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Futriani, Elfira Sri
STIKes Abdi Nusantara
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Dentistry Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Library & Information Science Materials Science & Nanotechnology Mathematics Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary Other

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Efektifitas Pemberian Edukasi Tentang Sadari Melalui Video dan Leaflet pada Remaja Putri di SMAN 1 Tarumajaya Elfira Sri Futriani; Marrotin Nur; Puji Wijayanti
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.55858

Abstract

Kanker payudara merupakan salah satu penyakit tidak menular dengan angka kejadian dan kematian yang tinggi pada perempuan, termasuk di Indonesia. Upaya deteksi dini sangat penting untuk menurunkan angka morbiditas dan mortalitas akibat kanker payudara, salah satunya melalui pemeriksaan payudara sendiri (SADARI). Namun, pengetahuan remaja putri mengenai SADARI masih tergolong rendah, terutama terkait waktu dan langkah pelaksanaannya. Hasil studi pendahuluan di SMAN 1 Tarumajaya menunjukkan bahwa sebagian besar siswi belum memahami SADARI secara optimal. Oleh karena itu, diperlukan pendidikan kesehatan yang efektif dengan menggunakan media yang menarik dan mudah dipahami, seperti media video dan leaflet. Penelitian ini menggunakan metode kuantitatif dengan desain Quasi Experimental menggunakan pendekatan Two Group Pretest–Posttest Design. Sampel penelitian berjumlah 44 siswi yang dibagi menjadi dua kelompok, yaitu kelompok yang mendapatkan edukasi menggunakan media video dan kelompok yang mendapatkan edukasi menggunakan media leaflet. Instrumen penelitian berupa kuesioner pengetahuan tentang SADARI. Analisis data dilakukan menggunakan Uji Wilcoxon karena data berdistribusi tidak normal. Hasil penelitian menunjukkan adanya peningkatan pengetahuan remaja putri setelah diberikan edukasi tentang SADARI baik pada kelompok media video maupun media leaflet. Seluruh responden pada kedua kelompok mengalami peningkatan tingkat pengetahuan ke kategori baik setelah intervensi. Hasil Uji Wilcoxon menunjukkan nilai p-value = 0,000 (p < 0,05) pada kedua kelompok, yang menandakan terdapat perbedaan yang bermakna antara tingkat pengetahuan sebelum dan sesudah edukasi. Media video menunjukkan efektivitas yang lebih tinggi dibandingkan media leaflet dalam meningkatkan pengetahuan remaja putri tentang SADARI. Pendidikan kesehatan tentang SADARI melalui media video dan leaflet terbukti efektif meningkatkan pengetahuan remaja putri, dengan media video menunjukkan efektivitas yang lebih tinggi. Oleh karena itu, pihak sekolah dan tenaga kesehatan disarankan memanfaatkan media video sebagai sarana promosi kesehatan guna meningkatkan kesadaran serta pengetahuan remaja putri mengenai deteksi dini kanker payudara melalui SADARI.
Pengaruh Pendidikan Kesehatan Terhadap Perubahan Pengetahuan dan Sikap Pada Remaja Tentang Kesehatan Reproduksi di Sman 83 Jakarta Elfira Sri Futriani; Sri Anggraini; Puji Wijayanti
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.55859

Abstract

Latar Belakang : Kesehatan reproduksi remaja merupakan aspek penting yang perlu mendapatkan perhatian serius karena rendahnya pengetahuan dan sikap remaja dapat berdampak pada munculnya perilaku berisiko, seperti penyakit menular seksual dan kehamilan yang tidak diinginkan. Kurangnya edukasi kesehatan reproduksi yang tepat dan berkelanjutan menjadi salah satu faktor utama permasalahan tersebut. Pendidikan kesehatan diharapkan mampu meningkatkan pengetahuan serta membentuk sikap positif remaja dalam menjaga kesehatan reproduksi. Tujuan Penelitian : Mengetahui pengaruh pendidikan kesehatan terhadap perubahan pengetahuan dan sikap pada remaja tentang kesehatan reproduksi. Metode Penelitian : Quasi experiment dengan rancangan one group pretest-posttest design. Sampel dalam penelitian ini adalah sebagian siswa siswi SMAN 83 Jakarta dengan jumlah sampel sejumlah 87 orang. Teknik pengambilan sampel menggunakan random sampling. Hasil Penelitian : Mayoritas remaja berusia 17-19 tahun (88,5%), jenis kelamin perempuan (70,1%), dan sumber informasi sedang (87,4%). Tingkat pengetahuan remaja sebelum diberikan pendidikan kesehatan sebagian besar baik (80,5%) dan sesudahnya pengetahuan baik (94,3%). Sikap remaja sebelum diberikan pendidikan kesehatan sebagian besar positif (70,1%) dan sesudahnya sikap positif (100%). Ada pengaruh pendidikan kesehatan terhadap pengetahuan dan sikap remaja tentang kesehatan reproduksi di SMAN 83 Jakarta dengan nilai p value 0,000. Kesimpulan dan Saran : Ada pengaruh pendidikan kesehatan terhadap pengetahuan dan sikap remaja tentang kesehatan reproduksi. Diharapkan tenaga kesehatan dapat berperan aktif dalam memberikan edukasi kesehatan reproduksi di lingkungan sekolah
The Relationship of Knowledge With Community Stigma Towards Mental Disorders in The Region of Rt 01/Rw 14, Jatibening District, Pondok Gede Bekasi 2025 Elfira Sri Futriani; Rosalia Rosalia; Puji Wijayanti
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.56086

Abstract

Background: Mental disorders remain a significant public health problem and are often accompanied by negative stigma within society. Stigma toward People with Mental Disorders (PMD) can hinder recovery processes, limit access to mental health services, and reduce social acceptance. One of the factors influencing stigma is the level of public knowledge regarding mental disorders. A preliminary study conducted in RT 01/RW 14 Jatibening Subdistrict indicated that community knowledge about mental disorders was still limited and negative stereotypes toward PMD were still prevalent. Objective: To determine the relationship between community knowledge and public stigma toward mental disorders in RT 01/RW 14 Jatibening Subdistrict, Pondok Gede – Bekasi in 2025.Methods: This study employed a quantitative research design with a cross-sectional approach. The population consisted of community members in RT 01/RW 14 Jatibening Subdistrict, with a total sample of 62 respondents calculated using the Slovin formula with a 10% margin of error. The sampling technique used was simple random sampling. Data were collected using structured questionnaires measuring knowledge and stigma (adapted from the Community Attitudes toward the Mentally Ill/CAMI scale). Data analysis was performed using univariate and bivariate analysis with the Chi-Square test at a significance level of α = 0.05 using SPSS version 26.Results: The majority of respondents had a moderate level of knowledge (32 respondents; 51.6%). Most respondents demonstrated a moderate level of stigma (31 respondents; 50.0%). The Chi-Square test showed a p-value of 0.000 (< 0.05), indicating a statistically significant relationship between knowledge level and public stigma toward mental disorders.Conclusion and Recommendations: There is a significant relationship between community knowledge and stigma toward mental disorders. Higher levels of knowledge are associated with lower levels of stigma. It is recommended that local health centers and regional authorities strengthen community-based mental health education programs to improve mental health literacy and reduce stigma toward individuals with mental disorders.
The Relationship Between Academic Burnout And Anxiety Levels Among Students Studying From Home In The Nursing Study Program At The Abdi Nusantara Health College In 2025 Elfira Sri Futriani; Lasma Angelita Saogo; Puji Wijayanti
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.56088

Abstract

Background: Academic burnout is a condition where a person is emotionally tired, tends to depersonalize, and feels low personal achievement in students due to stress, lecture load or other psychological factors originating from the learning process. This condition reflects three main dimensions, namely emotional exhaustion, cynicism, and decreased personal efficacy, which can have a significant impact on students' academic performance and psychological well-being. Anxiety in students is a natural response to challenging situations, but tends to increase in college environments due to academic and social pressure. The American College Health Association survey shows that 25.9%–31.9% of students experience anxiety and stress. Academic burnout in overseas students causes students not to be optimal in completing academic assignments, the emergence of feelings of laziness, procrastination of assignments, depression, and uncertainty about graduation, including unstable financial and social factors. Research Objective: To determine the relationship between academic burnout and anxiety levels in migrant students at STIKes Abdi Nusantara nursing study program in 202. Research Method This research uses quantitative methods with an analytical observational approach. The research design used is correlational with a cross-sectional approach, where measurements of the independent variable and dependent variable are carried out simultaneously during one observation period. The target population in this study was 59 respondents. Research Results The research results show that the Chi-Square statistical test obtained a value of p.0.001 (p.value < 0.05), so based on the results above it can be interpreted that there is a relationship between academic burnout and the level of anxiety in migrant students at STIKes Abdi Nusantara Nursing Study Program in 2025. Conclusions and Suggestions: There is a significant relationship between academic burnout and the level of anxiety in migrant students of the STIKes Abdi Nusantara Nursing Study Program in 2025. Migrant students are expected to be able to improve their ability to manage academic stress through effective time management, setting learning priorities, and implementing adaptive coping strategies. Considering that the first 3–6 months of the overseas phase is a relatively vulnerable period, students need to be more active in building social support, both with peers and supervisors. Apart from that, maintaining a balance between academic activities and rest time is an important step to prevent an increase in academic burnout and anxiety.
Effectiveness of Giving Dragon Fruit on Increasing Hemoglobin Levels in Pregnant Women with Mild Anemia at Jakarta Harbor Hospital in 2024 Elfira Sri Futriani; Tutik Prima Wijayanti; Tri Susanti1; Toyibah; Ernawati; Ersi Astuti
Jurnal Penelitian Pendidikan IPA Vol 10 No 9 (2024): September
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v10i9.8896

Abstract

Research conducted at Jakarta Harbor Hospital in 2024 aimed to evaluate the effectiveness of dragon fruit in increasing hemoglobin levels in pregnant women with mild anemia. Anemia is a common condition at the hospital, affecting around 30% of pregnant women in 2022. The study involved 36 third-trimester pregnant women with anemia. Hemoglobin levels were measured using a digital Hb meter (Quick Check), blood lancet, and strip. Data were analyzed using univariate and bivariate methods. The paired sample t-test was applied if the data followed a normal distribution, while the Wilcoxon test was used for non-normal distributions. After 14 days of administering dragon fruit, the study found an average increase in hemoglobin levels of 0.538 g/dL. This indicates that dragon fruit is effective in raising hemoglobin levels in pregnant women with mild anemia.
The Relationship Between Maternal Childbirth Experience and the Success of Early Initiation of Breastfeeding: Biological Perspectives and Implications for Student Learning in Postpartum Mothers Elfira Sri Futriani; Dini Oktaviani Soleha; Komala Sari; Suherni Suherni; Maulida Fitria; Sakinah Mawadah Warahmah
Jurnal Penelitian Pendidikan IPA Vol 11 No 9 (2025): September
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v11i9.12779

Abstract

The success of early initiation of breastfeeding (EIBF) is influenced by maternal childbirth experience, which significantly impacts postpartum mothers' ability to implement appropriate breastfeeding practices. Primiparous mothers are often at a greater disadvantage due to their limited prior experience and lack of understanding about the importance of early breastfeeding initiation. This study aims to examine the relationship between maternal childbirth experience and the success of EIBF, with a focus on the physiological aspects of lactation and its implications for health science education. Quantitative design with an analytical cross-sectional approach was employed. Primary data were collected using questionnaires, and statistical analyses were conducted with univariate and bivariate tests using the Chi-Square method in SPSS version 26.0. The results showed that the majority of respondents were multiparous (56.7%, n=17), while 43.3% (n=13) were primiparous. The Chi-Square test yielded a p-value of 0.027 (<0.05), indicating a significant association between maternal childbirth experience and the success of EIBF. These findings suggest that primiparous mothers face more challenges in initiating breastfeeding early due to a lack of prior experience. However, participation in antenatal care (ANC) and pregnancy classes can improve knowledge and skills, thus enhancing the likelihood of successful EIBF implementation. This research contributes to the field of health science education by highlighting the importance of understanding lactation physiology and increasing postpartum mothers' scientific literacy, which can be applied in both health practice and education.
Effectiveness Of Supplementary Feeding (PMT) Against Height And Weight Gain Of Stunted Toddlers Endah Nurilah; Elfira Sri Futriani
International Journal of Health and Pharmaceutical (IJHP) Vol. 3 No. 4 (2023): November 2023
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v3i4.217

Abstract

WHO in 2020 stated that the prevalence of stunting under five worldwide was 22 percent or as many as 149.2 million. The prevalence of stunting in Indonesia (24.4%) is better than Myanmar (35%), but still higher than Vietnam (23%), Malaysia (17%), Thailand (16%) and Singapore (4%). The prevalence of stunting in West Java in 2021 is 24.5%, while in Bekasi Regency it is 21.3%. The impact of stunting is intelligence, impaired physical growth, high risk of diabetes, obesity, cancer, stroke, and low economic productivity. Knowing the effectiveness of giving supplementary food to the increase in height and weight of stunting toddlers. Quasi experimental with one group pretest-posttest design. The sample in this study were all 18 toddlers who experienced stunting at the Setiamekar Health Center in 2021 and 2022. The sampling technique used the total sampling technique. The average height of stunted toddlers before being given the Supplementary Feeding Biscuits was 74.06 kg and afterward was 89.51 kg. The average body weight of stunted toddlers before being given the Supplementary Feeding Biscuits was 9.05 kg and after that it was 13.22 kg. There is the effectiveness of giving supplementary food to the increase in height and weight of stunted toddlers with a p value of 0.000. There is the effectiveness of giving additional food to the increase in height and weight of stunted toddlers. It is hoped that health workers will provide counseling more often about the importance of providing balanced nutrition to toddlers to avoid stunting Reading List: 39 readings (2015-2021).
Pengaruh Pemberian Pendidikan Kesehatan tentang Perkembangan Penyakit Pasien terhadap Tingkat Kecemasan Keluarga Yang Dirawat di Ruang ICU RS Ananda Bekasi Elfira Sri Futriani; Silvia Muzdalivah
MAHESA : Malahayati Health Student Journal Vol 5, No 12 (2025): Volume 5 Nomor 12 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i12.19743

Abstract

ABSTRACT Health education is a learning strategy aimed at motivating the public to adopt practices that support their health. This process provides individuals with opportunities to enhance their health literacy and practical skills in self-health management (Putri et al., 2018). The WHO 2021 report indicates an annual increase in the prevalence of critical patients in ICUs, with 9.8-24.6 per 100,000 people experiencing comas. Globally, deaths from serious illnesses range from 1.1 to 7.4 million per year. Purpose: To understand and analyze the Impact of Providing Health Education on the Progress of Patient Diseases on the Anxiety Levels of Families Cared for in the ICU of Ananda Bekasi Hospital in 2024. The method in this study is analytic with a quasi-experimental approach. The sample in this study included all family members of patients cared for in the ICU of Ananda Bekasi Hospital, totaling 49 people, with total sampling technique used for sample collection. There is an impact of Providing Health Education on the Development of Disease on the Anxiety Levels of Families of patients in the ICU of Ananda Bekasi Hospital with a p-value of 0.000. Conclusion: Health education is effective in reducing the anxiety of ICU patient families, with significant statistical evidence (p-value 0.000). This strategy enhances the family's understanding of medical conditions and strengthens their sense of control over the situation. Keywords: Health Education Provision, Anxiety Level, ICU Room.  ABSTRAK Pendidikan kesehatan adalah strategi pembelajaran yang bertujuan memotivasi masyarakat untuk mengadopsi praktik yang mendukung kesehatan. Proses ini menyediakan kesempatan bagi individu untuk meningkatkan literasi dan kemampuan praktis mereka dalam mendukung kesehatan diri (Putri et al., 2018). Laporan WHO 2021 menunjukkan peningkatan tahunan prevalensi pasien kritis di ICU, dengan 9,8-24,6 per 100.000 orang yang mengalami koma. Global, kematian karena penyakit serius mencapai 1,1-7,4 juta per tahun. Mengetahui dan menganalisis Pengaruh Pemberian Pendidikan Kesehatan Tentang Perkembangan Penyakit Pasien Terhadap Tingkat Kecemasan Keluarga Yang Dirawat di Ruang ICU RS Ananda Bekasi Tahun 2024. Metode pada penelitian ini adalah analitik dengan pendekatan quasy eksperimental. Sampel dalam penelitian ini adalah seluruh Keluaga paisen yang dirawat di ruang ICU RS Ananda Bekasi sebanyak 49 orang, dengan teknik pengambilan sampel total sampling. Terdapat pengaruh Pemberian Pendidikan Kesehatan Tentang Perkembangan Penyakit terhadap tingkat Kecemasan Keluarga pasien yang dirawat di Ruang ICU RS Ananda Bekasi dengan nilai p-value 0.000. Pendidikan kesehatan efektif dalam mengurangi kecemasan keluarga pasien ICU, dengan bukti statistik signifikan (p-value 0.000). Strategi ini meningkatkan pemahaman keluarga tentang kondisi medis dan memperkuat rasa kontrol mereka atas situasi. Kata Kunci: Pemberian Pendidikan Kesehatan, Tingkat Kecemasan, Ruang ICU.
Hubungan Lama Terapi Hemodialisis dengan Kualitas Hidup pada Pasien GGK di RS Mekar Sari Kota Bekasi Elfira Sri Futriani; Hafiz Jailani
MAHESA : Malahayati Health Student Journal Vol 5, No 12 (2025): Volume 5 Nomor 12 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i12.19765

Abstract

ABSTRACT Chronic renal failure (CKD) is a pathophysiological condition caused by various factors, resulting in decreased kidney function. In 2013, it was recorded that 2 out of 1000 people or 499,800 people in Indonesia experienced CKD. In sufferers of chronic kidney failure, the body is weakened and dependent on dialysis machines. The quality of life of patients with chronic kidney disease undergoing hemodialysis is poor, the analysis shows that the factors that influence the quality of life of patients with chronic kidney disease undergoing hemodialysis. To determine the relationship Length of Hemodialysis Therapy and Quality of Life in CKD Patients at Mekar Sari Hospital, Bekasi City in 2025. This research uses a quantitative research approach with a correlational design which aims to understand the relationship between variables. Cross-sectional method. Results: Chi-Square test results show a significance (p) value of 0.038 (p 0.05), which means there is a significant relationship between the duration of hemodialysis and the patient's quality of life. There is a relationship between the duration of hemodialysis therapy and the quality of life in CKD patients at Mekar Sari Hospital, Bekasi City in 2025. It is hoped that the results of this research will provide understanding for families so that they can increase family support and quality of life so that patients do not feel bored with their families who suffer from hemodialysis therapy. Keywords: Chronic Kidney Failure, Hemodialysis Therapy, Quality of Life.   ABSTRAK Gagal ginjal kronik (GGK) adalah kondisi patofisiologi yang disebabkan oleh berbagai faktor, mengakibatkan penurunan fungsi ginjal. Pada tahun 2013, tercatat 2 dari 1000 orang atau sebanyak 499.800 orang di Indonesia mengalami CKD.Pada penderita gagal ginjal kronik kondisi tubuh yang melemah dan ke tergantungan pada mesin-mesin dialysis. Kualitas hidup pasien  penyakit ginjal kronik yang menjalani hemodialisis buruk, dari analisis menyatakan bahwa faktor-faktor yang mempengaruhi kualitas hidup pasien penyakit gagal ginjal kronik yang menjalani hemodialisa. Untuk mengetahui Hubungan Lama Terapi Hemodialisis Dengan Kualitas Hidup Pada Pasien GGK DI RS Mekar Sari Kota Bekasi Tahun 2025. Penelitian ini menggunakan pendekatan penelitian kuantitatif dengan desain korelasional yang bertujuan untuk memahami hubungan antara variabel. Metode cross-sectional. Hasil uji Chi-Square menunjukkan nilai signifikansi (p) value sebesar 0,038 (p 0,05), yang berarti terdapat hubungan yang signifikan antara lama hemodialisis dan kualitas hidup pasien. Terdapat Hubungan Lama Terapi Hemodialisis Dengan Kualitas Hidup Pada Pasien GGK DI RS Mekar Sari Kota Bekasi Tahun 2025. Diharapkan hasil penelitian ini memberikan pemahaman bagi keluarga sehingga dapat meningkatkan dukungan keluarga serta kualitas hidup agar pasien tidak merasa bosan terhadap keluarga yang menderita terapi hemodialisis.  Kata Kunci: Gagal Ginjal Kronik, Terapi Hemodialisis, Kualitas Hidup
Co-Authors Achmad Fauzi Achmad Setya Roswendi Ajeng Aprilia Putri Akmelia, Wulandari Al-Ghonny Dian Utari Amini, Risa Warisatul Zahro Anggraini, Nofa Aninda Dinar Widiantari Aninda Dinar Widiantari Aninda Dinar Widiantari ardiansah, Dendi Asep Barkah Bayu Laksmana Jati Bunga Romadhona Haque Chinthia, Chinthia Chusnul Cusmarih, Cusmarih Dini Oktaviani Soleha Een Nuraenah Een Nuraenah Endah Nurilah Ermasari Ermasari Ernawati Ersi Astuti Eti Nopyanti Fadhillah, Anisa Candra Rini Faradila, Syara Farida Murtiani Farida Murtiani Farlikhatun, Lili Fatmawati, Kiki Fenty Ika Wardani Fiah, Zahwa Alip Gita Permata Sari Hafiz Jailani Harahap, Lenni Ana Haryani Helmalia Julianto Putri Hernanda, Assyiffa Herni Nurhayati Himawan Himawan Ibad Badriyah Iin Nuraeni Ika Bela Indah Yuliani Inne Bunga Heliana Irawati Sirait Irsadi, Dapid Isnaeni Isnaeni Ita Herawati Kaharudin, Endang Komala Sari Lasma Angelita Saogo Lestari, Luh Dewi Sri Luthfi Assy Mahmujianah Mahmujianah Mahyar Suara Mailinda Maria Adelgonda Oki Mariyani Mariyani Marrotin Nur Maulida Fitria Mayunita, Abela Meneng Alinda Febriani Mudalifah Mudalifah Mulyani, Esti Mustikasari Mustikasari Neneng Sriwahyunita Netri Makassar Nikita Tiara Khalila Adhitama Nopiyanah, Nopiyanah Nova Ciendy Putri Lestari Novia Rizki Amaliyah Novita Novita Nur Ismi Wahyuni Puji Wijayanti Puji Wijayanti Puspita, Infi Dian Raihana, Ananda Alvi Ratu Damayanti, Almara Rizanggini Rohanah Rosalia Rosalia Sahrudi Sakinah Mawadah Warahmah Salsa Khoirunnisa Septiana Dwi Nur Prajati Shella Sulistiatun Nisa Silvia Muzdalivah Siti Sarah, Siti SR, Nurqalbi Sri Anggraini Sri Baeti Janati Sri Muningsih Suherni Suherni Suliati Suliati Sumiyati Toyibah Tri Susanti1 Tridiyawati, Feva Tutik Prima Wijayanti Yulia Agustina Yuniarsih, Yuniarsih Yuningsih, Kasti