Support Groups Based on the Health Promotion Model Approach to Improving the Health of the Elderly with Gout

Valensya Tomasoa; Feby Manuhutu; Junianto Tri Prasetyo

doi:10.33096/woh.vi.2355

Valensya Tomasoa Faculty of Health, Indonesian Christian University Maluku, Indonesia
Feby Manuhutu Faculty of Health, Indonesian Christian University Maluku, Indonesia
Junianto Tri Prasetyo Faculty of Health, Indonesian Christian University Maluku, Indonesia

DOI: https://doi.org/10.33096/woh.vi.2355

Keywords: Support group, health promotion model, elderly health improvement, gout

Abstract

The elderly are a vulnerable group to the problem of gout. The 2018 Riskesdas data in Indonesia showed a 45% increase in age prevalence. The prevalence of gouty arthritis in Indonesia is high at 65-74 years (51.9%) and ≥ 75 years (54.8%). Maluku Province has a prevalence of 18.6-47.6 %. Diseased joints (pain consequence) are highest in the Aru Islands (9.63%), and Ambon is in the top position (2nd, 7.15%). Recorded data from Air Salobar Health Center, a health center in Ambon City, indicates that the number of elderly individuals with Gout in 2023 was 83 people. There are efforts made to improve the health of the elderly, including promotional efforts such as Support Groups, which employ an approach based on the Health Promotion Model (HPM) as a first step to promote healthy behaviors and desires among the elderly. Research objectives. This is a see-influence support group-based approach to a health promotion model for addressing problems in elderly health behavior related to gout. Design Study: This is a one-group pre-test and post-test design. The total sample in the study consisted of 83 elderly individuals suffering from Gout, selected using a purposive sampling technique. Data analysis employed the Wilcoxon test because the data were not normally distributed. Research results demonstrate a difference before and after the given support group intervention, based on the Health Promotion model, for improving elderly health behaviors. The pre-test results of the intervention are 9.33, while the post-test results are 11.27, with an average difference of 1.94 and a P-value of 0.000. Therefore, we can conclude that a support group has an influence on the approach of the Health Promotion Model towards improving behavioral health in the elderly with gout. Research on topics considered important and relevant to the problem of elderly individuals with gout recommends examining the factors and appropriate interventions to improve the quality of life for elderly people experiencing gout.

References

Kemenkes RI. Rencana Aksi Kegiatan Kesehatan Usia Produktif dan Lanjut Usia 2022 - 2025. Direktorat P2MJKN. 2022;13.

Keating N. A research framework for the United Nations Decade of Healthy Ageing (2021–2030). Eur J Ageing [Internet]. 2022;19(3):775–87. Available from: https://doi.org/10.1007/s10433-021-00679-7

Fried, Linda. & Rowe. J. Health in Aging-Past, Present an Future. New England Journal of Medicine [Internet]. 2020;121(1):1293–6. Available from: nejm.org

Rudnicka E, Napierała P, Podfigurna A, Męczekalski B, Smolarczyk R, Grymowicz M. The World Health Organization (WHO) approach to healthy ageing. Maturitas. 2020;139(February):6–11.

Neilson J, Bonnon A, Dickson A, Roddy E. Gout: diagnosis and management-summary of NICE guidance. BMJ. 2022;378:1754.

Singh JA. Racial and gender disparities among patients with gout. Curr Rheumatol Rep. 2013 Feb;15(2).

Asghari KM, Zahmatyar M, Seyedi F, Motamedi A, Zolfi M, Alamdary SJ, et al. Gout: global epidemiology, risk factors, comorbidities and complications: a narrative review. Vol. 25, BMC Musculoskeletal Disorders. BioMed Central Ltd; 2024.

Kemenkes RI. Hasil Riset Kesehatan Dasar Tahun 2018. Kementrian Kesehatan RI. 2018;53(9):1689–99.

Madyaningrum E, Kusumaningrum FM, Wardani RK, Susilaningrum AR, Ramadhani A. Community gout management program needed for adult people in the rural area. Journal of Community Empowerment for Health. 2021 Aug 12;4(2):125.

Kementerian Sosial Republik Indonesia. Program Pemerintah Peringatan Hari Lanjut Usia Nasional. 2024; Available from: http://www.kemsos.go.id

Puskesmas Air Salobar. Data Rekam Medik Lansia Dengan Penyakit Sendi (Gout, AR, RA). 2023.

Ratih Wulansari et all. Pedoman Diagnosis dan Tatalaksana. 2024.

Dakkak M, Lanney H. Management of Gout: Update from the American College of Rheumatology. Am Fam Physician [Internet]. 2021;104(2):209–10. Available from: www.aafp.org/afpAmericanFamilyPhysician209PracticeGuidelines

Brunetta AL. The Role of Support Groups in Empowering Patients. ECU, Edit Cowan. 2019;43(6):319–319.

Tomasoa V, Anwar S, Anggreany D, Nurhayati. Pengaruh Warm Gingger Compress Terhadap Penurunan Nyeri Pada Lansia Dengan Gout. Jurnal Penelitian Kesehatan Suara Forikes [Internet]. 2024 Jan 31;15(Khusus):86–9. Available from: http://www.forikes-ejournal.com/index.php/SF/article/view/sf15nk121/15nk121

Hendry P. Peer Support for Older Adults.

Dos Santos MG, Pleutim NI, de Queiroz-Cardoso AI, Ramalho LDS, de Souza VS, Teston EF. Use of the Health Promotion Model by Nursing in Primary Care: an integrative review. Vol. 78, Revista Brasileira de Enfermagem. Associacao Brasileira de Enfermagem; 2025.

Ahmadboukani S, Fathi D, Karami M, Bashirgonbadi S, Mahmoudpour A, Molaei B. Providing a health-promotion behaviors model in elderly: Psychological capital, perceived social support, and attitudes toward death with mediating role of cognitive emotion regulation strategies. Health Sci Rep. 2023 Jan 1;6(1).

Aupia A. The Effect of Health Education on The Knowledge and Adherence of Diet for Gout Arthritis Patients. Media Keperawatan Indonesia. 2021 Jun 1;4(2):120.

Feti 1st, Dewi K, Rini S. Correlation of Age and Genetic with Gout Arthritis: A Cross-Sectional Study. 2020.

Singh JA, Gaffo A. Gout epidemiology and comorbidities. Vol. 50, Seminars in Arthritis and Rheumatism. W.B. Saunders; 2020. p. S11–6.

Evans PL, Prior JA, Belcher J, Hay CA, Mallen CD, Roddy E. Gender-specific risk factors for gout: a systematic review of cohort studies. Adv Rheumatol. 2019 Jun 24;59(1):24.

Lee J, Sumpter N, Merriman TR, Liu-Bryan R, Terkeltaub R. The Evolving Landscape of Gout in the Female: A Narrative Review. Gout, Urate, and Crystal Deposition Disease. 2023 Dec 30;2(1):1–16.

Qorbani S, Majdabadi ZA, Nikpeyma N, Haghani S, Shahrestanaki SK, Poortaghi S. The effect of participation in support groups on retirement syndrome in older adults. BMC Geriatr. 2024 Dec 1;24(1).

Li Y, Chen Z, Xu B, Wu G, Yuan Q, Xue X, et al. Global, regional, and national burden of gout in elderly 1990–2021: an analysis for the global burden of disease study 2021. BMC Public Health [Internet]. 2024 Nov 27;24(1):3298. Available from: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-024-20799-w

Behrendt D, Spieker S, Sumngern C, Wendschuh V. Integrating social support into interventions among the elderly in nursing homes: A scoping review. BMJ Open. 2023 Apr 21;13(4).

Zhang C, Dong C. The Influence of Social Support on the Mental Health of Elderly Individuals in Healthy Communities with the Framework of Mental Toughness. Psychol Res Behav Manag. 2023;16:2977–88.

Zhang Y, Chen S, Yuan M, Xu Y, Xu H. Gout and Diet: A Comprehensive Review of Mechanisms and Management. Vol. 14, Nutrients. MDPI; 2022.

Moghadam K, Mansour-Ghanaei R, Esmaeilpour-Bandboni M, Atrkar-Roshan Z. Investigating the relationship between social support and quality of life in the elderly. J Educ Health Promot. 2020 Aug 1;9(1).