Socialization of Low Purine Diet in Elderly Patients With Gout Arthiritis at Puskesmas Batang Kuis

Raini Panjaitan, Erika Damayanti, Jelita Manurung, Wira Maria Ginting, Raynald Ignasius Ginting
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Abstract

Gout arthritis is a disease caused by impaired purine metabolism resulting in excessive uric acid (hyperuricemia). It is said to be hyperuricemia if the uric acid level is more than 6.0 mg/dl in women and 7.0 mg/dl in men, which is measured based on blood serum. To overcome the problem of hyperuricemia, it is necessary to apply a low-purine diet, especially for elderly people with gout arthritis. The goal of a low-purine diet is to prevent monosodium urate crystals from accumulating in the joints. The implementation method used by the PkM team in collaboration with Puskesmas Batang Kuis partners and elderly people with gout arthritis consists of 4 stages. Based on the results of the activities of the 41 community service participants, frequency characteristics were obtained based on the uric acid value of the elderly at the Puskesmas Batang Kuis, namely the majority of gout categories in the elderly, namely the 7.6-9.0 category, as many as 25 people (61%). From the results of the activity it was also found that the number of elderly women with gout arthritis was more (28 people) while there were 13 men. The results of an evaluation of the increase in knowledge of 41 participants showed that the majority of elderly knowledge was categorized as good as many as 27 people (66%) participants with good knowledge. The low knowledge and understanding and awareness of the elderly regarding a low purine diet is the cause of the high number of gout arthritis sufferers. So we need a program that educates and raises public awareness and needs to monitor diet in the elderly.
老年痛风性关节炎患者低嘌呤饮食社会化
痛风关节炎是一种由嘌呤代谢受损导致尿酸过多(高尿酸血症)引起的疾病。根据血清测定的尿酸水平,如果女性超过6.0 mg/dl,男性超过7.0 mg/dl,就被称为高尿酸血症。为了克服高尿酸血症的问题,有必要采用低嘌呤饮食,特别是对老年人痛风关节炎。低嘌呤饮食的目的是防止尿酸钠晶体在关节中积聚。PkM团队与Puskesmas Batang Kuis合作伙伴和老年痛风关节炎患者合作使用的实施方法包括4个阶段。根据41名社区服务参与者的活动结果,获得了Puskesmas Batang Kuis老年人尿酸值的频率特征,即老年人痛风的大多数类别,即7.6-9.0类别,多达25人(61%)。从活动结果来看,患痛风关节炎的老年女性较多(28人),而男性较多(13人)。对41名参与者的知识增长进行评估的结果显示,大多数老年人的知识被归类为良好,多达27人(66%)的参与者具有良好的知识。老年人对低嘌呤饮食的认识、理解和意识不足是痛风关节炎患者人数众多的原因。所以我们需要一个教育和提高公众意识的项目,需要监控老年人的饮食。
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