HUBUNGAN SELF MONITORING KADAR ASAM URAT PADA PENDERITA GOUT DI WILAYAH PUSKESMAS PANARUNG PALANGKARAYA

Abstrak

Asam urat adalah gangguan yang ditandai dengan adanya nyeri terutama pada titik artikulasi tubuh akibat penimbunan kristal monosodium urat pada persendian maupun jaringan lunak di dalam tubuh. Untuk mencegah peningkatan kadar asam urat dalam darah duibutuhkan kepatuhan untuk mengontrol diet yang rendah purin serta berolahraga yang rutin. Self monitoring merupakan konsep yang berhubungan dengan konsep pengaturan diri (impression management) atau konsep pengaturan diri. Self monitoring sangat berdampak bagi kesehatan untuk mencegah kekambuhan kadar asam urat. Dari hasil studi pendahuluan yang peneliti lakukan di Puskesmas Panarung terdapat 729 penderita asam urat pada tahun 2021 dan mengalami peningkatan di tahun 2022 sebanyak 1626 penderita asam urat, terhitung dari bulan januari – november 2023 di puskesmas panarung sebanyak 1594 penderita asam urat. Mengetahui hubungan self monitoring dengan kadar asam urat pada penderita gout di Puskesmas Panarung. Menggunakan Observasi korelasional dengan desain penelitian cross sectional. Teknik pengambilan sampel menggunakan Simple Random Sampling di dapatkan 40 responden di Puskesmas Panarung Palangka Raya, pengambilan data menggunakan kuesioner self monitoring dan lembar observasi pemeriksaan asam urat, untuk analisis data menggunakan uji statistik chi-square. Berdasarkan uji statistik di dapatkan hasil P-Value 0,000 (lebih kecil dari 0,005) yang berarti Ho ditolak dan Ha diterima dimana ada hubungan self monitoring dengan kadar asam urat pada penderita gout di Puskesmas Panarung. Self monitoring memiliki pengaruh yang signifikan terhadap kepatuhan pola makan dan olahrga rutin sehingga semakin baik penderita melakukan self monitoring maka hasil kadar asam urat pada penderita gout di Puskesmas Panarung semakin membaik.

Gout is a disorder characterized by pain, especially at the articulation points of the body due to the accumulation of monosodium urate crystals in the joints and soft tissues in the body. To prevent an increase in uric acid levels in the blood, you need to adhere to a low-purine diet and regular exercise. Self monitoring is a concept related to the concept of self-regulation (impression management) or the concept of self-regulation. Self-monitoring has a big impact on health to prevent recurrence of uric acid levels. From the results of a preliminary study conducted by researchers at the Panarung Community Health Center, there were 729 gout sufferers in 2021 and there was an increase in 2022 to 1626 gout sufferers, starting from January – November 2023 at the Panarung Community Health Center there were 1594 gout sufferers. To determine corelation between self-monitoring and uric acid levels in gout sufferers at the Panarung Community Health Center. Using correlational observation with a cross sectional research design. The sampling technique used Simple Random Sampling to obtain 40 respondents at the Panarung Palangka Raya Health Center, data collection used a self-monitoring questionnaire and a gout examination observation sheet, for data analysis using the chi-square statistical test. Based on the statistical test, the P-Value was 0.000 (smaller than 0.005), which means Ho was rejected and Ha was accepted, where there was a relationship between self-monitoring and uric acid levels in gout sufferers at the Panarung Community Health Center. Self-monitoring has a significant influence on compliance with diet and routine exercise so that the better the patient performs self-monitoring, the better the results of uric acid levels in gout sufferers at the Panarung Community Health Center.