Kresna Social Science and Humanities Research
Full Lenght Article
Ergonomic Exercise based on Spiritual Care in the Management of Pain Levels Reduction on Elderly with Gouty Arthritis
Received 20 November 2020, Published 8 December 2020
Abstract
Gouty arthritis is a metabolic disease caused by a buildup of monosodium urate monohydrate crystals in the joints. The accumulation of uric acid in the joints can form crystals such as needles that cause pain and inflammation, causing interference with the motion system and changes in daily activities. Pain management caused by the accumulation of gout is one of them with physical activities in the form of ergonomic exercise based on spiritual care. This study aims to identify the effect of ergonomic exercise based spiritual care on reducing pain levels in the elderly with gouty arthritis. The design of this study used quasy experimental with control group pre test and post test. The population in this study were all patients with arthritis gout as many as 56 elderly. Samples were taken using total sampling and divided into two groups: 28 intervention groups and 28 control groups. The intervention group was given treatment in the form of ergonomic exercise for 4 weeks with the media being given a module. Pain levels are measured by visual analog scale (VAS). Analysis of the data used was paired T test with a significance of p <0.05. The results of data analysis showed that the intervention group showed an average level of pain before intervention 6.5 and after the intervention showed an average level of pain 3.2 with a p-value of 0,000. Whereas the control group showed an average pain level of 6.2 and after 4 weeks the average pain level increased by 7.0 with a p-value of 0.008. The application of ergonomic exercise based on spiritual care can be given to people with arthritis gout in reducing pain. It is hoped that nurses can implement ergonomic exercise based spiritual care for reducing pain levels in elderly patients with gouty arthritis.
Keywords
Declarations
Conflict of Interest Statement
The author (s) declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
References
Azizah. L. M. (2011). Keperawatan Lanjut Usia. Yogyakarta: Graha Ilmu.
Bastaman, H.D. (2007). Logoterapi:Psikologi Untuk Menemukan Hidup Dan Meraih Hidup Bermakna. Jakarta: PT Raja Grafindo Persada
Cavendish R, Konecny L, Mitzeliotis C, Russo D, Luise B, Lanza M, Et Al. (2003).Spiritual Care Activities Of Nurses Using Nursing Interventions Classification (NIC) Labels. Int J Nurs Terminol Classif. 2003;14(4):113–24. https://pubmed.ncbi.nlm.nih.gov/14768127/
Clause, Liza W. & Saseen, Joseph J. (2018). Patient Considerations In The Management Of Gout And Role Of Combination Treatment With Lesinurad. USA: Dovepres. https://www.dovepress.com/patient-considerations-in-the-management-of-gout-and-role-of- combinati-peer-reviewed-article-PROM
Effendi, Ferry, Makhfud. (2009). Keperawatan Kesehatan Komunitas Teori Dan Praktik Dalam Keperawatan. Jakarta: Salemba Medika
Fatimah. (2017). Efektivitas Senam Egonomik Terhadap Penurunan Kadar Asam Urat Pada Lanjut Usia Dengan Arthritis Gout. Makassar: Skripsi Fakultas Kedokteran Dan Ilmu Kesehatan Universitas Islam Negeri Alauddin Makassar. http://repositori.uin-alauddin.ac.id/3528/
Gandari, Darmawan, Budiadnyani. (2019). Pengaruh Senam Ergonomis Terhadap Perubahan Nyeri Pada Lansia Dengan Rematik Di Sada Jiwa Banjar Pasekan Desa Sembung Kecamatan Mengwi Kabupaten Badung. Jurnal Pendidikan Kesehatan Rekreasi, Vol. 5, No. 2, Hal. 47 – 58, Juni 2019. https://doi.org/10.5281/zenodo.3340175
Hasina, S., Sukartini, T., & Setyowati, E. (2018). Effect Of Sleep Hygiene And Deep Breathing Exercise With Spiritual Care On Sleep Quality And Quality Of Life Of Hemodialysis Patient In Ahmad Yani Islamic Hospital Surabaya. Jurnal Ners dan Kebidanan Indonesia Vol. 6, No. 2 (2018). .http://dx.doi.org/10.21927/jnki.2018.6(2).56-67
Hasina, S., Putri, R., & Sulistyorini, S. (2020). Penerapan Shalat dan Doa terhadap Pemaknaan Hidup pada Pasien Diabetes Mellitus. Jurnal Keperawatan, 12(1), 47-56. https://doi.org/https://doi.org/10.32583/keperawatan.v12i1.607
Hasina, S., & Khafid, M. (2020). Pengaruh Sleep Hygiene dan Ergonomic Exercise Berbasis Spiritual Care terhadap Kadar Asam Urat dan Kualitas Hidup Penderita Arthritis Gout. Jurnal Keperawatan, 12(2), 203-216. https://doi.org/https://doi.org/10.32583/keperawatan.v12i2.753
Hikmatyar, Gulbuddin; Larasati (2017). Pentalaksanaan Komprehensif Arthritis Gout dan Osteorthritis Pada Buruh Usia Lanjut. Fakultas Kedokteran Universitas Lampung : Medula Unila Volume 7 Nomor 3 2017.
https://juke.kedokteran.unila.ac.id/index.php/medula/article/view/817
Infodatin. (2016). Situasi Lanjut Usia (LANSIA) di Indonesia. Kementerian Kesehatan RI (Pusat Data dan Informasi). https://www.kemkes.go.id/resources/download/pusdatin/infodatin/infodatin%20lansia%202016
Kementerian Kesehatan RI. (2013). Riset Kesehatan Desa 2013. https://www.kemkes.go.id/resources/download/general/Hasil%20Riskesdas%202013.pdf
Komariah, A. (2015). Pengaruh Senam Ergonomis Terhadap Kadar Asam Urat Dengan Gout Di Pos Binaan Kelurahan Pisangan Ciputat Timur. Jakarta:Skripsi UIN Syarif Hidayatulla Jakarta. http://repository.uinjkt.ac.id/dspace/bitstream/123456789/26474/1/ANIS%20KOMARIAH-FKIK.pdf
Malo, Ariani, & Yasin. (2019). Pengaruh Senam Ergonomis Terhadap Skala Nyeri Sendi pada Lansia Wanita. Nursing News Volume 4, Nomor 1,2019. https://publikasi.unitri.ac.id/index.php/fikes/article/view/1502
Maryam. R, Siti. (2008). Mengenal Usia Lanjut Dan Perawatannya. Jakarta:Salemba Medika
Mujianto. (2013). Cara cepat Mengatasi 10 besar kasus Muskuloskeletal dala praktek klinik Fisioterapi. Jakarta: CV Trans Info Media.
Mumpuni, Yekti & Wulandari, Ari. (2016). Cara Jitu Mengatasi Asam Urat : Mengenali Gejala, Kondisi, Faktor Pemicu, Mitos-Mitos Asam Urat, Pencegahan & Penanganannya ed. 1. Yogyakarta:Andi Offset
Rahmatul, F.(2015). Cara Cepat Usir Asam Urat. Yogyakarta: Medika
Rastogi & Meek. (2013). Management Of Chronic Pain In Elderly, Frail Patients: Finding A Suitable, Personalized Method Of Control. Dove Medical Press Ltd.
Riskesdas. (2013). Angka kejadian Asam Urat. Jakarta: Kemenkes RI
Roddy, E., Doherty, M. Gout. Epidemiology of gout. Arthritis Res Ther 12, 223 (2010). https://doi.org/10.1186/ar3199. https://arthritis-research.biomedcentral.com/articles/10.1186/ar3199
Ross L, van Leeuwen R, Baldacchino D, Giske T, McSherry W, Narayanasamy A, et al. (2014) Student Nurses Perceptions Of Spirituality And Competence In Delivering Spiritual Care: A European Pilot Study. Nurse Educ Today. 2014;34(5):697–702. Doi: 10.1016/J.Nedt.2013.09.014.
https://pubmed.ncbi.nlm.nih.gov/24119953/
Sagiran. (2012). Mukjizat Gerakan Sholat. Edisi ke-2. Jakarta: Qultum Media
Sustrani, L., Alam, S., & Broto, I. H. (2006). Asam urat. Jakarta: PT. Gramedia Pustaka Utama.
Vallentina, Tamara Regina. (2019). Pengaruh Logocare Terhadap Meaning Of Life Dan Quality Of Life Lansia Di Pandi Werdha Semarang. Surabaya: Universitas Airlangga. http://repository.unair.ac.id/82066/ Weaver. AL. (2008). Epidemiology Of Gout. Cleveland Clinic Journal Of Medicine. Vol. 75, No. 5, Pp. S9-S10. https://pubmed.ncbi.nlm.nih.gov/18819329/
Wiraputra, Ida Bagus M.A. & Putra, Tjokorda Raka. (2017). Gouth Arthritis. Bali:Universitas Udayana. https://simdos.unud.ac.id/uploads/file_penelitian_1_dir/9c3328ce6af0718eaed776e316fa075a.pdf
Wratsongko, Madyo. (2014). Mukjizat Gerakan Sholat. Jakarta: Mizania
Wratsongko, Madyo. (2015). Mukjizat Gerakan Sholat Dan Rahasia 13 Unsur Manusia. Jakarta: Mirzani
Yousefi, Hojjatollah & Abedi, Heidar Ali. (2011). Spiritual Care in Hospitalized Patients. Iran J Nurs Midwifery Res. 2011 Winter; 16(1): 125–132. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3203292/
Zahtab, Samira & Adib-Hajbaghery, Mohsen. (2014). The Importance of Spiritual Care in Nursing. Nurs Midwifery Stud. 2014 Sep; 3(3): e22261. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4332997/
Bibliographic Information
-
Submitted
20 November 2020 -
Revised
18 October 2021 -
Published
8 December 2020