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Determinan Terbentuknya Epibole (Rolled Under Epithelial) Pada Penyembuhan Ulkus Kaki Diabetik Irma Puspita Arisanty; Yani Sofiani; Rizki Nugraha Agung; Fitrian Rayasari; Dian Noviati Kurniasih
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49253

Abstract

Introduction: Diabetic foot ulcers (wounds) are chronic ulcers that require special treatment, one of which is to ensure that the wound edge epithelialization process goes well. Epibole is a wound edge complication where the epithelium rolls downward, preventing wound closure. Methods: This study is a cross sectional observation with a conscusive sampling method in diabetikic foot ulcer patients. Results: Statistical analysis of this study showed the incidence of epibole in diabetic foot ulcers was 18.3% (N=93) and showed no significant relationship between the characteristics of respondents, ulcer characteristics with the incidence of epibole in diabetic foot ulcers. Multivariate analysis showed that the determinant factor of epibole formation in diabetic foot ulcer healing was wound age with an OR value of 5.566. Chronic wounds aged ≥ 21 days have the characteristic of keratinocytes (epithelialization) that slow down (do not migrate) so that epibole is formed and the wound is difficult to close. Recommendation: The occurrence of epibole should be identified as soon as posible, so that it can be treated immediately and accelerate wound re-epithelial or closure.
Terapi musik efektif menurunkan kecemasan pada pasien penyakit ginjal kronis yang menjalani pemasangan akses vena Budianto, Apri; Agung, Rizki Nugraha; Siswandi, Iyar; Sofiani, Yani; Andini, Sandra
Holistik Jurnal Kesehatan Vol. 19 No. 12 (2026): Volume 19 Nomor 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i12.2417

Abstract

Background: Anxiety in patients with chronic kidney disease (CKD) is not only a psychological problem but also a serious clinical threat because it triggers hemodynamic instability. When patients experience intense anxiety before an invasive procedure such as double-lumen catheter (DLU) placement, the sympathetic nervous system is activated, increasing blood catecholamine levels, leading to spikes in blood pressure and tachycardia. This condition is particularly risky for CKD patients who already have cardiovascular complications. Several factors can trigger anxiety and depression in hemodialysis patients, including frequent comorbidities, frequent hospitalizations, new experiences with invasive procedures, chronic pain, sleep disturbances, chronic inflammation, increased fatigue, decreased sexual function, uremia, and lack of family support in daily life. Purpose: To determine the effectiveness of music therapy in reducing anxiety in patients with chronic kidney disease undergoing venous access placement. Method: This study used an evidence-based nursing practice (EBNP) approach with a quasi-experimental pre-post-test design, conducted on 14 participants selected through purposive sampling based on inclusion criteria. Music therapy was administered during the venous access/CDL surgical procedure for 30 minutes. Anxiety was measured using the HARS and VAS questionnaires. Data were analyzed using univariate and bivariate tests, including paired t-tests and Wilcoxon tests. Results: The prevalence of anxiety decreased from 60% to 40%, with HARS and VAS measurements decreasing from 48% to 43% after the intervention. The paired t-test and Wilcoxon test showed p-values ​​of 0.01 and 0.00, respectively. Conclusion: Music therapy can reduce anxiety in hemodialysis participants. Applied systematically and supported by scientific evidence, music therapy has a positive effect on anxiety in patients with chronic kidney disease (CKD) undergoing venous access. Suggestion: Further exploration of the physiological and psychological mechanisms of music therapy is needed, as well as consideration of other factors, such as pain, sleep quality, depression levels, and medication adherence, which may influence anxiety levels in hemodialysis patients undergoing first-time venous access.   Keywords: Anxiety; Chronic Kidney Disease Patients; Music Therapy; Venous Access Insertion.   Pendahuluan: Kecemasan pada pasien Penyakit Ginjal Kronis (PGK) bukan sekadar masalah psikologis, melainkan ancaman klinis yang serius karena memicu instabilitas hemodinamik. Saat pasien mengalami kecemasan hebat menjelang tindakan invasif seperti pemasangan catheter dual lumen (CDL), sistem saraf simpatis akan teraktivasi, meningkatkan kadar katekolamin dalam darah yang berujung pada lonjakan tekanan darah dan takikardia. Kondisi ini sangat berisiko bagi pasien PGK yang sudah memiliki komplikasi kardiovaskular. Beberapa faktor yang bisa memicu kecemasan dan depresi pada pasien hemodialisis, antara lain penyakit penyerta yang sering timbul, seringnya dirawat di rumah sakit, pengalaman baru terhadap tindakan invasif, nyeri kronik, gangguan tidur, peradangan kronik, peningkatan kelelahan, penurunan fungsi seksual, uremia, dan kegagalan dukungan keluarga dalam kehidupan sehari-hari. Tujuan: Untuk menerapkan terapi musik efektif menurunkan kecemasan pada pasien penyakit ginjal kronis yang menjalani pemasangan akses vena. Metode: Penelitian ini menggunakan pendekatan evidence-based nursing practice (EBNP) dengan desain quasi-experiment pre-posttest, dilakukan pada 14 partisipan terpilih berdasarkan purposive sampling sesuai kriteria inklusi. Terapi musik diberikan selama proses operasi pemasangan akses vena/CDL selama 30 menit, kecemasan diukur menggunakan kuesioner HARS dan VAS. Data dianalisis menggunakan uji univariat dan bivariat dengan uji paired t-test dan uji Wilcoxon. Hasil: Prevelansi tingkat kecemasan 60% menurun menjadi 40% dengan pengukuran HARS dan VAS 48% menurun menjadi 43% setelah intervensi. Uji paired t-test dan Uji wilcoxon menunjukkan nilai p=0.01 dan p=0.00. Simpulan: Terapi musik dapat menurunkan kecemasan pada partisapan hemodialisis, diaplikasikan secara sistematis dan didukung oleh bukti ilmiah untuk menurunkan kecemasan terapi musik memiliki efek positif terhadap kecemasan pasien penyakit ginjal kronis yang menjalani pemasangan akses vena. Saran: Perlu mengeksplorasi lebih jauh mekanisme fisiologis maupun psikologis dari penerapan terapi musik, serta mempertimbangkan faktor-faktor lain, seperti nyeri, kualitas tidur, tingkat depresi, dan kepatuhan terhadap pengobatan yang mungkin berpengaruh terhadap tingkat kecemasan pada pasien hemodialis yang akan menjalani pemasangan akses vena pertama kali.   Kata Kunci: Kecemasan; Pasien Penyakit Ginjal Kronis; Pemasangan Akses Vena; Terapi Musik.
PERBANDINGAN BUERGER ALLEN EXERCISE DENGAN FOOT SPA DIABETIC TERHADAP NILAI ANKLE BRACHIAL INDEX PADA PASIEN DIABETES MELITUS TIPE II Ibrahim, Iksan; Sofiani, Yani; Irawati, Diana
Journal of Islamic Nursing Vol 5 No 2 (2020): Journal Of Islamic Nursing
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/join.v5i1.13673

Abstract

Hyperglycemia is one of the problems of Diabetes Mellitus patients. Hyperglycemia that is not well controlled can cause many complications, one of which is interference with the flow of peripheral blood vessels that can cause diabetic ulcers. Vascularity disorders can be prevented with Buerger Allen Exercise therapy and Diabetic Foot Spa to increase the value of ABI. The purpose of this study was to compare the effectiveness of Buerger Allen Exercise therapy and Diabetic Foot Spa to the value of ABI in patients with type II diabetes mellitus. The design of this study was Quasi Experiment Pre and post test two groups with 15 group A respondents given Buerger Allen Exercise intervention and 15 group B respondents given Diabetic Foot Spa intervention. The results showed that there was an increase in the value of ABI after intervention in both groups with the difference in the increase in the Buerger Allen Exercise group by 0.050 while the Diabetic Foot Spa group by 0.113. The conclusion of this study is that there was an increase in ABI values in both groups after the intervention but the Diabetic Foot Spa group had a higher increase. Diabetic Foot Spa can be recommended as an alternative therapy as prevention of peripheral arterial disease complications.
Penerapan Passive Stretching Exercise Pada Pasien Diabetes Melitus Tipe 2 Terhadap Penurunan Kadar Glukosa Darah Harwina Widya Astuti; Yani Sofiani; Ninik Yunitri; Fitrian Rayasari; Uswatun Hasanah
MAHESA : Malahayati Health Student Journal Vol 6, No 6 (2026): Volume 6 Nomor 6 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i6.23507

Abstract

ABSTRACT Type 2 Diabetes Mellitus is a chronic disease caused by unstable blood sugar levels that exceed normal limits, or hyperglycemia, and disorders of carbohydrate, protein, and fat metabolism. Hyperglycemia can cause complications in form of macrovascular and microvascular blood vessel disorders. Efforts to controls blood sugar include physical activity, such as passive stretching exercise, which are beneficial for increasing cellular glucose uptake, thereby reduce blood glucose levels. This study aims to provide an overview of the impact of implementing passive stretching exercise in type 2 diabetes mellitus patients for reduce blood glucose levels through Evidence-Based Nursing Practice (EBNP). This study used a systematic approach by reviewing various articles and literature, namely PubMed and Google Scholar. The selected articles focused on passive stretching exercise interventions in patients type 2 diabetes mellitus to reduce blood glucose levels. The review identified one article in the form of systematic review with meta-analysis, which examined 13 studies. The results of the analysis showed that passive stretching exercises were effective in reduce blood glucose levels. The implementation of passive stretching exercise has been shown to reduce blood glucose level in patients with type 2 DM. Keywords: Blood Glucose Levels, Diabetes Mellitus Type 2, Hyperglycemia, Passive Stretching Exercise.  ABSTRAK Diabetes Melitus tipe 2 merupakan penyakit menahun yang disebabkan oleh ketidakstabilan kadar gula darah yang melebihi batas normal atau hiperglikemia dan gangguan metabolisme karbohidrat, protein, dan lemak. Hiperglikemia dapat menimbulkan komplikasi berupa gangguan pembuluh daik makrovaskuler atau mikrovaskuler. Upaya kontrol gula darah yaitu dengan melakukan aktivitas fisik, salah satunya adalah latihan passive stretching exercise. Latihan ini bermanfaat untuk meningkatkan serapan glukosa seluler sehingga menurunkan kadar glukosa darah. Penelitian ini bertujuan untuk memberikan gambaran tentang dampak pada penerapan latihan passive stretching exercise pada pasien DM tipe 2 dalam menurunkan kadar gula darah melalui praktik keperawatan berbasis bukti. Studi ini menggunakan pendekatan sistematis dengan meninjau berbagai artikel dan literatur, yaitu PubMed dan google scholar. Artikel-artikel yang dipilih berfokus pada intervensi latihan passive stretching exercise pada pasien DM tipe 2 untuk menurunkan kadar glukosa darah berbasis bukti dalam keperawatan. Tinjauan ini mengindetifikasi satu artikel dalam bentuk tinjauan sistematis dengan meta-analisis, yang meneliti 13 penelitian. Hasil analisis menunjukkan bahwa latihan passive stretching exercise efektif menurunkan kadar glukosa darah.  Penerapan passive stretching exercisemenunjukkan hasil dapat menurunkan kadar glukosa darah pada pasien DM tipe 2.  Kata Kunci: Diabetes Melitus Tipe 2, Hiperglikemia, Kadar Glukosa Darah, Latihan Peregangan Pasif.
Benefits of Implementing Mobile Phone-Based Self-Management Interventions in Coronary Heart Disease Patients on Medication Adherence and Reducing Blood Pressure Risa Oktavina; Wati Jumaiyah; Dhea Natashia; Yani Sofiani; Sumedi Sumedi
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.4350

Abstract

Coronary Heart Disease (CHD) is a non-communicable disease that is a public health problem and the number is increasing both in the world and in Indonesia. So good self-management skills are needed in effort to improve the patient's ability to manage CHD risk factors, compliance with taking medication and achieving reduced blood pressure. The development of technology makes the use of mobile phones a necessity. Therefore, mobile phone-based self-management interventions are expected to be effective in improving patients' ability to self-manage to achieve medication compliance and reduce blood pressure. Increased compliance with taking medication and a decrease in blood pressure. The design used is a case study with an innovative design in the form of applying research results regarding mobile phone-based self-management interventions for coronary heart disease patients. The self-management intervention took the form of personal education using e-booklets and short WhatsApp text messages for 8 weeks. And the standard questionnaire consists of MMAS8 and SCC HDI. It is known that there is a decrease in systolic blood pressure (SBP) and diastolic blood pressure (DBP), as well as a decrease in total cholesterol levels. Apart from that, there was an increase in patient medication adherence scores and an increase in the self-management ability of CHD patients. There was a significant effect of mobile phone-based self-management intervention on medication adherence, SBP and DBP values, total cholesterol, and self-management abilities.
Assessment of Diabetic Retinopaty Risk Factors in Type II Diabetes Mellitus Desy Anggraini; Yani Sofiani; Ninik Yunitri; Fitrian Rayasari
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6196

Abstract

Diabetic retinopathy (DR) is a leading microvascular complication of diabetes mellitus (DM), primarily caused by chronic hyperglycemia. It leads to vascular occlusion, increased vascular permeability, retinal abnormalities, and detachment, ultimately resulting in visual impairment and blindness. Implementing Evidence Based Nursing Practice using diagnostic tests to determine the sensitivity and specificity of the assessment instrument for Diabetic Retinopathy Risk Factors in Type II DM Diagnostic tests are descriptive observational studies with a cross-sectional study design. This application is classified as descriptive observational because only observations are made without any intervention (treatment). The test is carried out with ROC where to see the sensitivity and specificity of the application instrument. The results of the analysis showed that the sensitivity of the application of the assessment of diabetic retinopathy risk factors using the ROC Curve Test was 100%. Meanwhile, the specificity of the instrument for the application of the assessment of diabetic retinopathy risk factors was 81.3%. The application of diabetic retinopathy risk factor assessment can be used to assess the risk of diabetic retinopathy because it has good sensitivity (%) and specificity (%) values. However, when applying the diabetic retinopathy risk factor assessment, only the risk value of diabetic retinopathy was obtained where the application patient did not experience complaints and decreased visual acuity.
Peppermint and Ginger Aromatherapy for Managing Nausea and Vomiting During Chemotherapy Fenny Maryani; Yani Sofiani; Rizki Nugraha Agung; Fitrian Rayasari; Dian Noviati Kurniasih
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.6212

Abstract

Nausea and vomiting are common side effects experienced by breast cancer patients undergoing chemotherapy. Complementary therapies, such as peppermint and ginger aromatherapy, have been widely studied as alternatives to relieve these symptoms. However, the effectiveness of each type of aromatherapy needs further evaluation. Objective: This study aims to analyze the effectiveness of peppermint and ginger aromatherapy in reducing nausea and vomiting in breast cancer patients undergoing chemotherapy. Methods: A Quasi-Experimental design was used with 28 breast cancer patients at Husada Hospital Jakarta, divided into two groups: peppermint and ginger. Nausea and vomiting levels were measured before, 2 hours, and 6 hours after chemotherapy and analyzed using ANOVA Repeated Measures and Independent T-Test. Results: The results showed that both peppermint and ginger aromatherapy significantly reduced nausea and vomiting after chemotherapy (p < 0.05). However, at 6 hours after chemotherapy, the peppermint group had lower average nausea and vomiting scores compared to the ginger group (6.57 vs. 10.29, p = 0.036). This indicates that peppermint is more effective than ginger in reducing nausea and vomiting after chemotherapy. Conclusion: Both peppermint and ginger aromatherapy are effective in reducing nausea and vomiting in breast cancer patients undergoing chemotherapy. However, peppermint showed higher effectiveness compared to ginger at the 6-hour post-chemotherapy time point. Future research could explore the combination of peppermint and ginger aromatherapy to enhance effectiveness in reducing nausea and vomiting in breast cancer patients.
The Effect of Combined Music Therapy and Stress Ball on Pain During Vascular Access Cannulation in Hemodialysis Patients Hindri Royiah Fatma; Rohman Azzam; Ninik Yunitri; Yani Sofiani; Yuni shahroh
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6215

Abstract

Hemodialysis remains the main therapy for patients with kidney failure. During the cannulation process, which is the insertion of a needle into a vascular access, hemodialysis patients often experience pain. The combination of music therapy and the use of stress balls is an example of a non-pharmacological intervention that can be used to overcome pain during cannulation. Objective to identify the effectiveness of the combination of music therapy and stress balls on pain in hemodialysis patients during the vascular access cannulation process. This study used a phased cross-over design, where each respondent received both treatments alternately. A total of 42 respondents were divided into two groups: the experimental group (n = 21) received music therapy and stress balls , while the control group (n = 21) received standard hospital therapy, namely deep breathing relaxation. Furthermore, the two groups exchanged treatments. The level of pain was measured using a VAS (Visual Analog Scale). The results showed that the combination of music therapy and stress balls was effective in reducing pain during the cannulation process, with significant changes in pain levels after insertion (p < 0.001). Cohen's d effect size of -0.632 indicates that combination therapy has a stronger effect in reducing pain than deep breathing relaxation therapy.
The Effect of Multimedia-Based Education on Treatment Adherence, Self-Efficacy, and Readmission Rates in Post-Percutaneous Coronary Patients Anita Setyawati; Ninik Yunitri; Yani Sofiani; Yuni Shahro; Rohman Azzam
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.336

Abstract

Patients with coronary heart disease (CHD) who undergo Percutaneous Coronary Intervention (PCI) experience faster recovery and a short hospital stay of up to three days. A short hospitalization process requires nursing interventions that are easily understood by patients and families, namely multimedia education, which aims to provide motivation so that patients become stronger when continuing their normal lives and returning to productivity. If patients do not carry out this behavior, the risk of myocardial infarction, stroke, and even death increases. to evaluate the effectiveness of multimedia-based education on medication adherence, self-efficacy and readmission rates of post PCI patients. Using quantitative research parallel Randomized controlled trial with a sample size of 100 people, by comparing the intervention group who received multimedia-based educational treatment and the control group who received standard therapy / leaflet at Gatot Soebroto Army Hospital. This study employed block randomization with a four-combination design in a 1:1 ratio. When all combinations were exhausted, the sequence returned to the initial combination. The randomization, therapists, data collectors, and data analysts were blinded to the study hypothesis. Data allocation was performed using random numbers, with odd and even numbers serving as the basis for assignment. Independent sample t-test in the intervention group on treatment compliance obtained a p-value of 0.441 with an effect size of 0.0168 (1.68%). While the measurement of self-efficacy is p-value 0.060 with an effect size of 0.1608 (16.08%). The Fisher Exact test showed that there was a significant difference between the two groups and the measurement of readmission rates decreased by 87.6% after being given multimedia education and a post-test of treatment adherence and self-efficacy. This study shows that the intervention of the effect of multimedia education on treatment compliance, self-efficacy and readmission rates in post PCI patients has a significant effect p-value> 0.05, there is an increase in treatment compliance, self-efficacy and a decrease in readmission rates in patients who have undergone PCI at RSPAD Gatot Soebroto.
The Effect of Mindfulness Based Stress Reduction (MBSR) on Psychological Distress in Coronary Artery DISEASE (CAD) Patients after Coronary Artery Bypass Grafting (CABG) Desy Setiawati; Wati Jumaiyah; Dhea Natashia; Yani Sofiani
Indonesian Journal of Global Health Research Vol. 8 No. 2 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i2.844

Abstract

Coronary artery disease (CAD) patients undergoing preventive coronary artery bypass graft (CABG) surgery commonly experience psychological distress in the form of anxiety, stress, and depression, which can hinder the recovery process. Mindfulness-Based Stress Reduction (MBSR) programs are known to be effective in reducing psychological burden in various chronic disease conditions, but research in the CHD population after preventive CABG is limited. Objective to determine the effect of a mindfulness-based stress reduction (MBSR) intervention on psychological distress in CHD patients undergoing preventive CABG. The study used a true-experimental design. The sample consisted of CHD patients who met the inclusion criteria, divided into intervention and control groups. The intervention group participated in the MBSR program for 21 days, while the control group received standard care. A total of 12 respondents participated. Stress, anxiety, and depression levels were measured using standardized instruments such as the Hospital Anxiety and Depression Scale (HADS) instrument, the level of stress using the Perceived Stress Scale (PSS) instrument. Data analysis was performed using bivariate paired t-tests and multivariate. The MBSR program demonstrated a significant reduction in stress, anxiety, and depression levels in the intervention group compared to the control group (p < 0.05). The difference in mean psychological scores before and after the intervention indicated a greater improvement in mental well-being in MBSR participants. The MBSR intervention was effective in reducing psychological distress in coronary artery disease patients after CABG prevention.
Co-Authors Abdu Rahim Kamil Abdu Rahim Kamil Abdu Rahim Kamil Abdu Rahim Kamil Agung Widiastuti Agung, Rizki Nugraha Agus Purnama Agus Purnama Aisy, Rifa Rohadatul Aisyah Aisyah Amrullah, Syahid Andini, Sandra Andry Sartika Anita Setyawati Anwar Wardi Anwar Wardi Anwar Wardy W Apri Budianto, Apri Ardiani, Kristi Ashar Prima Astuti, Medya Aprilia Astuty, Yeni Atlantic, Mia Azzahra, Sabrina Azzam, Rohman Barus, Sada Ukur Bayu Saputra Bayu Satria Wiratama Berniati Berniati Berniati, Berniati Besral . Beti Haerani Budiati, Dhiani Burmanajaya, Bram Dene Fries Sumah Desi Luanda Desvita, Eva Desy Anggraini Desy Setiawati Desy, Kemala Dewi Anggraini Dewi Purnamawati Dhea Natashia Dian Noviati Dian Noviati Kurniasih Dian Noviati Kurniasih Dian Novita Diana Irawati Dimas Dewa Darma Dluha Maf’ula Dwiyanto, Yusup Egi Mulyadi Elang Wibisana Erni Kurniasih Erwan Setiyono Erwin Erwin Erwin Erwin Eva Herawati fari, aniska indah Fauziah, Hani Fenny Maryani Fira Awanis Hazrina Firdaus, Nuzula Fischa Awalin Fredy, Muhammad Khalid Hamdah, Hamdah Hana Zumaedza Ulfa Hani Fauziah Harwina Widya Astuti Hernani, Eny Hidayat Arifin Hidayat, Agus Samsul Hindri Royiah Fatma Ibrahim, Iksan Ida Yatun Khomsah Ikhsan Ibrahim Imansyah Abd Latif Ode Irawati, Diana Irawati, Diana Irma Puspita Arisanty Iyar Siswandi Iyar Siswandi Jaemi Janitra, Fitria Endah Jumaiyah, Wati Jumaiyah, Wati Kamil, Abdu Rahim Kemala Desy Kiki Rizki Amelia, Kiki Rizki kurniasari, septi Kurniasih, Dian Noviati Kustanti, Christina Yeni Latipah, Siti Leni Rosita Lofa, Priyo Hadi Prasetyo Luanda, Desi Lusiana Lusiana Lusiana Lusiana Masykur Khair Melati Fajarini Moh. Heri Kurniawan Muhammad Hadi Muhammad Khalid Fredy Mulyatsih, MG Enny Natalia Suraningsih Natashia, Dhea Nathasia, Dhea Neneng Kurwiyah Ninik Yuniatri Ninik Yunitri Ninik Yunitri Nugraha, Rizky NUR AINI Nur Wahyuni Munir Nuraeni Nuraeni Nurhayani, Yani Nurma Dewi Nuzula Firdaus Ohorella, Usman Barus Pramono, Cahyo Purnamawati, Dewi Puspitasari, Nia Ayu Putri, Alifiani Rahmi Rahayu, Essih Rahim Kamil, Abdu Rahmasari, Ikrima Rayasari, Fitrian Rini Lestari Risa Oktavina Rita Sari Rizki Nugraha Agung Rohman Azzam Rostini, Heny Rukmana, Aip Sahriana Sahriana Santosa, Puji Raharja Saputri, Dwirima Satriani Satriani Septian, Alnendi Septiawantari, Rani Serli Wulan Safitri Silistyorini, Cahyo Ismawati Siswahyudianto Siswandi, Iyar Siti Aminah SRI ATUN sri murtini . Sri Sakinah Sri Suryati Sri Utami Damayanti Sulistiyowati, Heppy Sulistyorini, Cahyo Ismawati Sumedi Sumedi Suriadi Jais Suryani Suryani Suryati Suhaemia Syahid Amrullah Tiara Octary Uswatul Khasanah Uswatun Hasanah Wariani, Wiwik Warongan, Wardy widya astuti Yanti Silaban, Nataria Yohanes Andy Rias Yuliarti Yuliarti Yuni Shahro Yuni shahroh Yuni Shahroh Yunitri, Ninik Yuntiri, Ninik Yunus, Muhammad Iqbal Yusup Dwiyanto Zaki, Muhamad