Literatur Review: Peran konseling gizi dan senam ergonomik dalam menurunkan kadar asam urat pada penderita gout

Nila Susanti -  Jurusan Gizi, Poltekkes Kemenkes Palangka Raya, Kota Palangka Raya, Kalimantan Tengah, Indonesia
Yosi Sri Astuti -  Jurusan Gizi, Poltekkes Kemenkes Palangka Raya, Kota Palangka Raya, Kalimantan Tengah, Indonesia
Harlyanti Muthma'innah Mashar* -  Jurusan Gizi, Poltekkes Kemenkes Palangka Raya. Jl. George Obos No. 30/32, Kelurahan Menteng, Kecamatan Jekan Raya, Kota Palangka Raya, Kalimantan Tengah 73111, Indonesia
DOI : 10.30867/action.v7i2.628

Supp. File(s): Literature Review Literature Review

Gout is a disorder caused by inflammation of the joints due to the deposition of uric acid crystals stored in the joints. The causative factors are age, excessive purine intake, obesity, alcoholic beverages, and lack of physical activity. Various efforts can be made to overcome this, including nutritional counseling and physical activity, such as gymnastics. The study aims to provide descriptive information regarding the effect of nutritional counseling on a low-purine diet and ergonomic gymnastics in reducing uric acid levels in patients with gout. Literature review research was conducted using the keywords "Counseling, Ergonomic Exercise, Uric acid, and Gout" on the Google Scholar search engine and other electronic databases, namely Proquest, BMC, and Cochrane review. Scientific articles are published in national and international journals that can be accessed openly, published between 2010-2020. From these results, 13 articles were selected for review. The literature review was conducted in an unsystematic narrative review. The results of the study state that providing counseling using various media can be one solution to help reduce pain and reduce one's uric acid levels, namely through counseling or nutrition counseling and ergonomic exercises. Counseling can provide insight or knowledge related to a low-purine diet, while ergonomic exercises provide the impact of physical fitness on the patient's health. The combination of providing nutritional counseling and ergonomic exercises can reduce uric acid levels in patients with gout.

Supplement Files

Keywords : Ergonomic exercise; gout; nutrition counseling; uric acid

  1. Adhania, C. C., Wiwaha, G., & Fianza, P. I. (2018). Prevalensi penyakit tidak menular pada fasilitas kesehatan tingkat pertama di Kota Bandung Tahun 2013-2015. Jurnal Sistem Kesehatan, 3(4), 204–211. https://doi.org/10.24198/jsk.v3i4.18499
  2. Angriani, E., Ari, P. D., & Riri, N. (2018). Faktor-faktor yang berhubungan dengan kejadian gout arthritis masyarakat Melayu. JOM FKp, 5(2), 683–692.
  3. Aslidar. (2017). Pengaruh senam ergonomis terhadap kadar asam urat pada lansia dengan gout di Panti Werda Binjai. Jurnal Keperawatan Flora, 10(1), 43–52. https://jurnal.stikesflora-medan.ac.id/index.php/jkpf/article/view/66
  4. Aupia, A. (2021). The effect of health education on the knowledge and adherence of diet for gout arthritis patients. Media Keperawatan Indonesia, 4(2), 120. https://doi.org/10.26714/mki.4.2.2021.120-126
  5. Conant, A., Curiel, J., Pizzino, A., Sabetrasekh, P., Murphy, J., Bloom, M., Evans, S. H., Helman, G., Taft, R. J., Simons, C., Whitehead, M. T., Moore, S. A., & Vanderver, A. (2018). Absence of axoglial paranodal junctions in a child with cntnap1 mutations, hypomyelination, and arthrogryposis. Journal of Child Neurology, 33(10), 642–650. https://doi.org/10.1177/0883073818776157
  6. Dewantari, N. M., & Sukraniti, D. P. (2020). Efek konseling germas terhadap implementasi germas dan indeks massa tubuh wanita dewasa di pusat kebugaran. AcTion: Aceh Nutrition Journal, 5(1), 62–70. https://doi.org/10.30867/action.v5i1.209
  7. Diba, N. F., Pudjirahaju, A., Nengah, I., Komalyna, T., Studi, P., Sains, S., Gizi, T., Dietetika, D., Kesehatan, P., & Malang, K. (2022). Pengaruh penyuluhan gizi seimbang dengan media booklet terhadap pengetahuan, sikap, pola makan, aktifitas fisik dan berat badan remaja overweight SMPN 1 Malang. Nutriture Journal, 1(1), 33–52. https://ojs.poltekkes-malang.ac.id/index.php/Nutriture/article/view/3529
  8. Dowell, A., Morris, C., Macdonald, L., & Stubbe, M. (2017). "I can't bend it and it hurts like mad": Direct observation of gout consultations in routine primary health care. BMC Family Practice, 18(1), 1–11. https://doi.org/10.1186/s12875-017-0662-9
  9. Erman, I., Ridwan, R., & Putri, R. D. (2021). Pengaruh senam ergonomis terhadap kadar asam urat pada lansia di Wilayah Kerja Puskesmas Merdeka Kota Palembang. Jurnal Keperawatan Merdeka, 1(2), 1–8. https://doi.org/10.36086/jkm.v1i2.1006
  10. Fatimah, N. (2017). Efektifitas senam ergonomik terhadap penurunan kadar asam urat pada lanjut usia dengan arthritis gout [Universitas Islam Negeri Alauddin Makassar]. In Universitas Islam Negeri Alauddin Makassar. http://repositori.uin-alauddin.ac.id/3528/
  11. Harrold, L. R., Mazor, K. M., Peterson, D., Naz, N., Firneno, C., & Yood, R. A. (2012). Patients knowledge and beliefs concerning gout and its treatment: A population based study. BMC Musculoskeletal Disorders, 13(1), 1–8. https://doi.org/10.1186/1471-2474-13-180
  12. Hasina, S. N., & Khafid, M. (2020). Pengaruh sleep hygiene dan ergonomic exercise berbasis spiritual care terhadap kadar asam urat dan kualitas hidup penderita arthritis gout. Jurnal Keperawatan Sekolah Tinggi Ilmu Kesehatan Kendal, 12(2), 203–216. https://doi.org/10.32583/keperawatan.v12i2.753
  13. Hidayat, N., & Cindy, C. (2020). Pengaruh senam ergonomik terhadap perubahan kadar asam urat pada lansia di BPSTW Budi Luhur Yogyakarta. Ilmu Keperawatan Dan Kesehatan Indonesia, 09(1), 53–60. https://doi.org/10.47317/mikki.v9i1.265
  14. Hou, Y., Ma, R., Gao, S., Kaudimba, K. K., Yan, H., Liu, T., & Wang, R. (2021). The effect of low and moderate exercise on hyperuricemia: protocol for a randomized controlled study. In Frontiers in Endocrinology (Vol. 12, Issue 9, pp. 1–7). https://doi.org/10.3389/fendo.2021.716802
  15. Indrayani, S., Roesmono, B., & Sulaeman, S. (2021). Hubungan antara pengetahuan dan sikap lansia dalam upaya pencegahan penyakit gout atritis. Jurnal Pendidikan Keperawatan Dan Kebidanan, 01(1), 27–33. https://stikesmu-sidrap.e-journal.id/JPKK/article/download/229/170
  16. Karwur, F. F., & Pujiastuti, D. R. (2017). Review Article: Uric acid homeostasis and disturbances. Folia Medica Indonesiana, 53(4), 292. https://doi.org/10.20473/fmi.v53i4.7164
  17. Kementerian Kesehatan RI. (2018). Laporan Riskesdas 2018. In Laporan Nasional Riskesdas 2018 (Vol. 53, Issue 9, pp. 154–165).
  18. Kussoy, V. F. M., Kundre, R., & Wowiling, F. (2019). Kebiasaan makan makanan tinggi purin dengan kadar asam urat di Puskesmas. JURNAL KEPERAWATAN, 7(2), 1–7. https://doi.org/10.35790/jkp.v7i2.27476
  19. Malo, Y., Ariani, N. L., & Yasin, D. D. F. (2019). Pengaruh senam ergonomis terhadap skala nyeri sendi pada lansia wanita. Nursing News : Jurnal Ilmiah Keperawatan, 4(1), 190–199. https://doi.org/10.33366/nn.v4i1.1502
  20. Mantiri, I. N. R. I., Rambert, G. I., & Wowor, M. F. (2017). Gambaran kadar asam urat pada pasien penyakit ginjal kronik stadium 5 yang belum menjalani hemodialisis. Jurnal E-Biomedik, 5(2), 1–6. https://doi.org/10.35790/ebm.5.2.2017.17651
  21. Mujianto. (2013). Cara cepat mengatasi 10 besar kasus muskoskeletal dalam praktek klinik fisioterapi. CV Trans Info Media.
  22. Ngayimbesha, A., Jean, B. B., & Marie, S. G. (2019). Burundi population awareness about gout and the pivotal role played by physical exercise in prevent and managing gout relating problems. International Journal of Sports and Exercise Medicine, 5(8), 8–12. https://doi.org/10.23937/2469-5718/1510139
  23. Nolitriani, N., Jurnalis, Y. D., & Sayoeti, Y. (2020). Literatur review: Peran selenium pada diare akut anak. AcTion: Aceh Nutrition Journal, 5(2), 140. https://doi.org/10.30867/action.v5i2.307
  24. Nurhayati. (2018). Hubungan pola makan dengan terjadinya penyakit gout (asam urat) di desa limran Kelurahan Pantoloan Boya Kecamatan Taweli. Kesmas, 7(6), 134–147. https://ejournal.unsrat.ac.id/index.php/kesmas/article/view/22788
  25. Palupi, L. M., & Widiani, E. (2020). Perbedaan pengaruh senam ling tien kung dan senam ergonomik terhadap penurunan kadar asam urat pada lansia. Hospital Majapahit, 10(2), 60–67. https://doi.org/10.31857/s0320930x20040088
  26. Priyoto, & Wahyuning, B. (2019). Pengaruh pemberian intervensi senam peregangan di tempat kerja terhadap penurunan gangguan msds dan kadar asam urat darah. Jurnal Keperawatan, 12(1), 53–68. http://e-journal.lppmdianhusada.ac.id/index.php/jk/article/view/9
  27. Purba, D. (2017). Efektifitas senam ergonomik terhadap penurunan kadar asam urat pada lanjut usia dengan artritis gout. Jurnal Keperawatan Flora, 10(2), 43–54. https://jurnal.stikesflora-medan.ac.id/index.php/jkpf/article/view/74
  28. Ragab, G., Elshahaly, M., & Bardin, T. (2017). Gout: An old disease in new perspective – A review. Journal of Advanced Research, 8(5), 495–511. https://doi.org/10.1016/j.jare.2017.04.008
  29. Ranti, I N. (2012). Pengaruh pemberian buku saku gouty arthritis terhadap pengetahuan, sikap dan perilaku pasien gouty arthritis rawat jalan di RSUP. Prof. Dr. RD Kandou Manado. Jurnal Gizido, 4(1), 305–312. https://ejurnal.poltekkes-manado.ac.id/index.php/gizi/article/view/16/7
  30. Ranti, Irza Nanda. (2012). Pengaruh pemberian buku saku gouty arthritis pasien gouty arthritis rawat jalan. Gizido, 4(1), 305–312.
  31. Risna, R., Sakka, A., & Yunawati, I. (2017). Pengaruh konseling gizi dengan media booklet terhadap peningkatan pengetahuan, sikap, dan tindakan ibu dalam upaya pencegahan gizi buruk balita di Wilayah Kerja Puskesmas Puuwatu Kota Kendari tahun 2017. Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat Unsyiah, 2(6), 198377.
  32. Simamora, R. H., & Saragih, E. (2019). Penyuluhan kesehatan masyarakat: Penatalaksanaan perawatan penderita asam urat menggunakan media audiovisual Public health counseling : Management of care for gout patients using audiovisual media. Jurnal Pendidikan Dan Pemberdayaan Masyarakat, 6(1), 24–31.
  33. Susyani, S., & Desvianti, D. (2017). Nutrition counseling among patients with gout. International Journal of Public Health Science (IJPHS), 6(4), 360. https://doi.org/10.11591/ijphs.v6i4.10784
  34. Syampurma, H. (2018). Studi tentang tingkat pengetahuan ilmu gizi siswa-siswi SMP Negeri 32 Padang. Jurnal MensSana, 3(1), 88. https://doi.org/10.24036/jm.v3i1.69
  35. Tamboto, R. R., Sahelangi, O., & Robert, D. (2016). Pengaruh konseling gizi terhadap asupan makanan tinggi purin dan kadar asam urat pada pasien gout arthtritis di Puskesmas Rurukan Tomohon. Gizido, 8(2), 12–21. https://ejurnal.poltekkes-manado.ac.id/index.php/gizi/article/download/87/71
  36. Thayibah, R., Ariyanto, Y., & Ramani, A. (2018). Hiperurisemia pada remaja di wilayah kerja Puskesmas Arjasa Kabupaten Situbondo. Pustaka Kesehatan, 6(1), 38–45. https://doi.org/10.19184/pk.v6i1.6765
  37. Triandini, E., Jayanatha, S., Indrawan, A., Werla Putra, G., & Iswara, B. (2019). Metode systematic literature review untuk identifikasi platform dan metode pengembangan sistem informasi di Indonesia. Indonesian Journal of Information Systems, 1(2), 63–77. https://doi.org/10.24002/ijis.v1i2.1916
  38. Utama, F., Rahmiwati, A., Alamsari, H., & Lihwana, M. A. (2018). Gambaran penyakit tidak menular di Universitas Sriwijaya. Jurnal Kesehatan, 11(2), 52–64.
  39. Vasiloglou, M. F., Fletcher, J., & Poulia, K. A. (2019). Challenges and perspectives in nutritional counselling and nursing: A narrative review. Journal of Clinical Medicine, 8(9), 1–10. https://doi.org/10.3390/jcm8091489
  40. Vedder, D., Walrabenstein, W., Heslinga, M., Vries, R. De, Nurmohamed, M., van Schaardenburg, D., & Gerritsen, M. (2019). Dietary interventions for gout and effect on cardiovascular risk factors: A systematic review. Nutrients, 11(12), 1–19. https://doi.org/10.3390/nu11122955
  41. Zhang, Q., Gong, H., Lin, C., Liu, Q., Baima, Y., Wang, Y., & Lin, J. (2020). The prevalence of gout and hyperuricemia in middle-aged and elderly people in Tibet Autonomous Region, China: A preliminary study. Medicine (United States), 99(2), 1–5. https://doi.org/10.1097/MD.0000000000018542

Open Access Copyright (c) 2022 Nila Susanti, Yosi Sri Astuti, Harlyanti Muthma'innah Mashar
Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

AcTion: Aceh Nutrition Journal
Published by: Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health.
Soekarno-Hatta Street, No. 168. Health Polytechnic of Aceh, Aceh Besar, 23352. Telp/Fax: 0651 46126 / 0651 46121.
Website: https://gizipoltekkesaceh.ac.id/
E-mail: jurnal6121@gmail.com

e-issn: 2548-5741, p-issn: 2527-3310

All content is licensed under a: Creative Commons Attribution ShareAlike 4.0 International License

View My Stats

Get a feed by atom here, RRS2 here and OAI Links here