ASUHAN KEPERAWATAN GERONTIK PADA NY. J DENGAN GOUT ARTHRITIS YANG MENGALAMI GANGGUAN KESEIMBANGAN TUBUH MELALUI PENERAPAN TERAPI BALANCE EXERCISE DI PULAU NGUAN KOTA BATAM TAHUN 2026

Cindy Claudia Sianturi, Nahrul Hayat

Sari


Gout arthritis is an inflammatory joint disease caused by the accumulation of monosodium urate crystals, resulting in pain, stiffness, limited mobility, and impaired body balance in the elderly. This condition increases the risk of falls and reduces independence in performing daily activities. One of the non-pharmacological interventions that can be applied is Balance Exercise. This Final Nursing Scientific Project aimed to describe the implementation of gerontological nursing care through the application of Balance Exercise in elderly patients with gout arthritis who experienced impaired body balance in Pulau Nguan, Batam City, in 2026. The method used was a case study with a nursing process approach, including assessment, nursing diagnosis, planning, implementation, and evaluation. The subject of this case study was Mrs. J, a 61-year-old woman with a history of gout arthritis for approximately five years. The assessment results showed that the client experienced pain in the knee and ankle joints with a pain scale of 5 out of 10, impaired body balance, and a high risk of falls. Balance Exercise intervention was provided regularly according to the exercise program. The evaluation results showed a decrease in the pain scale from 5 to 3, improved body balance, increased postural stability, reduced fear while walking, and improved independence in performing daily activities. The application of Balance Exercise was effective in reducing fall risk and improving the quality of life of elderly patients with gout arthritis. It is hoped that clients will be able to implement this on their own, under the supervision of their families, to achieve better results.

Keywords: Gout Arthritis, Balance Exercise, Fall Risk, Elderly

Teks Lengkap:

PDF

Referensi


Alvita, G. W., & Huda, S. (2019). Penerapan Program Senam Keseimbangan Untuk Meningkatkan Kualitas Hidup Lansia Di Puskesmas Tahunan Kabupaten Jepara. Jurnal Pengabdian Kesehatan, 2(2). https://doi.org/10.31596/jpk.v2i2.45

BPS. (2024). Statistik Penduduk Lanjut Usia 2024. In Y. Rachmawati, R. Sinang, & B. Santoso (Eds.), Badan Pusat Statistik (Vols. 21, 2024, Issue 1). Badan Pusat Statistik.

CDC. (2024). Older Adult Falls Data. Center For Disease Control and Prevention.

Dinkes Kota Batam. (2023). Laporan Pelayanan Kesehatan Pada Usia Lanjut (Lebih dari 60 Tahun) Tahun 2023 (p. 1). Dinas Kesehatan Provinsi Kepulauan Riau.

Dinkes Kota Batam. (2024). Laporan Pelayanan Kesehatan Pada Usia Lanjut (Lebih dari 60 Tahun) Tahun 2024 (p. 1). Dinas Kesehatan Provinsi Kepulauan Riau.

Fadhilah, N., & Sulistyowati, D. (2024). Klasiffikasi Lansia. pt nuansa faar cemerlang.

Fadhilah, N., Sulistyowati, D., Maria, D., Rohana, I. G. A. P. D., & Metri, D. (2024). Buku Ajar Keperawatan Gerontik (M. R. Alamsyah (ed.)). PT Nuansa Fajar Cemerlang Jakarta.

Fakhriansyah, M., & Ekadinata, N. (2025). Efektifitas Penerapan Balance Exercise Terhadap Penurunan Rasa Takut Jatuh Pada Lansia : Case Report Effectiveness of Balance Exercise Implementation on Reducing Fear of Falling in the Elderly : Case Report. 4(3). https://doi.org/10.51849/j-bikes.v

Jehaman, I., Asiyah, N., Berampu, S., & Siahaan, T. (2021). Pengaruh Otago Exercise Dan Gaze Stability Exercise Terhadap Keseimbangan Pada Lanjut Usia. Jurnal Keperawatan Dan Fisioterapi (Jkf), 4(1), 47–56. https://doi.org/10.35451/jkf.v4i1.823

Julianti, H. P., Pritadesya, M. R., Nugroho, T., Pranmono, D., Adespin, D. A., Utami, A., Indriastuti, L., Adventia, I., & Hilaliyah. (2021). Penilaian Dan Pencegahan Risiko Jatuh Pada Lansia. In H. P. Julianti (Ed.), Penilaian Dan Pencegahan Risiko Jatuh Pada Lansia. Fakultas Kedokteran UNDIP.

Manurung, S. S., Ritonga, I. L., & Damanik, H. (2020). Buku Ajar Keperawatan Gerontik. In Buku Ajar Keperawatan Gerontik.

Mujiadi, & Mawaddah, N. (2019). Pengaruh Latihan Keseimbangan Terhadap

Risiko Jatuh Pada Lansia Di Upt Pesanggrahan Pmks Mojopahit Mojokerto. 233–238.

Nasrullah, D. (2016). Buku Ajar Keperawatan Gerontik Edisi 1.

Permenkes. (2015). Peraturan Menteri Kesehatan RI No. 67 Tahun 2015 Tentang Penyelenggaraan Pelayanan Kesehatan Lanjut Usia Di Pusat Kesehatan Masayarakat (p. 100). Menteri Kesehatan RI.

Ramadhani, D., & Retnaningsih, D. (2025). Penerapan balance exercise terhadap tingkat risiko jatuh pada lansia. 2(September), 8–16.

Riyanto, Virgiani, B. N., & Maulana, R. I. (2021). Pengaruh Latihan Keseimbangan Terhadap Risiko Jatuh Pada Lansia. 104–114.

Sabentar, F. V. I., Kristine, B. D., & Dareda, K. (2023). Balance Exercise Dinamis Pada Lansia (N. D. Setiawan (ed.); 1st ed.). Yayasan Drestanta Pelita Indonesia.

Sarini, I. L., & Widyatuti. (2019). Asuhan Keperawatan Pada Lansia Risiko Jatuh Melalui Penerapan Program Latihan Keseimbangan. Jurnal Ners Widya Husada, 6(3), 79–86.

Tavian, A. (2024). Penerapan (Balance Exercise) Terhadap Risiko Jatuh Pada Lansia Di Panti Werdha Puri Kebajikan Kota Batam : Studi Kasus. Ensiklopedia of Journal, 6(2), 76–82.

WHO. (2024). Ageing and Health. In WHO (Vol. 50, Issue 9, pp. 584–588). WHO.

Wu, Y., Wang, G., Nie, Z., Liang, W., Du, Y., Li, Q., Zeng, K., Chen, L., Gao, S., Tao, L., Yang, R., & Ding, Y. (2023). Interpretation of the 2022 World Guidelines for Falls Prevention and Management for Older Adults: a Global Initiative. Chinese General Practice, 26(10), 1–36. https://doi.org/10.12114/j.issn.1007-9572.2022.0842

Yulistanti., Y. (2023). Keperawatan Gerontik. In Angewandte Chemie International Edition, 6(11), 951–952. (Vol. 1, Issue April).




DOI: https://doi.org/10.33559/err.v5i12.4076

Refbacks

  • Saat ini tidak ada refbacks.


Anda Pengunjung ke-

Flag Counter