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Journal : PROFESSIONAL HEALTH JOURNAL

Reducing blood uric acid levels after drinking Annona muricata linn (soursop leaf) extract: study in elderly with hyperuricemia Muhammad Al Amin; Ainun Najib; Ali Syahbana; Efina Amanda
PROFESSIONAL HEALTH JOURNAL Vol. 6 No. 1 (2024): December
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v6i1.788

Abstract

Introduction: Gout is a degenerative disease that often attacks joints, especially in older adults. This disease is caused by the buildup of uric acid crystals in the joints, which causes inflammation and severe pain. One of the main indications that someone suffers from gout is if the results of measuring the uric acid level in the blood are more than 7.0 (mg/dL), whereas in women, it is more than 5.7 mg/dL. Objectives: Research to determine the effectiveness of A. Muricata leaf extract in reducing uric acid levels in older adults with hyperuricemia. Methods: Quantitative research, using a quasi-experimental type with Pre-test, Post-test design with control group design, with a sample size of 30 older adults, sampling technique using random sampling carried out for one week consuming one day three times. Results: The paired t-test showed a p-value of 0.0001, indicating a significant difference between the average uric acid levels before and after Annona muricata leaf extract administration. Soursop leaves contain flavonoid and tannin compounds, where flavonoids can inhibit the production of the enzyme xanthine oxidase. By inhibiting this enzyme, the process of forming hypoxanthine into xanthine is also hampered, thereby reducing excess uric acid production. Apart from reducing uric acid levels in the blood, soursop leaves can also reduce pain in people with gouty arthritis thanks to the tannin, resin and Agostini content, which can relieve pain and reduce swelling and pain. Conclusions: Administration of A. Muricata leaf extract has proven effective in reducing uric acid levels in older adults with hyperuricemia
Peran Perawat dalam Melakukan Pengkajian Kebutuhan Pasien Berdasarkan Aspek Biologis, Psikologis, Sosiologis, Spiritual di Ruang Rawat Inap Ali Syahbana; Dwi Wahyuni; Elfian Zulkarnain
PROFESSIONAL HEALTH JOURNAL Vol. 1 No. 1 (2019)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v1i1.94

Abstract

An inpatient room is an inpatient place for health services that provides health facilities consisting of doctors, nurses, pharmacists, nutritionists and non-medical personnel to support better patient health. The role of nurses in accordance with laws and regulations is to carry out individual nursing care. Nursing care is mostly done in hospitals. The nursing process consists of the assessment, diagnosis, planning, implementation and evaluation of this matter used by nurses to provide services to patients in the inpatient room. Patients in the inpatient room have biological problems that have been diagnosed according to their conditions and there are other conditions that can affect because human beings are holistic namely biological, psychological, sociological and spiritual. The role of nurses in assessing the needs of patients in the hospital is the first step in determining the diagnosis , planning, implementation, evaluation of nursing. Studies conducted by nurses still tend to be physiological needs but other needs, namely psychological, sociological, spiritual, cannot yet be studied in depth. The purpose of this study was to analyze the role of nurses in conducting a holistic assessment in inpatient diseases in this type of research is a qualitative research case study approach to the method of collecting purposive sampling data collection. Data were collected from the head of the room, the executive nurse and the patient namely 1 key informant, 5 main informants, 2 additional informants. Data collection by in-depth interviews, documents, observations and recorded with a recording device obtained 3 themes, namely carrying out the initial assessment, conducting further studies, psychological, sociological and spiritual assessment only on palliative patients.
Efektivitas Ekstrak Daun Annona Muricata Terhadap Penurunan Kolesterol Total Pada Lansia Dengan Hiperkolesterolemia Di Panti Werdha Mojopahit Mojokerto Muhammad Al Amin; Ainun Najib; Ali Syahbana
PROFESSIONAL HEALTH JOURNAL Vol. 5 No. 1 (2023): Desember
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v5i1.405

Abstract

The elderly experience a decrease in function, especially in the function of blood circulation. Blood circulation diseases and hormonal metabolism disorders experienced by the elderly include hypercholesterolemia. Hypercholesterolemia is a disorder of fat metabolism that triggers an increase in total blood cholesterol levels, namely> 200 mg/dl. The study aimed to determine the effectiveness of A. muricata leaf extract in decreasing total cholesterol levels in the elderly with hypercholesterolemia. Quantitative research method, using a quasi-experimental type with a group pretest-posttest design, with a sample size of 20 elderly. The sampling technique used purposive sampling, was carried out for a week consuming three times a day. The paired t-test showed a value of 8.73 and a p-value of 0.001. This study's results indicated a significant difference between the average cholesterol levels in the pre-test and post-test administration of Annona Muricata leaf extract. Compounds contained in soursop leaves, namely flavonoids, by reducing the activity of HMG-koa reductase (enzyme β-Hydroxy β-methylglutaryl-CoA) can reduce the activity of ACAT (enzyme acyl-Coa cholesterol acyltransferase), and reduce the absorption activity of cholesterol in the liver. Digestive tract. Saponin compounds in soursop leave lower cholesterol by binding to cholesterol in the intestinal lumen, thereby preventing the reabsorption of cholesterol. Saponins can bind with bile acids, which in turn will reduce the enterohepatic circulation of bile acids and cause an increase in the process of excretion of cholesterol.
Reducing blood uric acid levels after drinking Annona muricata linn (soursop leaf) extract: study in elderly with hyperuricemia Muhammad Al Amin; Ainun Najib; Ali Syahbana; Efina Amanda
PROFESSIONAL HEALTH JOURNAL Vol. 6 No. 1 (2024): December
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v6i1.788

Abstract

Introduction: Gout is a degenerative disease that often attacks joints, especially in older adults. This disease is caused by the buildup of uric acid crystals in the joints, which causes inflammation and severe pain. One of the main indications that someone suffers from gout is if the results of measuring the uric acid level in the blood are more than 7.0 (mg/dL), whereas in women, it is more than 5.7 mg/dL. Objectives: Research to determine the effectiveness of A. Muricata leaf extract in reducing uric acid levels in older adults with hyperuricemia. Methods: Quantitative research, using a quasi-experimental type with Pre-test, Post-test design with control group design, with a sample size of 30 older adults, sampling technique using random sampling carried out for one week consuming one day three times. Results: The paired t-test showed a p-value of 0.0001, indicating a significant difference between the average uric acid levels before and after Annona muricata leaf extract administration. Soursop leaves contain flavonoid and tannin compounds, where flavonoids can inhibit the production of the enzyme xanthine oxidase. By inhibiting this enzyme, the process of forming hypoxanthine into xanthine is also hampered, thereby reducing excess uric acid production. Apart from reducing uric acid levels in the blood, soursop leaves can also reduce pain in people with gouty arthritis thanks to the tannin, resin and Agostini content, which can relieve pain and reduce swelling and pain. Conclusions: Administration of A. Muricata leaf extract has proven effective in reducing uric acid levels in older adults with hyperuricemia
Penerapan Kompres Hangat Jahe Merah Pada Asuhan Keperawatan Gerontik Klien Gout Arthritis Dengan Masalah Keperawatan Nyeri Akut Di Puskesmas Wongsorejo Ali Syahbana; Wanda Aulia Nurmajidah; Riyan Dwi Prasetyawan
PROFESSIONAL HEALTH JOURNAL Vol. 5 No. 2 (2024): Juni
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v5i2.557

Abstract

Gout Arthritis is joint inflammation caused by increased uric acid levels in the blood due to purine metabolism distribution (hyperuricemia) in the body, characterized by joint pain that can interfere with the patient's activities. One of the non--pharmacological treatments that can be used for Gout Arthritis is red ginger warm compresses, often used to treat joint inflammation. This scientific paper aims to determine the effect of warm red ginger compress on changes in the pain scale in Gout Arthritis patients in Wongsorejo village. The method was a case study of implementing nursing care and applying Evidence-Based Nursing (EBN). From the assessment, the main diagnosis was acute pain. Red Ginger Warm Compress was given once a day by giving 2 segments of ginger or 9 grams, placing it in the area experiencing joint pain for 10 minutes and then doing a pain assessment again with the Numerical Tw`ig Scale (NRS). The results of the case study in the two respondents after seven days was a decrease in the pain scale from 8 and 6 and after the treatment the pain can be reduced to scale 1 in pain. Red ginger warm compresses are an effective complementary therapy for reducing pain in Gout Arthritis patients. It is recommended that nurses can apply Red Ginger Warm compress to reduce pain in Gout Arthritis clients.
Co-Authors Achmad Efendi Agus Supriadi Ahmad Fadli Ainun Najib Akhmad Yanuar Fahmi Pamungkas Allen Marga Retta, Allen Marga Alwin Widhiyanto Amrina Rizta Amrina Rizta Anang Satrianto Andrik Hermanto Anisa Firmanti, Tria Ariadi, Ariadi Asnurul Isroqmi Atik Pramesti W Atik Pramesti Wilujeng, Atik Pramesti Bhastary, Manda Debora Tambunan Des Alwine Zayanti, Des Alwine Desti Wahyuni Dina Octaria Dwi Wahyuni Efina Amanda Eka Fitri Puspa Sari Elfian Zulkarnain Ety Septiati Firdausy, Dinda Salsabila Firmanti, Tria Anisa Giovani Agustina Indriaty, Lulu Irsyadi Yani Jayawarsa, A.A. Ketut Kamaluddin Kamaluddin Khoiruddin Harahap Kristian, Hari Advent Kustanti Nurfitri Kusumawati, Nyimas Inda Lestari, Fransiska Dwi Mangunsong, Hanna F Manulang, Lilis Sri Jayanti Misdalina Misdalina Mohd. Rafiq Mufti Syawaludin Muhammad Al Amin Nasriah Nasriah Nila Kesumawati Ning Eliyati Ningsih, Yunika Lestaria Novalinda, Rizky Novita Surya Putri Nurfitriani M. Siregar Nurharisyah Hasibuan Nurhidayah , Nurhidayah Nyayu Masyita Ariani Pramesti Wilujeng, Atik Prasetyawan, Riyan Dwi Putri, Novita Surya Rachmawan, Ivan Rahmatika, Desi Resnawati ROHANA ROHANA Rosmalinda, Nana rudiyanto Safitri, Hestiana Dia Ayu Sari Wulandari Satrianto, Anang Shang, Yilun Sharma, Rajinder Sholihin Sholihin Sholihin Supriyanto Supriyanto Supriyanto Surya Putri, Novita Suryati Suryati Syaifudin Tanzimah Tanzimah, Tanzimah Tika Dwi Nopriyanti, Tika Dwi Tony Tony Honkley Tria Anisa Firmanti Ummu Na’imah Usmiati, Anggun Wanda Aulia Nurmajidah Weinhandl, Robert Yanida Marbun Yuli Andriani Yulia Rachmawati hasanah Yulia Resti Yunika Lestaria Ningsih