Gout arthritis is commonly experienced by older adults and is characterized by elevated uric acid levels that can cause joint pain, swelling, impaired mobility, and reduced quality of life. This study aimed to determine the effects of BagaPule therapy and lemongrass essential oil aromatherapy on pain reduction among older adults with gout arthritis at Puskesmas Kuta Cot Glie, Aceh Besar. This quantitative study used a quasi-experimental pretest-posttest design involving two intervention groups. A total of 72 respondents were equally divided into two groups of 36 and selected using purposive sampling. Data were collected using demographic forms, pain scale observation sheets, standard operating procedures for both interventions, and intervention documentation sheets. Data analysis included the Shapiro-Wilk normality test and paired-samples t-test. The results showed mean pain score reductions of 2.80 in the BagaPule therapy group and 2.52 in the lemongrass essential oil aromatherapy group. Paired-samples t-tests demonstrated significant differences between pretest and posttest pain scores in both groups (p < 0.001). Both interventions significantly reduced pain among older adults with gout arthritis, with BagaPule therapy showing a slightly greater mean reduction.
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