banteng Bandarejo Public Health Center, there is a high prevalence of elderly individuals (65%) complaining of joint pain. However, pain management often relies solely on chemical analgesics. Complementary therapy using spiced herbal liniment (parem kocok rempah: aromatic ginger, lemongrass, turmeric) serves as a safe and economical non- pharmacological alternative to reduce pain intensity. Objective: This study aims to describe Gerontological Nursing Care focusing on Spiced Herbal Liniment (Parem Kocok Rempah) Therapy intervention among elderly patients with gout arthritis in the working area of Bulak Banteng Bandarejo Public Health Center, Surabaya. Methods: This descriptive study utilized a nursing care approach involving two elderly subjects suffering from gout arthritis with acute pain. The intervention was administered for five consecutive days through topical application of spiced herbal liniment. Data were collected through interviews, observation, physical examination, pain scale measurement using the Numeric Rating Scale (NRS), and uric acid level measurement using Point of Care Testing (POCT). Results: Following five days of spiced herbal liniment therapy, a reduction in pain scale was observed in both subjects, decreasing from moderate pain scales of 5 and 6 to a light pain scale of 1. The warm thermal effect, vascular vasodilation, and active compounds (ethyl p-methoxycinnamate, citral, and curcumin) were clinically proven to reduce local inflammation and joint stiffness without causing side effects in the elderly. Conclusion: Complementary therapy using spiced herbal liniment is proven to be safe, gradually reduces joint pain, minimizes the long-term side effects of chemical medications, and enhances the functional independence of the elderly.