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Edukasi Kesehatan Reproduksi dan Pernikahan Dini pada Remaja di SMK MA'ARIF NU 2 Ajibarang Maturan, Jessica Chressensia; Ningrum, Ema Wahyu; Haniyah, Siti
Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat 2025 Prosiding Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat (SNPPKM 2025)
Publisher : Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/snppkm.v4i1.1362

Abstract

Early marriage among adolescents remains a serious issue that affects social, psychological, physical, and reproductive health aspects. The low level of adolescent knowledge about reproductive health is one of the main factors contributing to the high incidence of early marriage. This community service activity aimed to improve the knowledge of female students at SMK Ma’arif NU 2 Ajibarang regarding reproductive health and the dangers of early marriage. The activity was conducted as part of a Community Service Program (PKM) consisting of three stages: preparation (material development and coordination with the school), implementation (education through interactive lectures and open discussions), and monitoring and evaluation (through pre-test and post-test) to assess the improvement in knowledge. A total of 44 students participated in the activity, which took place in August 2025 at SMK Ma’arif NU 2 Ajibarang. After the educational intervention, there was a significant increase in students’ knowledge. The average reproductive health knowledge score increased from 69.8 to 83.4, while knowledge about early marriage increased from 74.9 to 82.2. Reproductive health education through the PKM program proved effective in enhancing adolescents’ knowledge about reproductive health and the prevention of early marriage.
Edukasi Sadari Sebagai Upaya Deteksi Kanker Payudara Di Desa Pamijen Sokaraja, Banyumas Anggraeni, Destiny Eka; Ma’rifah, Atun Roudatul; Haniyah, Siti
Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat 2025 Prosiding Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat (SNPPKM 2025)
Publisher : Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/snppkm.v4i1.1402

Abstract

Breast cancer is a significant global health issue, being a leading cause of death for women in many developing countries. Early detection plays a crucial role in improving recovery rates and the life expectancy of patients. This study aims to analyze and evaluate the increase in knowledge among health cadres in Pamijen Village, Sokaraja, Banyumas, regarding Breast Self-Examination (BSE) as an effort for early detection of breast cancer. The research method involves pre-survey, health education through lectures, discussions, and demonstrations, followed by post-survey and evaluation of practices. Pre-survey results showed that the majority of cadres (47%) had a lack of knowledge regarding BSE. After the educational intervention, there was a significant increase, with 100% of the cadres demonstrating good knowledge levels. Further evaluation also showed that the cadres started to practice BSE at home and are ready to become education agents in the community.
Peningkatan Pengetahuan Tentang Kebersihan Alat Genetalia Eksterna Selama Menstruasi Pada Remaja Putri Bimayanti, Lutfiana Eka; Haniyah, Siti; Ningrum, Ema Wahyu
Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat 2025 Prosiding Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat (SNPPKM 2025)
Publisher : Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/snppkm.v4i1.1412

Abstract

Adolescent girls are a vulnerable group to reproductive health problems, particularly during menstruation, such as vulvar pruritus and vaginal discharge. A pre-survey at the Mayasari Posyandu revealed that most adolescents had limited understanding of external genital anatomy, were not accustomed to changing sanitary pads regularly, and experienced itching without knowing the causes or preventive measures. This condition reflects the lack of education regarding vulvar hygiene during menstruation. This Community Service activity was carried out to improve adolescent girls’ knowledge about external genital hygiene during menstruation. The methods included a pre-survey, pre-test, educational sessions through lectures, discussions, animated videos, and pocketbooks, followed by a post-test and follow-up monitoring. The activity was conducted in two sessions involving 35 respondents. The results showed a significant increase in knowledge, from the initial condition where the majority of respondents were in the moderate category (51%) with an average pre-test score of 63.4, to the majority being in the good category (86%) with an average post-test score of 84.7 after being given education related to the hygiene of the external genitalia during menstruation. These findings demonstrate that interactive health education methods are effective in enhancing adolescents’ understanding of the importance of maintaining external genital hygiene during menstruation. This activity is expected to have a positive impact in reducing the risk of infection and increasing adolescent girls’ awareness of reproductive health
Penerapan Aromaterapi Minyak Kayu Putih untuk Meningkatkan Produksi Dahak pada Pasien Pneumonia Aulia Ramadhani, Ananda; Haniyah, Siti; Ulfah, Mariah
VISA: Journal of Vision and Ideas Vol. 5 No. 3 (2025): Journal of Vision and Ideas (VISA)
Publisher : IAI Nasional Laa Roiba Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47467/visa.v5i3.9982

Abstract

Around 808.000 cases people worldwide are infected with pneumonia. Pneumonia is a lung infection that can lead to impaired gas exchange due to the accumulation of secretions in the respiratory tract. One non-pharmacological approach to manage ineffective airway clearance in pneumonia patients is the use of eucalyptus oil aromatherapy. This study aimed to describe nursing care for a patient with ineffective airway clearance due to pneumonia through the implementation of eucalyptus oil aromatherapy. This research utilized a case study method involving one elderly patient with pneumonia hospitalized in the Lavender ward of RSUD dr. R. Goeteng Taroenadibrata Purbalingga. The patient, Mrs. S, experienced productive cough, dyspnea, chest pain, and a respiratory rate of 28 breaths per minute. The initial nursing diagnosis was ineffective airway clearance related to retained secretions. After three days of nursing intervention, which included effective coughing and eucalyptus oil steam inhalation for 10–15 minutes twice daily, the patient showed improvement. The final outcomes included more effective coughing, reduced sputum production, and decreased dyspnea. It can be concluded that eucalyptus oil aromatherapy helps facilitate sputum removal in patients with ineffective airway clearance.  
Efektivitas penggunaan telehealth di ruang rawat inap terhadap caring: literature review Asti, Arnika Dwi; Karlina, Nonok; Haniyah, Siti; Purbaningsih, Endah Sari; Sukesih, Sukesih; Puspanegara, Aditiya; Siswanti, Heny; Nani, Desiyani
Jurnal Praktik Dan Pendidikan Keperawatan Vol 6 No 01 (2025): Journal of Nursing Practice and Education
Publisher : Lembaga Penelitian Sekolah Tinggi Ilmu Kesehatan Garawangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34305/bw1jj405

Abstract

Latar Belakang: Perkembangan teknologi digital mendorong perubahan signifikan dalam praktik keperawatan, termasuk penerapan telehealth untuk mempertahankan kualitas pelayanan di ruang rawat inap diperlukan bukti ilmiah untuk menilai sejauh mana telehealth dapat mendukung atau bahkan memperkuat perilaku caring perawat terhadap pasien.Metode: Systematic Literature Review dilakukan mengikuti pedoman PRISMA 2020 dengan pencarian artikel melalui database Scopus, PubMed, dan Google Scholar. Kriteria inklusi meliputi studi empiris tahun 2015-2025 yang mengevaluasi efek intervensi telehealth terhadap caring perawat di fasilitas rawat inap. Kualitas metodologi artikel dinilai menggunakan JBI Critical Appraisal Tools.Hasil: Dari 1.476 artikel yang diidentifikasi, dua penelitian memenuhi kriteria inklusi dan dinyatakan layak dianalisis. Studi menunjukkan bahwa intervensi telehealth yang dilakukan secara sinkron, seperti panggilan video atau teleedukasi rutin selama 8–16 minggu, efektif meningkatkan dimensi caring, khususnya empati, dukungan emosional, dan kontinuitas hubungan perawat-pasien. Kelompok intervensi menunjukkan penurunan distress emosional hingga 50% dibanding kontrol (p < 0,05).Kesimpulan: Telehealth terbukti efektif mendukung praktik caring keperawatan di ruang rawat inap dengan efektivitas moderat (effect size 0,3-0,5). Teknologi ini mampu memperkuat hubungan terapeutik dan kontinuitas pelayanan bila dilaksanakan dengan prinsip empatik dan humanistik. Diperlukan penelitian lanjutan dengan desain randomized controlled trial dan penggunaan instrumen caring terstandar seperti Caring Behaviors Inventory untuk memastikan validitas hasil.
Hubungan Hubungan Indeks Masa Tubuh dengan Premenstrual Syndrome (PMS) Haniyah, Siti; Dewi, Pramesti
TRIAGE Jurnal Ilmu Keperawatan Vol 10 No 2 (2023)
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/triage.v10i2.920

Abstract

PMS often occurs in teenage girls which appears with a set of symptoms both mental and physical and behavioral during the luteal phase of the menstrual cycle around 7-10 days before menstruation and disappears when menstrual blood comes out. One of the factors causing the syndrome is Body Mass Index. The aim of this study was to determine the relationship between Body Mass Index and premenstrual syndrome. The formula used in selecting respondents was total sampling with a cross-sectional approach. The assessment form used is SPAF and data analysis used Spearman rank to measure the relationship between Body Mass Index and PMS in Harapan Bangsa University. The conclusion of this study there is a relationship between BMI and PMS p: 0.00 and the relationship is quite close (0.456). Women with PMS disorders have low serotonin levels which causes early or late ovulation. This can trigger the hormones estrogen and progesterone, which cause complaints such as breast pain and bloating. At the same time, an increase in the hormone prostaglandin causes the uterus to contract which causes abdominal pain during the menstrual cycle. Keywords: Body Mass Indeks, premenstrual syndrome, female student
Implementasi Senam Yoga Ibu Hamil Trimester II dan III Sebagai Upaya Menyiapkan Persalinan Yang Aman di Kelas Hamil Desa Pliken Melinda Agustin; Siti Haniyah; Ns. Noor Yunida Triana
Jurnal Pengabdian kepada Masyarakat Indonesia (JPKMI) Vol. 5 No. 2 (2025): Agustus: Jurnal Pengabdian Kepada Masyarakat Indonesia (JPKMI)
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jpkmi.v5i2.7261

Abstract

Pregnancy in the second and third trimesters is often accompanied by physical and psychological complaints such as back pain, difficulty sleeping, and anxiety about childbirth. One non-pharmacological method that can help reduce these complaints is yoga. However, a preliminary survey in Pliken Village showed that most pregnant women did not have sufficient knowledge about yoga and had never received any education on the subject. The objective of this Community Service activity is to enhance the knowledge and skills of pregnant women in the second and third trimesters through education and hands-on yoga practice as part of preparing for a safe and comfortable childbirth. The methods used include education through lectures, leaflets, and visual media, as well as guided yoga practice led by practitioners. Evaluation was conducted using pre-test, post-test, and yoga exercise SOP checklist instruments. The number of participants was 24 pregnant women. The results showed a significant improvement, where before education, 88% of participants were in the adequate knowledge category, while after education, 83% of participants were in the good knowledge category. Most participants were also able to practice yoga independently and showed enthusiasm in participating in the activities. In conclusion, education and yoga practice have been proven to improve the knowledge and skills of pregnant women in the second and third trimesters. This activity can be integrated into the routine program of prenatal classes as a promotive and preventive effort in preparing for a healthy and safe delivery. The outcomes of this Community Service Program include Intellectual Property Rights (IPR) and journal publications on Community Service.
Edukasi tentang Kesehatan Mental pada Remaja di SMK Soedirman Purbalingga Dela Nataza Maharani; Noor Yunida Triana; Siti Haniyah
JURNAL PENGABDIAN MASYARAKAT INDONESIA Vol. 4 No. 2 (2025): Juni : Jurnal Pengabdian Masyarakat Indonesia (JPMI)
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jpmi.v4i2.5193

Abstract

Mental health is an important aspect of adolescent development, as adolescence is a critical period marked by physical, emotional, and social changes. Adolescence is a process of self-discovery that begins around the age of 10 to 12 and ends between the ages of 18 and 22. Based on a preliminary survey conducted at SMK Soedirman Purbalingga Dusun II, Gandasuli, Bobotsari District, Purbalingga Regency on Thursday, July 18, 2024, it was found that there were 10 female students and 5 male students experiencing mental health issues. The objective of this Community Service (PkM) activity is to enhance teenagers' knowledge about mental health using methods such as lectures, discussions, and question-and-answer sessions. The media used include PowerPoint presentations and leaflets. The activity was conducted over 3 sessions attended by 30 students, with the results showing that teenagers' knowledge improved from an average score of 60 to 77. The PkM results showed that the average knowledge level before the education was 70% in the “adequate” category, which increased to 80% in the “good” category. Based on the Wilcoxon statistical test, the Z-value was -4.667 with a p-value of 0.000. The conclusion of the PkM is that it can enhance teenagers' knowledge through mental health education. Therefore, it is recommended to conduct further education by the school principal or school authorities to optimize future mental health development. The results of this community service were published in a community service journal and a poster.
PENGARUH TERAPI BERMAIN (LEGO) TERHADAP TINGKAT KECEMASAN ANAK USIA 3-6 TAHUN SELAMA HOSPITALISASI DIRUANG FIRDAUS RSI BANJARNEGARA: THE EFFECT OF PLAY THERAPY (LEGO) ON ANXIETY LEVEL OF CHILDREN AGED 3-6 YEARS DURING HOSPITALIZATION IN FIRDAUS ROOM, RSI BANJARNEGARA Umu Hani; Siti Haniyah; Etika Dewi Cahyaningrum
Borneo Nursing Journal (BNJ) Vol. 4 No. 1 (2022)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v4i1.41

Abstract

Latar belakang : Anak adalah individu yang unik dan mempunyai kebutuhan sesuai dengan tahap perkembangan. Hospitalisasi anak adalah suatu proses yang memiliki alasan berencana atau darurat sehingga mengharuskan anak untuk tinggal di rumah sakit. Kecemasan yang dialami pada anak usia 3-6 tahun saat hospitalisasi dapat dilakukan dengan aktivitas bermain, karena hampir seluruh usia 3-6 tahun perlu melibatkan unsur permainan. Tujuan : Penelitian bertujuan untuk mengetahui pengaruh terapi bermain lego terhadap tingkat kecemasan pada anak prasekolah selama hospitalisasi di Ruang Firdaus RSI Banjarnegara. Metode penelitian ini adalah Pre-eksperimental (eksperimen semu) dengan jenis “one group pretest-posttest”. Pretest diberikan sebelum diberi perlakuan (treatment) yang kemudian diukur dengan posttest setelah perlakuan (treatment). Sampel berjumlah 38 orang. Hasil : karakteristik responden berdasarkan umur sebagian besar berusia 3 tahun yaitu sejumlah 12 orang (31,6%). Responden berjenis kelamin laki – laki yaitu sejumlah 20 orang (52,6%). Sebagian besar responden tidak pernah dirawat yaitu sejumlah 36 orang (94,7%). Serta sebagian responden dirawat tidak lebih dari 3 hari yaitu sejumlah 31 orang (81,6%). Tingkat kecemasan pada anak prasekolah selama hospitalisasi sebelum diberikan terapi bermain lego, dari 38 orang sebagian besar yaitu 25 anak (65,8%) mengalami cemas sedang, 8 anak (21,1%) Tingkat kecemasan pada anak prasekolah selama hospitalisasi setelah diberikan terapi bermain lego, dari 38 orang sebagian besar yaitu 36 orang (94,7%) mengalami cemas ringan. Kesimpulan : Ada pengaruh terapi bermain lego terhadap tingkat kecemasan pada anak usia 3-6 tahun selama hospitalisasi di Ruang Firdaus RSI Banjarnegara. Rekomendasi : Penelitian ini merekomendasikan dilakukannya upaya untuk mencegah dampak kecemasan hospitalisasi pada anak usia 3-6 tahun dengan terapi lego.
PENGARUH PENDIDIKAN KESEHATAN METODE AUDIO VISUAL TERHADAP PENGETAHUAN TENTANG TOILET TRAINING PADA IBU YANG MEMILIKI ANAK PRA SEKOLAH DI PAUD BINA SEJAHTERA DAN TK PERTIWI 1 CILANGKAP: THE EFFECT OF HEALTH EDUCATION WITH AUDIO VISUAL METHODS ON KNOWLEDGE OF TOILET TRAINING IN MOTHERS WHO HAVE PRE-SCHOOL CHILDREN IN PAUD BINA SEJAHTERA AND TK PERTIWI 1 CILANGKAP Rizki Handayani; Noor Yunida Triana; Siti Haniyah
Borneo Nursing Journal (BNJ) Vol. 4 No. 1 (2022)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v4i1.42

Abstract

Pendahuluan: Survey Kesehatan Rumah Tangga (SKRT) nasional menyatakan jumlah anak pra sekolah beberapa masih sulit mengontrol BAB dan BAK mencapai 75 juta anak. Toilet training yaitu upaya yang dilakukan untuk melatih kemandirian anak mengontrol buang air besar dan buang air kecil. Orang tua sangat berperan penting dalam keberhasilan toilet training pada anak. Audio visual digunakan sebagai sumber informasi yang lebih mudah diterima sasaran.Metode: Jenis penelitian menggunakan quasy-eksperimental dengan desain two group pretest-posttest with control group design. Teknik sampling simple random sampling, Jumlah sample 42 orang, besar sampel dihitung menggunakan rumus besar sampel analitik kategorik berpasangan, jumlah kelompok eksperimen 21 orang dan kelompok kontrol 21 orang. Alat ukur menggunakan kuesioner. Analisisbivariate Paired sampel t-test dan independent sampel t-test.Hasil: Terjadi perbedaan pengetahuani toilet training setelahi diberikan perlakuan pada hasil kelompok eksperimeni yaitu p value 0,000, pada kelompok kontrol didapatkan p value 0,954Kesimpulan: Pendidikan kesehatan audio visual mempengaruhi pengetahuan toilet training kepada Ibu yang memiliki anak Pra sekolah di PAUDi Bina Sejahtera dan TK Pertiwi 1 Cilangkap. Peneliti merekomendasikan pendidikan kesehatan audio visual lebih ditingkatkan untuk pengetahuan toilet training.
Co-Authors Adiratna Sekar Siwi Adita Silvia Fitriana Aditiya Puspanegara Adriani, Prasanti Agelina Nur Kholifah Agelina Nur Kholifah Agus Hari Sandika Agustin Prameswari, Dinda Alifah Mugi Rahayu Amalia, Aninda Novra Amin Susanto Ananda Riski Catur Pamungkas Anggis Mefrianingsih Anggraeni, Destiny Eka Aninda Novra Amalia Apriliyani, Ita Ardina, Catur Putri Areksah, Recy Arni Nur Rahmawati Arnika Dwi Asti Atun Raudatul Marifh Atun Raudatul Marifh Atun Raudatul Ma’rifah Atun Raudotul Ma'rifah Atun Raudotul Marifah Atun Raudotul Ma’rifah Aulia Ramadhani, Ananda Awaliyatun Istiqomah Ayuni, Qurrotul Bagus Wijayanto, Fitrianingditya Barus, Gabriel Christian Bimayanti, Lutfiana Eka Cahyaningrum, Etika Dewi Carwati Carwati Damayanti, Meliana - Dela Nataza Maharani Desiyani Nani Dewi, Kharisma Lala Dini Ristya Lestari Dwi Novitasari Eko Kurniawan, wasis Ellen, Rama Marlina Ema Wahyu Ningrum Ema Wahyuningrum Eni Latifah Farida Ismawati, Aida Fatimah Fauziyyah, Devita Listyani Feldi Paputungan Feti Kumala Dewi Firliana, Eka Mitra Yuli Ganes Indah Safitri Hapsari Ramelan, Vania Hari Sandika, Agus Heny Siswanti Hikmanti, Arlyana Husnul Nur Afiah Iis Setiawan Mangku Negara Ika Peni Kurniasari Ikhsan Saifudin Ikit Netra Wirakhmi Ikit Netra Wirakmi Imam Fauzan Arifin Imas Hartanti Indri Dwi Aristiani Indri Wijayanti Indria Sri Utari Indria Sri Utari Isabella Josephine Nurwina Istiqomah, Awaliyatun Ita Apriliyani Karlina, Nonok Karsiti Karsiti Ken Utari Ekowati Khoiriyah, Alfiyani Kurniawan, Eko Ully Kurniawan, Wasis Eko Lana One, Vinsensius Lestari, Dini Ristya Linda Yanti linda yanti Lisa Nur Kamallia Lutfia Ainna Shafa Lutfiyah Lutfiyah M. Alfarizi M. Alfarizi Ma'rifah, Atun Roudotul Made Suandika Mariah Ulfah Mariah Ulfah Mariyah Ulfah Maturan, Jessica Chressensia Maudwi Ehnis Swihasnika Maulidhia, Khoeronisa Mawarti, Mustika Ari Maya Ade Kusniarti Pasaribu Maya Safitri Ma’rifah, Atun Roudatul Meliana - Damayanti Melinda Agustin Melly Fransisca Putri Muhamad Fahmi Kurniadi Muhimatul Inayah Mulyani, Anisa Tri Murniati Murniati . Murniati Murniati Natikoh, Natikoh Ningrum, Ema Wahyu Nisa, Nur Khoerotun Nisfi Laeli Auliana Noor Yunida Triana Noor Yunida Triana Noor Yunida Triana Noor Yuninda Triana Nopiyanti, Eva Nova Rahmaya Handayani Novianasari, Eka Ns. Noor Yunida Triana Nur Baety Sa’diyah Nur Fitriana, Salma Nur Kholifah, Agelina Nur Oktariani NURUL HIDAYAH Pangesti Wahyu Diah Lestari Pangesti Wahyu Diah Lestari Pitriyani, Widia Pramesti Dewi Prasetyo Hari Prastu, Yanuar Pratami, Annisa Pratiwi, Riski Intan Pratiwi, Rizki Intan Prayogo, Ahmad Pujiati, Septiyani Nur Puput Ameylia Saputri Purbaningsih, Endah Sari Purwatiningsih Puspa Priyasti Putri, Vilda Ardya Qurrotul A'yuni Rahmaya Nova Handayani Raudatul, Atun Rian Septiantoro Rizki Handayani Rizki, Bayu Ahmad Nur Rofiqoh, Zulfa Rosi Kurnia Sugiharti Sa'adah, Anirotus Safagiana Ade Marlanti Sari, Ameliya Septi Setio Damayanti Septiyani Nur Pujiati Setiyawanto, Setiyawanto Setyawati, Martyarini Budi Shara Dhianing Gusti Siti Syah Sholati Sri Susanti Suci Khasanah Sugiyah Sugiyah Sukesih Sukesih, Sukesih Sumiarsih Sumiarsih, Sumiarsih Suryani Amelia Suryani, Roro Lintang Suryo Ediyono Susanto, Amin Sutarso Sutarso Syabilla Baharina Fauziyah Tin Utami Tin Utami Tin Utami Titin Rokhanah Tophan Heri Wibowo Tophan Heri Wibowo Tri Larasati, Hana Tri Sumarni Tri Sumarni Triana, Noor Yunida Trisula, Nabila Nasywa Nanda Tutur Setiawati Umu Hani Utari, Indria Sri Uun Octaviani Vania Sekar Saraswati Wahidah, Silvi Nuraeni Wahyu Dwi Saputro Wijayanti, Wili Indah Wilis Sukmaningtyas Windasari Dwi Yuliana Wirakhmi, Ikit Netra Wirkhami, Ikit Netra Wiwit Putrianingsih Wiwit Putrianingsih Zulfa Rofiqoh Zulfakhrizal Zulfakhrizal Zulfakhrizal, Zulfakhrizal