Research Methods THE EFFECT OF ATTITUDE TOWARD BEHAVIOR, SUBJECTIVE NORM AND PERCEIVED BEHAVIOR CONTROL AT DM THERAPY ADHERENCE: STUDY THEORY OF PLANNED BEHAVIOR

ABSTRACT EFFECTIVENESS OF BAY LEAVES BOILED WATER TOWARDS URIC ACID LEVEL OF HYPER URICEMIA PATIENTS IN THE VILLAGE DISTRICT OF PACE JOHO NGANJUK 1 Trisnanto; 2 Anggi Ratih Setiorini STIKes Satria Bhakti Nganjuk One of the non-pharmacological treatments of hyper uricemia is the bay leaves boiled water. But many people have not applied the leaves to reduce uric acid levels. The purpose of this study was to determine the effect of bay leaves boiled water towards the uric acid levels in hyperuricemia patients in the Village District of Pace Joho Nganjuk. The design of this study was experimentation with methods Static Group Comparison. The study was conducted in the Village District of Pace Joho Nganjuk 2014. Population was all patients with hyperuricemian the Village Joho many as 26 people, the total sample using sampling as many as 26 people. The independent variable was bay leaves boiled water, while the dependent variable was the level of uric acid. Data taken with the instrument stick uric acid. Analysis data used Independent T- Test test with α = 0.05 level. Results of Paired Sample T-test experimental group was p- value = 0.000 ≤ α = 0.05, so that there was a decrease in uric acid levels significantly in the experimental group. Results of Paired Sample T-test control group was p- value = 0.000 ≤ α = 0.05, so that there was a decrease in uric acid levels significant in the control group. The result of Independent T-Test test produces was p- value ρ=0,279; CI=10.21--3.08. 0,279 ≥ α 0.05 so that Ha is rejected. Both groups were consuming medicine but decrease of uric acid levels was more effectively in the experimental group than the control group. It was proven by average reduction of uric acid levels in the experimental group = 3.7 and control group = 3.2. There is the influence of bay leaves boiled water towards levels of uric acid uric acid in hyper uricemia patients in the village Joho. Treatment of bay leaves boiled water can support the synthetic chemical treatments to accelerate the healing process of patients with gout. Therefore, the use of bay leaves boiled water should be recommended by health professionals to patients with gout. Keywords: bay leaves boiled water, uric acid leaves 1244

1. PENDAHULUAN

Hyper uricemia disease is the disease caused by the excessive high uricemia in the blood. The causes is consuming base high food, alcohol, and chemistry medicines. It will be serious if occur the inflammation in the joint area. Safitri, 2012. The hyper uricemia can be cured by using the medicine of anti inflammation non steroid, inhibitor, phxanthine oxidiase, and urikosurik medically. Besides, it also can be cured non pharmacology by using traditional herbal, one of the local hospital . It was gotten about 6.700 visited to Puskesmas Berbek, about 7.950 to Puskesmas Nganjuk, and about 8.100 to Puskesmas Pace. While the patient hyper uricemia at Joho village in 2012 is 308 or about 26 per month. Hyper uricernis is caused by the increase of uricernia continuously because of consuming base high food, lack of exercises, consuming chemistry and alcohol. Safitri, 2012. Hyper uricemia can make kidney failure, diabetes, heart attack, and is using bay leaves boiling water. As hypertension.Freund, 2012. The diuretic, bay leaves can produce much urine to decrease the height of hyper uricemia. As analgesic, it can be pain relief the headache when walking. da Sutanto, 2013.on the other hand, the society has not applied the bay leave boiling water therapy to reduce the hyper uricemia. It is based on the early study survey whose done by Trisnanto at 5-7 June 2014 toward 5 patient of hyper uricemia in Puskesmas Pace at Joho village, Pace Nganjuk whose diagnose got hyper uricemia. Four of them said that they only got medication in the local hospital and never consume bay leaves boiling water as traditional medication to decrease hyper uricemia, and one of them said to consume bay leaves boiling water irregularly and uncontinuously, so the result is not maximum. The hyper uricemia developed around the world, especially for prosperity country. Hyper uricemia increased until 8,3 million in America in 2011 prevalence or about 4 from total population. Zhu dkk, 2011. Indonesia estimated 1,6-13,6100.000 whose got hyper uricemia. The highest prevalence is beach society whose often consume fish food and alcohol. Tjokroprawiro, traditional treatment is needed to chemistry medicine addicted and the effect of them. It also reduce the cost of medical treatment. One of the cheap and easy traditional medicine is bay leaves, one of the Indonesian spices. It can be used as the spices for Indonesian cooking. The boiling water of bay leaves Eugenia Polyantha Wight Dewani, 2006 can defend the increase of hyper uricemia because it contains tannin, flavonoid dan asiri oil which the characteristic diuretic effect , so it can decrease the hyper uricemia and pain relief. The way of cooking bay leaves is boiling the bay leaves and drink one glass twice a day. Sutanto, 2013. The traditional treatment using boiling bay leaves can support the chemistry treatment more effectively to make the recovery process faster. Because of these, the use of boiling bay leaves should be recommended to the patient of hyper uricemia by the medical staff. The medical staff also can give the information about the chemical in bay leaves and how to cook and also the doses of bay leaves to decrease hyper uricemia. It is hoped the society whose in low economic can do the medical treatment by 2007. Based on the data of East java themselves to reduce the hyper Provinces in 2011, the patient of hyper uricemia is about a 4.250.000 people. Based on the data of Nganjuk Regency in 2012, there was about 110.600 visiting of hyper uricemia patient into 1245 uricemia.. The purpose of the research is : a. Analyzing the decrease of hyper uricemia for the patient in intervention group giving bay