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TINGKAT STRESS ORANGTUA MEMPENGARUHI PERILAKU ADAPTIF ANAK RETARDASI MENTAL DI SLB BC KEPANJEN KABUPATEN MALANG. Istafia .; Faizatur Rohmi; Ronal surya Aditya
Jurnal Keperawatan Terapan Vol 6 No 01 (2020): Jurnal Keperawatan Terapan (e-journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v6i01.1460

Abstract

Parents waiting for the presence of a child can be a disappointment if the child is born experiencing mental retardation, one of which is mental retardation. Mental retardation is a disorder of intellectual function characterized by IQ below 70 and adaptive behavior disorder is an obstacle to adapt to the environment. Adaptive behavior of mentally retarded children who are different from other normal children becomes a burden for both parents, those who lack emotional control make themselves stressed because of their childrens behavior. Stress occurs more with a mother than a father, because mothers often care for their children and are closer to their children. The design of this research uses the Non Experimental method with Cross Sectional approach. The population is all respondents, namely all parents of mentally retarded children. Sampling using Total Sampling with a sample of 74 respondents. Data collection methods using the DASS 42 questionnaire were used only on the stress range of 14 questions, and used the childrens adaptive behavior questionnaire of 15 questions. The data obtained are presented in the form of frequency distribution tables and narratives. The results showed that of the 74 respondents having a severe stress level category as many as 63.5 percent with adaptive behavior of moderate children as many as 90.5 percent. The statistical test uses the Spearman Rank Test which shows the magnitude of the correlation coefficient between the two variables namely 0.837 with a significance of 0.038, which means there is a significant relationship between parental stress level and mental retardation behavior of children. The conclusion of this study is that there is a relationship that the adaptive behavior of the mentally retarded child to the level of parental stress due to the behavior of children who are different from other normal children becomes a burden for both parents. Keywords: Stress level, Adaptive Behavior, Mental Retardation.
EKSPLORASI PENGALAMAN KELOMPOK PEDULI KUSTA DI MASA PANDEMI : FOCUS GROUP DISCUSSION Ronal Surya Aditya; Ah Yusuf; Endang Soelistyowati
Jurnal Keperawatan Terapan Vol 7 No 2 (2021): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v7i2.2891

Abstract

Abstract: Objectives: To explore the experience of leprosy care groups during a pandemic Method Phenomenological approach with focus group discussion. 15 respondents with purposive sampling technique. The analysis in Collaizi is simple, clear and detailed enough to be used in this research. Results Consists of 3 themes, namely: activity restrictions, programs cannot run, lack of mastery of technology and produces 8 sub-themes, namely: less than optimal coordination, limited activities, fear of gathering, restrictions on gathering rules, all online, insufficient power, difficult signal, HP for school children. Conclusion the pandemic period is a difficult time for leprosy care groups, so the rules, lack of technology and lack of information related to technology make the leprosy care group program stagnant. Suggestion it is necessary to form a small group to support the program, as well as socialize the application for leprosy groups Abstrak: Tujuan: Mengeksplorasi pengalaman kelompok peduli kusta di masa pandemic. Metode Pendekatan fenomenologi dengan diskusi kelompok terfokus. 15 responden dengan teknik purposive sampling. Analisis dalam Collaizi cukup sederhana, jelas dan rinci untuk digunakan dalam penelitian ini. Hasil terdiri dari 3 tema, yaitu pembatasan aktifitas, program tidak bisa berjalan, kurangnya penguasaan teknologi dan menghasilkan 8 subtema, yaitu koordinasi kurang optimal, kegiatan dibatasi, takut berkumpul, aturan pembatasan berkumpul, semua serba online, kuata tidak mencukupi, susah sinyal, HP untuk anak sekolah. Kesimpulan masa pandemic merupakan masa sulit bagi kelompok peduli kusta, sehingga aturan, kurangnya teknologi dan kurangnya informasi terkait teknologi membuat program kelompok peduli kusta stagnan. Saran perlu dibentuk kelompok kecil untuk mendukung program, serta sosialisasi aplikasi untuk kelompok kusta.
KENDALA DALAM PEMBERIAN ASI EKSKLUSIF PADA IBU BEKERJA: STUDI KUALITATIF: KENDALA DALAM PEMBERIAN ASI EKSKLUSIF PADA IBU BEKERJA: STUDI KUALITATIF Yhenti Widjayanti; Muhammad Putra Ramadhan; Ronal Surya Aditya; Qory Tifani Rahmatika; Eri Yanuar Akhamad Budi Sunaryo; Nurul Evi; Ahmad Masfi; Nurma Afiani
Jurnal Keperawatan Terapan Vol 8 No 2 (2022): Jurnal Keperawatan Terapan
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v8i2.3717

Abstract

Abstract: Breastfeeding is the best way to meet the nutritional needs for the growth and development of infants. Breastfeeding plays a role in cognitive, sensory, motor development and protection against infections and chronic diseases, but various obstacles are still found in the community. The study focused on the experience of ineffective breastfeeding among working mothers in Pucangsongo Village. Design of this study was Qualitative research with a phenomenological approach. Data was collected by interviewing five nurses and observing data in the field to obtain primary data and reviewing Pucangsongo Polindes documents to obtain secondary data. Triangulation of research data is done by triangulation of sources and methods. Data analysis through the stages of data reduction, data display, and drawing conclusions and notifications. Results of this study were obstacles faced by working mothers who experience problems with ineffective breastfeeding include the availability of advice and infrastructure for breastfeeding in the workplace. Failure to breastfeed for working mothers, namely busyness during work or company policies that are not cooperative in providing sufficient time for mothers to express breast milk. Health workers such as midwives also affect the experience of ineffective breastfeeding. Health workers have a very important role in protecting, promoting, and supporting breastfeeding businesses and must be seen in terms of their broad involvement in social aspects. Keywords: breastfeeding, experience, women’s employment
Early mental health exposure and clinical readiness of nursing students: A qualitative study Bagus Dwi Cahyono; Ronal Surya Aditya; Nurul Huda; Apriana Rahmawati; Evy Aristawati
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 2 (2026): June 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i2.708

Abstract

Early experiential exposure is increasingly advocated to enhance psychiatric clinical readiness; however, empirical evidence regarding real-world social rehabilitation settings remains limited, particularly within low- and middle-income countries where clinical placements are often delayed. This study examined nursing students’ learning experiences and perceived clinical readiness following early exposure to individuals with mental disorders in a community rehabilitation setting. A qualitative descriptive design utilizing reflexive thematic analysis was conducted with 35 third-semester Diploma nursing students in East Java, Indonesia. Purposive sampling achieved thematic saturation at 28 interviews. Data were collected via semi-structured interviews and analyzed using reflexive thematic analysis, adhering strictly to COREQ reporting standards to ensure methodological transparency. Findings delineated a developmental trajectory from initial stigma and anxiety toward empathy, therapeutic confidence, and clinical preparedness. Four interconnected themes emerged: (1) attitudinal reconstruction regarding mental illness, (2) emerging relational agency in therapeutic communication, (3) cognitive-affective integration of theoretical constructs, and (4) transitional clinical readiness. Supervised face-to-face engagement within a supportive rehabilitation environment, facilitated stigma deconstruction, and cultivated adaptive interpersonal competencies. It contextualized abstract classroom knowledge through authentic patient interaction, thereby bridging the theory-practice divide. Early structured exposure transcends passive observation, functioning as a transformative pedagogical mechanism that synchronizes affective, cognitive, and relational development. Systematically embedding community-based experiential learning prior to acute psychiatric placements is critical to optimizing global clinical readiness, mitigating entrenched stigma, and advancing recovery-oriented nursing curricula worldwide, particularly in resource-constrained educational systems
The Influence of Sociodemographic Factors on Stress Levels Among Pulmonary Tuberculosis Patients: A Health Belief Model-Based Study Suhendra Agung Wibowo; Dimas Hadi Prayoga; Ronal Surya Aditya; Apriana Rahmawati; Ifa Nofalia
Health and Technology Journal (HTechJ) Vol. 3 No. 6 (2025): December 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i6.513

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Pulmonary tuberculosis (TB) imposes not only physical but also substantial psychological burdens, particularly stress, which may compromise treatment adherence and outcomes. While the Health Belief Model (HBM) has been widely applied to predict TB treatment behaviors, its utility in explaining how sociodemographic factors shape stress levels remains underexplored. This cross-sectional study aimed to examine the association between sociodemographic characteristics and stress among 150 pulmonary TB patients in Jombang Regency, Indonesia, using the HBM as a theoretical lens. Stress was assessed using the Depression Anxiety Stress Scale–42 (DASS-42), with 62.7% of participants reporting moderate to severe stress. Chi-square and binary logistic regression analyses revealed that education (p = 0.012; OR = 1.89, 95% CI: 1.10–3.25), marital status (p = 0.021; OR = 1.72, 95% CI: 1.05–2.80), and occupation (p = 0.008; OR = 2.45, 95% CI: 1.30–4.60) were significantly associated with stress levels, whereas age and gender were not (p > 0.05). Occupation emerged as the strongest predictor, with unemployed or informally employed patients more than twice as likely to experience high stress. These findings underscore the role of perceived barriers and self-efficacy—core HBM constructs shaped by sociodemographic context—in influencing psychological distress. Integrating tailored psychosocial support into TB care is essential to mitigate stress and enhance treatment success.
Exploring older adults' experiences of community-based exercise programs in community nursing interventions: A qualitative study Qory Tifani Rahmatika; Ronal Surya Aditya; Muhammad Putra Ramadhan; Achmad Masfi
Lentera Perawat Vol. 7 No. 2 (2026): April - June
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i2.730

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Background: The increasing number of older adults is a challenge for public health systems, especially in low- and middle-income countries, because the aging process is often accompanied by a decline in physical function and quality of life in the elderly. Although various studies have shown that community nursing interventions through physical exercise programs have been proven effective, an in-depth understanding of how older adults interpret and directly experience their involvement in these programs is still limited. Objective: This study aims to explore the experiences of older adults who participated in a community-based physical exercise program in Malang City using a qualitative phenomenological approach. Methods: A qualitative phenomenological study was conducted among 24 older adults living in Malang City, Indonesia, who participated in a six-week community-based exercise program. Participants were recruited using purposive sampling. Data were collected through individual, face-to-face, semi-structured interviews conducted in participants’ homes after completion of the intervention. Interviews lasted 30–60 minutes, were audio-recorded with consent, transcribed verbatim, and analyzed manually using thematic analysis. Trustworthiness was ensured through credibility, dependability, confirmability, and transferability strategies, including member checking, field notes, audit trails, and independent coding by two researchers. Results: the data was analyzed thematically and produced four main themes: (i) Rediscovering Physical Capability and Body Confidence, (ii) Exercise as a Meaningful and Enjoyable Social Experience, (iii) Growing Awareness of Health and Self-Care, and (iv) The Community Nurse as a Catalyst for Engagement and Safety. Conclusion: These findings of this study highlight that community nurses play a role not only as instructors but also as facilitators capable of fostering motivation, self-confidence, and sustained participation in older adults through an individual-centered approach. Therefore, nurse-initiated community-based physical exercise programs should be considered for more systematic integration into public health policies as part of strategies to support healthy and sustainable aging.  
ANCAMAN FINANSIAL DAN GAYA HIDUP SEHAT DI KALANGAN MAHASISWA KEPERAWATAN USIA REMAJA AKHIR DI DAERAH PEDESAAN JAWA TIMUR Apriana Rahmawati; Bagus Dwi Cahyono; Evy Aristawati; Nurul Huda; Ronal Surya Aditya; Trihaningsih Puji Astuti
Jurnal Riset Kesehatan Vol 15 No 1 (2026): MAY 2026
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrk.v15i1.14203

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Perceived financial stability and uncertainty may impair physical and mental health during late adolescence. Yet, its association with health-promoting lifestyle among nursing students in resource-limited community settings remains underexplored. This study aimed to analyze the relationship between financial threat and health-promoting lifestyle among late adolescent nursing students. A descriptive quantitative study with a cross-sectional design was conducted in September 2025 with 69 nursing students undergoing rural community fieldwork in a rural district participated. Data were collected using two validated instruments: (1) the Financial Threat Scale (FTS), which measures subjective financial anxiety, perceived economic uncertainty, and financial burden (Cronbach’s α = 0.776), and (2) a modified 10-item Health-Promoting Lifestyle Profile II (HPLP-II), which assesses multidimensional health behaviors across six domains (Cronbach’s α = 0.850). Both continuous variables were dichotomized (low/high) based on empirically derived cut-offs (FTS ≤14 vs. ≥15; HPLP-II ≤37 vs. ≥38) to enable Chi-Square analysis, a non-parametric test appropriate for categorical data with modest sample sizes and potential non-normality. Analyses included descriptive statistics, Pearson’s correlation, and Chi-Square tests with Fisher’s Exact Test. High financial threat was reported by 40.6% (n = 28); 53.6% (n = 37) demonstrated good health-promoting lifestyle. No significant association was found either on a continuous basis, with r = 0.147 and p = 0.228, or on a categorical basis, with χ² = 0.981 and p = 0.322; Fisher's exact test, p = 0.339 meaning that students experiencing high financial threat were just as likely to maintain good health-promoting behaviors as those with low threat. although this study did not directly measure familial support, professional identity or academic scaffolding, the absence of a significant association between financial threat and health-promoting lifestyle despite high levels of perceived threat aligns with emerging literature suggesting that such culturally embedded protective mechanism may buffer the behavioral impact of financial stress in collectivist, low and middle income contexts.
STRETCHING EXERCISE THERAPY AS A NON-PHARMACOLOGICAL NURSING INTERVENTION FOR ACTIVITY INTOLERANCE IN HYPERTENSIVE PATIENTS: A CASE STUDY FROM A RURAL AGRICULTURAL COMMUNITY IN INDONESIA Fatmala Fathul Huda; Bagus Dwi Cahyono; Evy Aristawati; Nurul Huda; Apriana Rahmawati; Ronal Surya Aditya
Spectra Clinical Case Reports Journal Vol. 1 No. 1 (2025): December 2025
Publisher : Department of Nursing, Faculty of Medicine, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/sccrj.v1i1.2

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Activity intolerance, characterized by fatigue, dyspnea, and reduced exercise capacity, is a common nursing diagnosis among patients with hypertension, particularly in rural farmers whose livelihoods require sustained physical labor. In resource limited settings such as Indonesia’s agricultural communities, non pharmacological nursing interventions play a critical role in managing functional impairment associated with uncontrolled hypertension. This case study describes the successful implementation of Stretching Exercise Therapy as a nurse led, home based intervention for Mr. S, a 67 year old farmer with hypertension from Pasuruan, East Java, who presented with activity intolerance manifested by dizziness, leg cramps, and exertional dyspnea. During a three day intervention period, the patient received supervised static stretching sessions lasting 5 to 10 minutes, administered twice daily and targeting major muscle groups. Vital signs and subjective symptoms were monitored before and after each intervention session. Following the intervention, Mr. S demonstrated marked clinical improvement. Blood pressure decreased from 160 over 103 mmHg to 137 over 84 mmHg, heart rate declined from 115 to 84 beats per minute, and all reported subjective symptoms resolved. The patient reported restored energy, improved mobility, and increased confidence in performing daily activities, including light farming tasks. The intervention was safe, cost free, and easily adopted by both the patient and his family. Although this evidence is derived from a single case, the findings suggest that Stretching Exercise Therapy may represent a feasible and low intensity strategy for nurses to address activity intolerance in rural populations with hypertension. Further studies with larger samples and longer follow up periods are needed to confirm efficacy and sustainability.
ALLEVIATING ACUTE PAIN TO RESTORE FUNCTION: A NURSING-LED GINGER OIL INTERVENTION FOR A FARMER WITH RHEUMATOID ARTHRITIS Fitriah Effendy; Bagus Dwi Cahyono; Evy Aristawati; Nurul Huda; Apriana Rahmawati; Ronal Surya Aditya
Spectra Clinical Case Reports Journal Vol. 1 No. 1 (2025): December 2025
Publisher : Department of Nursing, Faculty of Medicine, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/sccrj.v1i1.3

Abstract

Rheumatoid arthritis is a chronic autoimmune disease causing persistent joint inflammation, pain, stiffness, and progressive functional decline, particularly exacerbated among farmers by repetitive non-ergonomic labor. This case involved a 74-year-old male farmer from Pasuruan Regency, Indonesia, who presented with severe functional limitations. Assessment revealed throbbing joint pain rated 7 out of 10 on the Numeric Rating Scale, prolonged morning stiffness, fatigue with minimal exertion, slow and assisted gait, and dependence on family for ambulation and self-care. The priority of nursing diagnosis was Acute Pain related to inflammatory joint process and mechanical stress, per the Standar Diagnosis Keperawatan Indonesia, as uncontrolled pain was the primary barrier to physical function; activity intolerance was identified as a secondary diagnosis. The purpose of this case report was to evaluate the effectiveness of a nursing-led, non-pharmacological intervention topical ginger (Zingiber officinale) extract oil combined with massage in reducing acute pain and thereby improving functional capacity in a rural rheumatoid arthritis patient with limited access to pharmacotherapy. The intervention plan consisted of twice-daily application of ginger oil to knees and ankles with 10-minute gentle massage over three consecutive days, integrated with health education on activity pacing and light stretching. Following the intervention, pain intensity decreased to 3/10, ambulation improved from assisted to independent, and the patient resumed light farming and self-care tasks without frequent rest. No adverse effects occurred. These outcomes suggest that targeted pain management using locally available ginger oil may rapidly enhance activity tolerance in resource-limited settings. Further research is warranted to confirm efficacy and safety in larger cohorts.
TALKING THERAPY TO REDUCE AUDITORY HALLUCINATIONS IN SCHIZOPHRENIA PATIENTS: A CASE STUDY AT SOCIAL REHABILITATION Nuril Hikmah; Bagus Dwi Cahyono; Nurul Huda; Ronal Surya A; Apriana Rahmawati; Evy Aristawati
Spectra Clinical Case Reports Journal Vol. 2 No. 1 (2026): June 2026
Publisher : Department of Nursing, Faculty of Medicine, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/sccrj.v2i1.16

Abstract

Schizophrenia is a serious mental disorder characterized by perceptual changes, including auditory hallucinations. Non-pharmacological interventions are needed to help patients manage these symptoms. This case report describes nursing care for two schizophrenia patients with auditory hallucinations using talking therapy. Assessment was conducted on two patients at the Social Rehabilitation Unit through interviews and observations. The nursing diagnosis established was sensory perception disturbance: auditory hallucinations. Planning involved implementing talking therapy interventions based on Indonesian Nursing Intervention Standards. The intervention was conducted once daily for three consecutive days, with each session lasting approximately 30 minutes. Results showed a decrease in hallucination frequency in both patients after three days of intervention. Patient one showed significant improvement in using conversation as a distraction, while patient two showed reduced response to commanding hallucinations. Talking therapy showed improvement in reducing auditory hallucinations by shifting focus from internal stimuli to external reality through social interaction.
Co-Authors Abdullah, Haslee Sharil Lim Achmad Masfi Achmad Masfi Adhitama, Felicia Dewati Elit Agustin, Fryda Ah Yusuf AH Yusuf Ahmad Masfi Ahmad Masfi Al Afik, Al Alifatunnisa, Alifatunnisa Alifia Candra Puriastuti Alrazeeni, Daifallah M. Amalia, Riza Andayani, Sari Dewi Anita Sulistyorini Apriana Rahmawati Apriana Rahmawati Apriana Rahmawati Apriana Rahmawati Apriana Rahmawati Apriana Rahmawati Ardhiyanti Puspita Ratna Aulia, Fahrani Nur Awanda Putra Pratama Bagus Dwi Cahyono Bagus Dwi Cahyono Bagus Dwi Cahyono Bagus Dwi Cahyono Betay, Oskar Cindy Dewi H Citra Ayu DK Dahlia Dian Paramita Dea Aflah Samah Dessy Amelia Devina Ramadhanty Wirakusuma Dewi Fatimah Putri Maulidah Dewi Ratna Sulistina Dian Puspitaningtyas Laksana Dimas Hadi Prayoga Dwi Cahyono, Bagus Ella Mayasari Elvarelta, Chysaura Malva Endang Soelistyowati Eri Yanuar Achmad Budi Sunaryo Eri Yanuar Akhamad Budi Sunaryo Eri Yanuar Akhmad Budi Sunaryo Eri Yanuar Akhmad Budi Sunaryo Eri Yanuar Akhmad Budi Sunaryo Erik Kusuma Evy Aristawati Faizatur Rohmi Fanani, Erianto Farizza Umami Fatiya Rizka Putri Fatmala Fathul Huda Fauziah, Laili Indah Fitriah Effendy Fitriani, Amelia Salsabila Henny Indreswari Herdhika Ayu Retno Kusumasari Herdhika Ayu Retno Kusumasari Ida Herawati Ida Herawati Ida Herwati Ifa Nofalia IM. Hambali Istafia . Istiqomah, Mutiara Titian izzatsaltsa maya azmi Khusna, Nasya Zilza Khusnun Nazwa Arifin Kinasih, Kannindya Sekar Kismayarti, Syahda Rofila Koesoemo, Rizki Fitryasari Patra Kusumaningtiyas, Aprilia Lailatul Kodriyah Laras Putri Gamagitta Lintang Widya Sishartami Listyawati Ratna Ningrum Lorenza Arinda Saputri Nur Endah Setyowati M Brilian Aprianto Manggolono, Lintang Nirmalasari Gemalochaya Mimi Haryani Hassim Mochammad Yunus, Mochammad Muhammad Fahmi Rabbani Muhammad Putra Ramadhan Muhammad Putra Ramadhan Muhammad, Naufalsyah Falah Nadia Rosalinda Najwa Tsaqifa ʻAzmil Umami Nanang Tri Wahyudi Nanang Tri Wahyudi Nasriati, Ririn Nihayatul Munaa Ningrum, Listyawati Ratna Nur Azizah CO NurAfni NurAfni Nuril Adh-har Nuril Hikmah Nurma Afiani Nurul Evi Nurul Huda Nurul Huda Nurul Huda Nurul Huda Nurul Huda Nurul Huda Oktavia Sri Wahyuni Purnama Devita Sari Putri Dwinita Haryono Putri Nabila Putri, Fatiya Rizka Qory Tifani Rahmatika Qory Tifani Rahmatika Qory Tifani Rahmatika Qurrota A’yunina Rabbani, Muhammad Fahmi Rachmy Rosyida Rais Rahmatika, Qory Tiffani Ramadhani, Azzahra Agustin Sri Riza Fikriana Rohmi, Rohmi Rozi Maulana S Rusnila Rusnila, Rusnila Sari, Gadis Meinar Sari, Purnama Devita Septa Katmawanti, Septa Septiananda, Farsya Hidayah Shofa Zahrotun Naiim Soelistyowati, Endang Solikhah, Fitriana Kurniasari Sugiarto, Dinta Suhendra Agung Wibowo Sukma Adinda DCA Sunaryo, Eri Yanuar Akhmad Budi Supriadi Supriadi Syarah Saraswatii Tio Yahya Trihaningsih Puji Astuti Tristan, Muhammad Wahyuni, Oktavia Sri Widjayanti, Yhenti Zainiyah, Nanik Zia Ul Haq