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Ayu, Shinta Arini
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Asuhan keperawatan pada pasien chronic kidney disease (CKD) on HD terhadap ansietas menggunakan terapi relaksasi genggam jari Erpiyana, Refsi; Yulendasari, Rika; Chrisanto, Eka Yudha; Ayu, Shinta Arini
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 4 No 1 (2024): Edisi Juli 2024
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v4i1.408

Abstract

Background: Chronic Kidney Disease (CKD) is a progressive and irreversible kidney function disorder where the body cannot maintain metabolism, cannot maintain fluid and electrolyte balance, resulting in increased urea levels. In 2015, WHO said that CKD in the world reached 10% of the population, while the prevalence of CKD on HD reached around 1.5 million people in the world. The incidence rate is estimated to increase by 8% every year. Purpose: Providing Nursing Care to Chronic Kidney Disease (CKD) Patients on HD Against Anxiety Using Finger Hold Relaxation Therapy at Abdul Moeloek Regional Hospital, Bandar Lampung City in 2024. Method: This research uses quantitative research and quasi-experimental methods. The research design uses a One group pretest–posttest design without a control group where this research design is included in pre-experimental research. Results: In this nursing care, 2 patients experienced a moderate level of anxiety. After carrying out the finger-hold relaxation technique approximately 3 times a day for 2 days, the results showed a decrease in the level of anxiety in Mr.D and Mrs R mild level of anxiety. Conclusion: Nursing care provided to Mr.D and Mrs.R namely providing finger-hold relaxation technique therapy to reduce the level of anxiety experienced by the client so that the level of anxiety can decrease.  Keyword: Anxiety; CKD; Finger Grip Therapy. Pendahuluan: Chronic Kidney Disease (CKD) merupakan gangguan yang terjadi pada fungsi ginjal yang progresif dan irreversible dimana tubuh tidak dapat mempertahankan metabolisme, tidak dapat menjaga keseimbangan cairan dan elektrolit, sehingga terjadi peningkatan kadar ureum. Pada tahun 2015 WHO mengatakan CKD didunia mencapai 10% dari penduduk, sedangkan prevalensi CKD on HD mencapai sekitar 1,5 juta orang di dunia. Angka kejadiannya diperkirakan meningkat 8% setiap tahunnya. Tujuan: Melakukan Asuhan Keperawatan Pada Pasien Chronic Kidney Disease (CKD) On HD Terhadap Ansietas Menggunakan Terapi Relaksasi Genggam Jari Di RSUD Abdul Moeloek Kota Bandar Lampung Tahun 2024. Metode: Penelitian ini menggunakan jenis penelitian kuantitatif dan metode quasy eksperimental. Desain penelitian menggunakan One group pretest – posttest desain tanpa kelompok control dimana desai penelitian ini termasuk dalam penelitian pre-eksperimental. Hasil: Dalam asuan keperawatan ini terdapat 2 pasien yang mengalami tingkat kecemasan derajat sedang, setelah dilakukan teknik relaksasi genggam jari kurang lebih 3x pertemuan /hari selama 2hari didapatkan hasil adanya penurunan tingkat kecemasan pada Tn.D dan Ny.R yang semula tingkat kecemasan sedang menjadi tingkat kecemasan ringan. Simpulan: Asuhan keperawatan yang dilakukan terhadap Tn.D dan Ny.R yaitu memberikan terapi teknik  relaksasi genggam jari untuk menurunkan tingkat kecemasan yang dialami oleh klien sehingga tingkat kecemasan dapat menurun.
Pengalaman Ibu Dalam Upaya Pengentasan Stunting Novryanthi, Dhinny; Suryadin, Asep; Hamidah, Ernawati; Lutiyah, Lutiyah; Ayu, Shinta Arini; Aziz, Shovi Nur; Shyfa, Putri
MAHESA : Malahayati Health Student Journal Vol 4, No 9 (2024): Volume 4 Nomor 9 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i9.16350

Abstract

ABSTRACT Nutritional problems occur in every life cycle, starting in the womb, infancy, childhood, adulthood and old age. The first two years of life are a critical period, because there is rapid growth and development. The condition of failure to grow in children under five results in children being too short and not appropriate for their age due to chronic malnutrition, this term we know as stunting. Stunting makes children more susceptible to disease and as adults they are at risk of developing degenerative diseases. The problem of stunting which is an obstacle to children's growth and development will have an impact on intelligence. Stunting also raises concerns for a country because it affects the quality of human resources which are valuable assets. To explore mothers' adaptation experiences in efforts to reduce stunting. This research is qualitative research with a phenomenological design. Where this research begins by paying attention to the phenomenon being studied, various aspects of the subject and the behavior of the object being seen. Participants are people who provide main information and are key information for 5 participants. Participants in this study were aged between 25 years and 34 years who had children under five years old. From the results of this research, three themes were obtained, namely theme 1: Food based on the age of the toddler that the mother gives. This theme describes the type of food that the mother gives to her child as time goes by and as the child's age increases, the texture and type begin to change according to the child's ability to digest. that food. Theme 2: Mother's parenting style is seen from the needs of the toddler. Participants described providing parenting patterns for toddlers based on the needs that participants saw in their own toddlers when the toddlers did not finish their portions of food, when the toddlers were lazy about eating, as well as the mother's parenting patterns to obtain information on maintaining balanced nutrition in toddlers. Theme 3: mothers maintain the health of their toddlers. This third theme explains how mothers maintain the health of their toddlers in an effort to eradicate stunting with the criteria of maintaining cleanliness in toddlers, caring for sick toddlers. Mothers' experiences in efforts to eradicate stunting have a role and influence on the growth and development of toddlers. Keywords: Stunting, Mother's Experience, Efforts To Eradicate Stunting ABSTRAK Masalah gizi terjadi pada setiap siklus kehidupan, dimulai sejak dalam kandungan, bayi, anak, dewasa dan usia lanjut. Periode dua tahun pertama kehidupan merupakan masa kritis, karena terjadi pertumbuhan dan perkembangan yang pesat. Kondisi gagal tumbuh dari anak balita mengakibatkan anak terlalu pendek dan tidak sesuai dengan usianya diakibatkan dari kekurangan gizi kronis, istilah ini kita kenal sebagai stunting. Stunting menyebabkan anak lebih rentan terhadap penyakit dan ketika dewasa berisiko untuk mengidap penyakit degeneratif . Masalah      stunting yang menjadi penghambat tumbuh kembang pada anak akan berdampak pada kecerdasan. Stunting juga menimbulkan kekhawatiran bagi sebuah negara karena berpengaruh terhadap kualitas sumber daya manusia yang menjadi aset berharga. Untuk mengeksplorasi pengalaman adaptasi ibu dalam upaya mengentaskan stunting. Penelitian ini merupakan penelitian kualitatif dengan desain fenomenologi. Dimana penelitian ini diawali dnegan memperhatikan fenomena yang diteliti, berbagai aspek subjek dan perilaku objek yang dilihat. Partisipan adalah orang yang memberikan informasi utama dan merupakan infromasi kunci sebanyak 5 partisipan. Partisipan dalam penelitian ini berusia antara 25 tahun sampai dengan 34 tahun yang memiliki anak dengan usia balita. Dari hasil penelitian ini didapatkan tiga tema yaitu tema 1 : Makanan berdasarkan usia balita yang ibu berikan Tema ini mendeskripsikan tentang jenis makanan yang ibu berikan untuk anaknya seiring berjalannya waktu dan peningkatan usia anak mengalami perubahan dan mulai tekstur dan jenis nya sesuai dengan kemampuan anak dalam mencerna makanan tersebut. Tema 2 : Pola Asuh ibu dilihat dari kebutuhan balita. Partisipan mendeskripsikan pemberian pola asuh pada balita dilihat dari kebutuhan yang partisipan lihat pada balita nya sendiri disaat balita tidak menghabiskan porsi makan, disaat anak balita malas makan, serta pola asuh ibu untuk mendapatkan informasi dalam menjaga gizi seimbang pada balita. Tema 3: ibu mempertahankan Kesehatan balita, tema ketiga ini menjelaskan bagaimana ibu mempertahankan Kesehatan balitanya dalam upaya pengentasan stunting dengan kriteria menjaga kebersihan pada diri balita, merawat anak balita sakit.  pengalaman ibu dalam upaya pengentasan stunting memiliki peran dan pengaruh bagi pertumbuhan dan perkembangan balita. Kata Kunci: Stunting, Pengalaman Ibu, Upaya Pengentasan Stunting
Asuhan keperawatan pada pasien chronic kidney disease (CKD) on HD terhadap ansietas menggunakan terapi relaksasi genggam jari Erpiyana, Refsi; Yulendasari, Rika; Chrisanto, Eka Yudha; Ayu, Shinta Arini
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 4 No 1 (2024): July Edition 2024
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v4i1.408

Abstract

Background: Chronic Kidney Disease (CKD) is a progressive and irreversible kidney function disorder where the body cannot maintain metabolism, cannot maintain fluid and electrolyte balance, resulting in increased urea levels. In 2015, WHO said that CKD in the world reached 10% of the population, while the prevalence of CKD on HD reached around 1.5 million people in the world. The incidence rate is estimated to increase by 8% every year. Purpose: Providing Nursing Care to Chronic Kidney Disease (CKD) Patients on HD Against Anxiety Using Finger Hold Relaxation Therapy at Abdul Moeloek Regional Hospital, Bandar Lampung City in 2024. Method: This research uses quantitative research and quasi-experimental methods. The research design uses a One group pretest–posttest design without a control group where this research design is included in pre-experimental research. Results: In this nursing care, 2 patients experienced a moderate level of anxiety. After carrying out the finger-hold relaxation technique approximately 3 times a day for 2 days, the results showed a decrease in the level of anxiety in Mr.D and Mrs R mild level of anxiety. Conclusion: Nursing care provided to Mr.D and Mrs.R namely providing finger-hold relaxation technique therapy to reduce the level of anxiety experienced by the client so that the level of anxiety can decrease.  Keyword: Anxiety; CKD; Finger Grip Therapy. Pendahuluan: Chronic Kidney Disease (CKD) merupakan gangguan yang terjadi pada fungsi ginjal yang progresif dan irreversible dimana tubuh tidak dapat mempertahankan metabolisme, tidak dapat menjaga keseimbangan cairan dan elektrolit, sehingga terjadi peningkatan kadar ureum. Pada tahun 2015 WHO mengatakan CKD didunia mencapai 10% dari penduduk, sedangkan prevalensi CKD on HD mencapai sekitar 1,5 juta orang di dunia. Angka kejadiannya diperkirakan meningkat 8% setiap tahunnya. Tujuan: Melakukan Asuhan Keperawatan Pada Pasien Chronic Kidney Disease (CKD) On HD Terhadap Ansietas Menggunakan Terapi Relaksasi Genggam Jari Di RSUD Abdul Moeloek Kota Bandar Lampung Tahun 2024. Metode: Penelitian ini menggunakan jenis penelitian kuantitatif dan metode quasy eksperimental. Desain penelitian menggunakan One group pretest – posttest desain tanpa kelompok control dimana desai penelitian ini termasuk dalam penelitian pre-eksperimental. Hasil: Dalam asuan keperawatan ini terdapat 2 pasien yang mengalami tingkat kecemasan derajat sedang, setelah dilakukan teknik relaksasi genggam jari kurang lebih 3x pertemuan /hari selama 2hari didapatkan hasil adanya penurunan tingkat kecemasan pada Tn.D dan Ny.R yang semula tingkat kecemasan sedang menjadi tingkat kecemasan ringan. Simpulan: Asuhan keperawatan yang dilakukan terhadap Tn.D dan Ny.R yaitu memberikan terapi teknik  relaksasi genggam jari untuk menurunkan tingkat kecemasan yang dialami oleh klien sehingga tingkat kecemasan dapat menurun.
INCREASED INVOLVEMENT HEALTH CADRES OF THE STUNTING ACCELERATION TEAM: KASI JENTING (KADER SIAP DETEKSI JEJARING STUNTING) Hartati, Sri; Ayu, Shinta Arini; Prasetyo, M Dodik; Hasbyalloh, M Salman; Shirly, Salma Fadilah; Hanapi, Ali; Saputra, Moch Surya; Pratiwi, Alya Azzahra
Jurnal Pengabdian Masyarakat Sabangka Vol 4 No 03 (2025): Jurnal Pengabdian Masyarakat Sabangka
Publisher : Pusat Studi Ekonomi, Publikasi Ilmiah dan Pengembangan SDM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62668/sabangka.v4i03.1449

Abstract

According to the World Health Organization (WHO), stunting is a developmental disorder in children caused by malnutrition, recurrent infections, or inadequate psychosocial stimulation. Stunting refers to a condition in which the length or height of an infant is shorter than its age and sex. This community service activity (PkM) was carried out in the Ciherang Health Center Working Area, Karangtengah District, Cianjur Regency to Posyandu Health Cadres. The methods used in this community service activity are counseling, discussion, and evaluation through pre-test and post-test. The results of the activity showed an increase in participants' understanding of stunting. This counseling succeeded in providing insight to participants about efforts to prevent stunting.
Analisis Faktor Pengetahuan, Sikap dan Perilaku Keluarga dalam Deteksi Dini Hipertensi Emergency di Tingkat Prehospital Rahmah, Dila Nur Isnaeni; Ayu, Shinta Arini; Dewi, Sri Kurnia
Jurnal Sehat Mandiri Vol 20 No 2 (2025): Jurnal Sehat Mandiri, Volume 20, No.2 Desember 2025
Publisher : Poltekkes Kemenkes Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33761/jsm.v20i2.1959

Abstract

Emergency hypertension is a critical condition of high blood pressure accompanied by target organ damage, and requires immediate treatment to prevent serious complications. In the prehospital setting, early detection by the family is very important to prevent further harm. Factors such as family knowledge, attitudes, and behavior are considered to play a role in the early detection process. This study aims to determine the relationship between knowledge, attitudes, and family behavior towards early detection of emergency hypertension in the prehospital environment in Desa Sindanglaka. This study used a quantitative approach with a cross-sectional design. The sample amounted to 53 respondents who were families of people with hypertension. Data were collected using questionnaires and observation sheets, then were analyzed using the Chi-Square test. The results showed that there was no significant relationship between knowledge (p = 0.052), attitude (p = 0.919), and behavior (p = 0.788) of the family towards early detection of emergency hypertension. There is no significant relationship between family knowledge, attitudes, and behavior with early detection of emergency hypertension in the prehospital setting. Education and increased family participation in early detection efforts are needed to reduce the number of complications due to emergency hypertension.
Optimalisasi Pengetahuan dan Dukungan Keluarga Pada Keluarga Pasien Hipertensi Terhadap Pengendalian Hipertensi Di Desa Sarampad Kec. Cugenang: Optimalisasi Pengetahuan dan Dukungan Keluarga Pada Keluarga Pasien Hipertensi Terhadap Pengendalian Hipertensi Di Desa Sarampad Kec. Cugenang Ayu, Shinta Arini; Novryanthi, Dhinny; Yulendasari, Rika; Nurhamdan Arif, Idan; Aulia Rahayu, Adiah
Jurnal Pengabdian Masyarakat Kesehatan Terkini Vol 2 No 1 (2023): Jurnal Pengabdian Masyarakat Kesehatan Terkini
Publisher : Ruang Ide Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58516/jpmkt.v2i1.62

Abstract

Last November 2022, Cianjur Regency was hit by an earthquake which left deep wounds. Not only causing fatalities, missing people, minor and serious injuries, damage to residential buildings, infrastructure and other public facilities was also badly damaged. Not only that, the post-disaster impact that emerged was on ongoing problem that arose at the evacuation post (tent), namely the emergence of several diseases, one of which was a problem, comorbid disease (hypertension). One of the actions to reduce the incidence of hypertension is to increase knowledge and support of the patient’s family. The purpose of this activity is to increase the knowledge, especially to the family of hypertensive patients whose and result can provide adequate support for controlling reccurence in hypertensive patients. The method used is directing counseling through media, leafleats and flipcharts as well as evaluation in the form of pre and post tests. The results obtained showed that of the 107 participants who received counseling, the participants’ knowledge increased, participants with the good knowledge were 56 (52.33%), participants with sufficient knowledge incrased to 34 (31,77%) and participants with less knowledge decreased to 17 (15.89%) participants. Therefore health education must be carried out regularly within a certain period of time, of course not only knowledge needs to be increased but social support from the family greatly influences hypertensive patients to control their disease.
Optimization of Stunting Prevention Through Mother Classes for Toddlers 0-5 Years in the Work Area of ​​the Ciherang Health Center, Cianjur Regency: Optimalisasi Pencegahan Stunting Melalui Kelas Ibu Balita 0-5 Tahun di Wilayah Kerja Puskesmas Ciherang Kabupaten Cianjur Hartati, Sri; Ayu, Shinta Arini; Widianti, Rina Andriana; Fauziah, Syifa; Rahmaniar, Syalsa Adelia
Jurnal Pengabdian Masyarakat Kesehatan Terkini Vol 2 No 1 (2023): Jurnal Pengabdian Masyarakat Kesehatan Terkini
Publisher : Ruang Ide Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58516/jpmkt.v2i1.66

Abstract

Nutritional problems, especially stunting in toddlers can hinder children's development, with negative impacts that will take place in later life such as intellectual decline, vulnerability to non-communicable diseases, decreased productivity leading to poverty and the risk of giving birth to babies with low birth weight. This community service aims to find out the optimization of stunting prevention through classes for mothers of toddlers 0-5 years in the working area of ​​the Ciherang Health Center, Cianjur Regency. The method used is active lectures and discussions as well as demonstrations in the class of toddler mothers divided by age group 1-12 months, 12-24 months, 24-60 months and conducting pre and post tests. Participants involved were 30 people with details of 10 people each in each class. The results of the service found that the class of mothers of toddlers 0-5 years had a significant influence on increasing mothers' knowledge about stunting prevention.
Upaya Peningkatan Manajemen Diri Penderita Hipertensi Melalui Senam Ce'Esi (Cegah Hipertensi) Di Wilayah Kerja Puskesmas Cijedil. Cugenang”: Upaya Peningkatan Manajemen Diri Penderita Hipertensi Melalui Senam Ce'Esi (Cegah Hipertensi) Di Wilayah Kerja Puskesmas Cijedil, Cugenang Ayu, Shinta Arini; Dewi, Sri Kurnia; Utami, Nofya; Anggraeni, Rani; Nuryani, Siti
Jurnal Pengabdian Masyarakat Kesehatan Terkini Vol 2 No 2 (2023): Jurnal Pengabdian Masyarakat Kesehatan Terkini
Publisher : Ruang Ide Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58516/d02b0248

Abstract

Abstract Exercise to prevent hypertension that is carried out routinely will provide health benefits that will indirectly have the effect of increasing heart function and lowering blood pressure. As well as reducing the accumulation of fat on the walls of blood vessels in order to maintain their elasticity. The purpose of this community assessment is to examine the impact of Ce Esi gymnastics on reducing blood pressure in hypertensive patients. A total of 30 respondents with hypertension were selected from Cibeureum Village in the working area of ​​the Cijedil Health Center, Cugenang District. The method used was the experimental method (pre-experimental design) using a one-group pre-test-post-test design. Non-probabilistic sampling technique using purposive sampling. The results and administration of the intervention showed astolic and diastolic blood pressure. It is hoped that the Ce Esi gymnastics will be carried out routinely by hypertension sufferers in the Cijedil Kes Cugenang Health Center area, especially by residents of Ciebereum village and make it a routine routine. not less and once a week in a wider local area, as one of the efforts to manage hypertension.  
Peran Kemandirian Kesehatan Keluarga Terhadap Kontrol Diri pada Individu Penderita Hipertensi Ayu, Shinta Arini; Achmad, Viyan Septiyana; Wijayaningsih, Kartika Sari; Nurajizah, Rhifa Saski
MAHESA : Malahayati Health Student Journal Vol 4, No 3 (2024): Volume 4 Nomor 3 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i3.13921

Abstract

ABSTRACT The family is the smallest unit in society which is the entry point in efforts to achieve family health status. In the health sector, families have the responsibility to improve and maintain family health. The five functions of family health services can only be carried out well and appropriately if the family receives guidance and guidance in carrying them out. The aim of this research is to identify. The role of family health independence on self-control in individuals suffering from hypertension in Sindangasih Village, Kab. Cianjur. The design of this research is correlation analytical. with a cross-sectional sampling approach using purposive sampling with a total sample of 106 people. Primary data obtained from questionnaires and observation results. The research will be carried out in Sindangasih Village with a period of November 2022 - May 2023. Statistical test results using quantitative correlation research with a significance level (a) <0.05, show that there is a correlation between the role of family health independence and the self-control of hypertension sufferers (p=0.000) in Sindangash Village, Kab. Cianjur, Based on this research, it is hoped that this research will provide information about the role of family independence in the self-control of individuals suffering from hypertension, so that they can achieve optimal levels of family health. Keywords: Family Health Independence, Hypertension, Self-Control, Family  ABSTRAK Keluarga merupakan unit terkecil dalam masyarakat yang  merupakan entry point dalam upaya mencapai derajat kesehatan keluarga. Dalam bidang kesehatan, keluarga mempunyai tanggung jawab untuk meningkatkan dan memelihara kesehatan keluarga.Kelima fungsi pelayanan kesehatan keluarga hanya dapat terlaksana dengan baik dan tepat jika keluarga mendapat pembinaan dan bimbingan dalam menjalankannya. Tujuan dari Penelitian ini mengidentifikasi peran kemandirian kesehatan keluarga terhadap kontrol diri pada individu penderita hipertensi di Desa Sindangasih Kab. Cianjur. Rancangan pada penelitian ini analitik korelasi dengan pendekatan croos-sectional. Sampling menggunakan Purposive sampling dengan jumlah sample 106 orang. Data primer didapatkan dari kuesioner dan hasil observasi. Penelitian di akan lakukan di Desa Sindangasih dengan rentang waktu November 2022 – mei 2023. Hasil uji statistic menggunakan penelitian kuantitatif korelasi dengan tingkat kemaknaan (α) ≤0.05, menunjukkan ada korelasi antara ada korelasi antara peran kemandirian kesehatan keluarga dengan kontrol diri penderita hipertensi (p=0.000) di Desa Sindangasih Kab. Cianjur. Berdasarkan penelitian ini diharapkan menjadi masukan dan informasi tentang peran kemandirian keluarga terhadap kontrol diri individu penderita hipertensi, sehingga dapat mencapai derajat kesehtan keluarga yang optimal. Kata Kunci: Kemandirian Kesehatan Keluarga, Hipertensi, Kontrol Diri, Keluarga
Co-Authors Achmad, Viyan Septiyana Anggraeni, Rani Aulia Rahayu, Adiah Aziz, Shovi Nur Chrisanto, Eka Yudha Dewi Puspitasari Dhinny Novryanthi Erpiyana, Refsi Hamidah, Ernawati Hanapi, Ali Hasbyalloh, M Salman Kartika Sari Wijayaningsih Lutiyah, Lutiyah Nurajizah, Rhifa Saski Nurhamdan Arif, Idan Prasetyo, M Dodik Pratiwi, Alya Azzahra Rahmah, Dila Nur Isnaeni Rahmaniar, Syalsa Adelia Saputra, Moch Surya Shirly, Salma Fadilah Shyfa, Putri Siti Nuryani, Siti Sri Hartati SRI KURNIA DEWI Suryadin, Asep Syifa Fauziah Utami, Nofya Widianti, Rina Andriana Yulendasari, Rika