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PERBANDINGAN EFEK ANTARA IRRIGATION DAN SWABBING TERHADAP KOLONISASI BAKTERI PADA LUKA KAKI DIABETIK : CROSS OVER Musdalifah Musdalifah; Ilhamjaya Patellongi; Saldy Yusuf
Jurnal Kesehatan Karya Husada Vol 8 No 1 (2020): Jurnal Kesehatan Karya Husada Yogyakarta
Publisher : Jurnal Kesehatan Karya Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36577/jkkh.v8i1.370

Abstract

ABSTRAK Latar belakang : Manajemen luka kaki diabetik memiliki prinsip dan tujuan untuk membantu mempercepat terjadinya proses penutupan luka. Komponen penting dari manajemen luka kaki diabetik salah satunya yakni perawatan luka lokal, perawatan luka dilakukan untuk membantu mempercepat proses penyembuhan. Salah satu bagian dari perawatan luka kaki diabetik adalah pencucian luka. Tujuan dari penelitian ini adalah untuk mengetahui perbandingan efek tekhnik pencucian luka antara irrigation dan swabbing terhadap respon vaskularisasi dan kolonisasi bakteri pada luka kaki diabetik. Metode : Penelitian ini merupakan penelitian kuantitatif dengan experimental design, dengan rancangan cross over. Responden penelitian sebanyak 17 pasien luka kaki diabetik yang melakukan perawatan di rumah sakit dan klinik perawatan luka. Pencucian luka antara tekhnik irrigation dan swabbing dilakukan bergantian pada responden yang sama di waktu yang berbeda pada 17 responden. Kolonisasi bakteri dihitung dengan pemeriksaan kultur bakteri. Hasil : tidak terdapat perbedaan efek antara kedua tekhnik pencucian luka terhadap respon vaskularisasi dengan nilai p = 0.231, dan terdapat perbedaan efek antara kedua tekhnik pencucian luka terhadap kolonisasi bakteri dengan p = 0.001, dimana irrigation lebih efektif dalam menurunkan jumlah bakteri (p = 0.01 ; mean difference = -24.296.688). Kesimpulan : Tekhnik Irrigation lebih efektif dalam mereduksi bakteri dibandingkan tekhnik swabbing. Meskipun demikian, kedua tekhnik ini tetap dapat digunakan dalam pencucian luka kaki diabetik. Kata kunci : Irrigation, Swabbing, Kolonisasi Bakteri, Luka Kaki Diabetik ABSTRACT Background: Management of diabetic foot ulcer has principles and aims to help improve the wound resolution process. An important component of diabetic foot ulcer management is local wound care, wound care is carried out to help speed up the treatment process. One part of treatment for diabetic foot ulcer is wound cleansing. The purpose of this study was to study the effect of the wound washing effect between irrigation and swabbing on the response of vascularity and bacterial colonization in diabetic foot ulcer. Method: This research is a quantitative study with an experimental design, with a cross-over design. Research respondents were 17 diabetic foot ulcer patients who were treated in hospitals and wound care clinics. Wound cleansing between irrigation and swabbing were carried out alternately at the same respondent at different times to 17 respondents. The bacterial colonization count by examination of bacterial culture. Results: there was no difference in effect between the two cleansing technique on the vascularization response with a value of p = 0.231, and there were differences in the effect between the two wound cleansing techniques on bacterial colonization with p = 0.001, while irrigation was more effective in the number of bacteria (p = 0, 01; average difference = -24,296,688). Conclusion: Irrigation techniques are more effective in reducing bacteria than swabbing techniques. Nevertheless, both of these techniques can be used in washing diabetic foot wounds Key word : Irrigation, Swabbing, bacterial colonization, DFU
PELATIHAN PENCEGAHAN KEJADIAN LUKA KAKI PADA PASIEN DIABETES DI POLIKLINIK PENYAKIT DALAM RUMAH SAKIT UNIVERSITAS HASANUDDIN Elly Lilianty Sjattar; Saldy Yusuf; Yuliana Syam; Nurhaya Nurdin; Abdul Majid; Nur Ila; Zulfahmi
Panrita Abdi - Jurnal Pengabdian pada Masyarakat Vol. 8 No. 2 (2024): Jurnal Panrita Abdi - April 2024
Publisher : LP2M Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/pa.v8i2.31363

Abstract

Diabetes is one of the global health issues that can have severe consequences if left unmanaged. One of the long-term effects of untreated diabetes is the occurrence of diabetic foot ulcers that can lead to amputation. One effort to prevent diabetic foot ulcers in diabetic patients is by fulfilling their self-care needs through early detection education of the risk of diabetic foot ulcers. The purpose of this activity is to improve the knowledge of diabetic patients, thereby minimizing the risk of diabetic foot ulcers. The target of this community service is 53 diabetic patients and their families who visit the Internal Medicine Polyclinic at Hasanuddin University Hospital. The community service activities use presentation and Q&A methods, as well as demonstrations of each stage of physical activity training. The result of this activity is an increase in patient knowledge regarding the prevention of diabetic foot ulcers. Before the education, only 3 participants (5.7%) answered correctly, and there was an improvement at the end of the activity, with 12 participants (22.6%) answering correctly. The education on the prevention of the risk of diabetic foot ulcers went very smoothly, and diabetic patients and their families could learn ways to prevent complications, with the hope that they can apply this knowledge to their daily activities.   ||    Diabetes merupakan salah satu masalah kesehatan global yang memiliki dampak  buruk jika tidak tertangani. Salah satu efek jangka panjang dari diabetes yang tidak tertangani adalah terjadinya luka kaki yang berujung amputasi. Salah satu upaya untuk mencegah terjadinya luka kaki pada pasien diabetes adalah dengan pemenuhan kebutuhan self care melalui edukasi deteksi dini resiko terjadinya luka kaki diabetik. Tujuan kegiatan ini untuk meningkatkan pengetahuan pasien diabetes. Sehingga resiko terjadinya luka kaki diabetes dapat diminimalisir. Sasaran pengabdian ini adalah 53 orang pasien diabetes dan keluarganya yang berkunjung ke Poliklinik Penyakit Dalam RSP. Universitas Hasanuddin. Kegiatan pengabdian menggunakan metode presentasi dan tanya jawab, serta demontrasi tiap tahapan latihan aktifitas fisik. Hasil dalam kegiatan ini adalah adanya peningkatan pengetahuan pasien mengenai pencegahan kejadian luka kaki, dapat dilihat dari hasil analisis sebelum dilakukan penyuluhan hanya 3 orang peserta yang menjawab benar (5,7%) dan terjadi peningkatan diakhir kegiatan dengan menjawab benar sebanyak 12 orang (22,6%) menjawab dengan benar. Kegiatan penyuluhan tentang pencegahan resiko terjadinya luka kaki diabetes berjalan dengan sangat lancar, pasien diabetes dan keluarganya dapat mengetahui cara-cara pencegahan terjadinya komplikasi dan diharapkan dapat menerapkan pengetahuannya ke dalam aktifitas kesehariannya.
PENGEMBANGAN DAN UJI REABILITAS SKALA BRADEN BERBASIS ANDROID DALAM MEMPREDIKSI KEJADIAN PRESSURE INJURY PADA STROKE Nurhidayah, Irfanita; Syam, Yuliana; Yusuf, Saldy
E-Jurnal Medika Udayana Vol 13 No 5 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i05.P06

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Pressure Injury dapat menyebabkan komplikasi bagi individu dirawat di rumah sakit, memperpanjang pengobatan dan rehabilitasi, mengurangi kualitas hidup, menyebabkan rasa sakit dan meningkatkan angka kematian. Berdasarkan hal tersebut sangat penting untuk mengunakan suatu skala dalam menilai risiko Pressure Injury dan menentukan risiko kerusakan integritas kulit dan intervensi pencegahan yang sesuai. Salah satu instrument yang umum digunakan adalah Skala Braden. Salah satu alat yang sudah diuji validitas dan reliabilitasnya adalah skala Braden, namun di Indonesia belum diimplementaikan pada smartphone. Tujuan dari penelitian ini adalah mengembangkan skala Braden berbasis android dan melakukan uji validitas skala Braden berbasis android dalam memprediksi kejadian Pressure Injury pada pasien stroke. Penelitian ini menggunakan metode kuantitatif dengan pendekatan cohort Prospektif. Tehnik sampling yang digunakan dalam penelitian ini adalah dengan menggunakan cara non probability sampling jenis Consecutive Sampling. Sampel penelitian berjumlah 42 orang responden untuk uji validitas dan 6 responden untuk uji reabilitas antara obeserver dengan expert. Pada penelitian menggunakan pendekatan Test-Retest dengan uji korelasi spearman. Dari hasil penelitian didapatkan nilai p< 0.001 yang menunjukkan bahwa korelasi antara skor skala braden android pada hari perawatan ke- 2 dan skor skala braden android pada hari perawatan ke – 3 bermakna. Nilai korelasi Spearman sebesar 0.901 menunjukkan korelasi positif dengan kekuatan korelasi yang kuat. Hasil penelitian dengan menggunakan pendekatan Intra Rater reliability dengani analisis Intraclass Correlation Coeffient (ICC) antara observer dan expert untuk skala braden paper 0.94 (95%CI; 0.895 – 0.976) dan untuk skala braden berbasis android adalah 0.94 (95% CI 0.895 – 0.976). Skala braden berbasis aplikasi android reliabel dalam memprediksi risiko pressure injury pada pasien stroke. Dari Uji Analisis Intraclass Correlation Coeffient (ICC) tersebut dapat disimpulkan tidak ada perbedaan persepsi antara observer dengan expert mengenai skala braden paper dan skala braden berbasis android.
GAMBARAN PENGGUNAAN BALUTAN LUKA KRONIS BERDASARKAN KARAKTERISTIK LUKA Hidayat, Taufiq; Yusuf, Saldy; Nur Isnah, Wa Ode
Journal of Islamic Nursing Vol 8 No 2 (2023): Journal of Islamic Nursing
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/join.v8i2.41899

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Currently, wound dressings consist of many types and have different functions. However, the many types of dressings available make it challenging to select the dressing used for wounds (Mustamu et al., 2020). This study aims to determine the description of the use of chronic wound dressings based on wound characteristics. This research design uses a quantitative research design with a retrospective approach. The instrument used in this research was the DMIST observation sheet. The primary dressing used most often at the beginning of wound care is wound half: The first primary dressing in 19 cases (26.0%) and the second primary dressing in 44 cases (60.3%). Meanwhile, the secondary dressing most often used at the beginning of the visit was gauze, as the first secondary dressing in 27 cases (37.0%) and the second secondary dressing in 42 cases (57.5%). Meanwhile, at the end of the treatment process, the first primary dressing was dominated by half of the wounds in 30 cases (41.1%) and the second primary dressing in 28 cases (38.4%). Meanwhile, the most frequently used secondary dressing was gauze in 18 cases (24.7%). In conclusion, the primary dressing widely used in wound care is wound zalf. The secondary dressing is dominated by gauze. Keywords: Wound Dressing, Wound Care, Wound Characteristics, Chronic Wound
PENGGUNAAN CHLORHEXIDINE UNTUK PEMASANGAN DAN PERAWATAN KATETER URIN DALAM MENCEGAH CAUTI: A SCOPING REVIEW Rajab, M Alfian; Tahir, Takdir; Yusuf, Saldy; Risnah, Risnah
Jurnal Kesehatan Vol 16 No 2 (2023): : JURNAL KESEHATAN
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/kesehatan.v16i2.28272

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Prevention of catheter-associated urinary tract infections (CAUTI) can be done with simple initiatives such as catheter insertion and care can contribute to preventing infection, chlorhexidine is one of the commonly used antiseptic agents due to its cationic molecular nature with various antimicrobial activities, however, until now the choice of the concentration of the use of chlorhexidine is still a polemic in its use. Therefore, the aim of this review is to evaluate the use of chlorhexidine before urinary catheter insertion and treatment in preventing CAUTI. Manual reference searches were carried out using the scoping review method, through the PubMED, DOAJ, Science direct, EBSCO, ProQuest, Garuda, and Gray Literature databases (google scholar). The study was included based on PCC criteria (Population: patients with urinary catheters, Concept: Chlorhexidine use, Context: urinary catheter insertion and care), published from 2011-2021. A total of 171 studies were screened, the remaining eleven articles that met the inclusion criteria and were included in this review. Based on the results of the study found the use of Chlorhexidine with various concentrations, namely 0.05%, 0.1%, 0.5%, 0.9%, 2%, and 4% with various intervention uses, namely, SRV (sustained-release varnishes), periurethral cleaning before catheterization , cleaning urine bag, and bathing Chlorhexidine. The application of the use of chlorhexidine with a concentration of 0.5% - 4% is one of the strategies to prevent CAUTI at the time of insertion and treatment of urinary catheters, especially in the intensive care room.
EFEKTIVITAS PENGGUNAAN ALAS KAKI TERAPI UNTUK MENCEGAH LUKA KAKI DIABETIK PADA PASIEN DIABETES MELLITUS: A SYSTEMATIK REVIEW Hasni; Sjattar, Elly Lilianty; Yusuf, Saldy
Jurnal Kesehatan Vol 17 No 1 (2024): JURNAL KESEHATAN
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/kesehatan.v17i1.30162

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Salah satu komplikasi yang paling sering terjadi pada pasien Diabetes Mellitus (DM) adalah luka kaki diabetik (LKD) Yang prevalensinya terus mengalami peningkatan setiap tahunnya yang dapat menimbulkan amputasi hingga kematian. LKD dapat diatasi dengan menggunakan alas kaki terapi yang dapat menurunkan tekanan puncak plantar, mengurangi sakit pada kaki dan mencegah terjadinya LKD. Tujuan penelitian ini untuk mengetahui keefektifan alas kaki terapi sebagai upaya untuk mencegah luka kaki diabetik pada pasien DM. Metode penelitian ini menggunakan tinjauan sistematik dengan menggunakan penelusuran hasil-hasil publikasi ilmiah, yang dipublikasikan antara tahun 2016 sampai 2021 melalui database dan website pencarian PubMed, Science Direct, Cochrane Library, Wiley online library, dan DOAJ, kemudian mengikuti pedoman PRISMA serta pertanyaan penelitian menggunakan PICO. Hasil penelitian ini menunjukkan jika 11 artikel yang memenuhi syarat terdapat delapan artikel yang cross Sectional Study, satu artikel prospective study, satu artikel case study, dan 1 artikel cohort study. Enam artikel menyatakan jika alas kaki memberikan efek untuk mencegah LKD yaitu jika menggunakan alas kaki terapi secara teratur dengan model alas kaki terapi perpaduan antara insole yang lunak dan outsole serta midsole keras dan tali yang bisa diatur posisinya merupakan desain untuk mengurangi tekanan pada kaki pasien DM dan waktu penggunaannya pagi,siang dan malam baik itu di dalam maupun di luar ruangan. Lima artikel mengenai kepatuhan pasien dalam menggunakan alas kaki terapi yang dipengaruhi oleh faktor iklim, ekonomi, tingkat pendidikan dan pendidikan perawatan kaki yang kurang. Kesimpulan dari penelitian ini menunjukkan jika alas kaki terapi mampu mencegah LKD dan alas kaki terapi dapat direkomendasikan pada pasien DM baik yang ada klinik maupun di komunitas.
Penggunaan Madu Topikal Efektif terhadap Penyembuhan Luka Kronis Etty Etty; Yuliana Syam; Saldy Yusuf
Jurnal Keperawatan Silampari Vol 4 No 2 (2021): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (282.771 KB) | DOI: 10.31539/jks.v4i2.1936

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The aim of this study was to determine the effectiveness of topical honey in chronic wound healing. This research method uses a literature review method using five databases in search of articles, namely Pubmed, ProQuest, Science Direct, Wiley Online Library, and Google Scholar. The results of the literature review are from six research articles analyzed, five research articles showed that honey was effective against chronic wound healing compared to normal saline, povidone iodine and other therapies (p value <0.05), but one article was not statistically significant. In conclusion, the use of honey as a topical therapy which is effective in treating chronic wounds is due to the nutritional content or properties of honey. Keywords: Chronic Wounds, Honey, Wound Healing, Ulcers
Does Chemotherapy Induce Autolytic Debridement in Cancer Wounds?: A Case Study Anam, Khoirul; Yusuf, Saldy
Basic and Applied Nursing Research Journal Vol 5 No 2 (2024): Basic and Applied Nursing Research Journal (BANRJ)
Publisher : Future Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/banrj.05.02.06

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Cancer wounds are complex wounds with various challenges, and one of essential interventions used is chemotherapy. However, the clin-ical effects of chemotherapy on the status of cancer wounds have not been extensively reviewed, raising the question of whether it has bene-ficial or detrimental effects. The study wanted to identify whether chemotherapy can induce autolytic debridement. A prospective case study involved a patient who underwent four treatment sessions in a regional hospital in eastern Indonesia. Wound assessment was per-formed using the Bates-Jensen Wound Assessment Tool (BWAT). In the first wound treatment, the BWAT score was 38; by the fourth treat-ment, the score increased to 45, suggesting a worsening of the wound status. However, this anomaly is positive for the wound status, as au-tolysis occurred in the slough and necrotic tissue resulting from the chemotherapy.This case study illustrates the positive effect of chemo-therapy on necrotic and slough tissue by inducing autolytic debride-ment.
Nurses' Knowledge about Diabetes Foot Ulcer Prevention and Treatment: An Integrative Review Hasdi, Hasdi; Syahrul, Syahrul; Yusuf, Saldy
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 7 No. 1 (2022): Volume 7 No. 1 Agustus 2022
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v7i1.20769

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Introduction: Diabetic Foot Ulcer (DFU) is a complication often experienced by patients with Diabetes Mellitus (DM). Evidence-based prevention and treatment in DM patients who are at risk of DFU can reduce the global economic burden. Nurses' knowledge plays an important role in screening, prevention, and proper treatment of DFU. This review identifies evidence of nurses' knowledge about the prevention and treatment of DFU and identify factors related to nurses' knowledge. Method: The study applied an integrative review design. The relevant literature were searched from PubMed, CINAHL (EBSCO), Wiley Online Library, ScienceDirect, and ProQuest. The inclusion criteria was articles published in English, peer-reviewed articles, and journals between January 2016 and May 2021, by using keywords; “nurs*”, “diabetic foot*” “knowledge”, "awareness" and "perception". Result: There are 10 articles met the inclusion criteria and eligible to review. Nurses have low knowledge about diabetic foot care and also have limited knowledge about the characteristics and complications of DFU. Factors related to nurses' knowledge about DFU prevention and treatment; training, educational qualifications, work experience, educational institutions, and age. Conclusion: This review revealed that nurses experienced a significant knowledge deficit in several aspects regarding the prevention and treatment of DFU. So that new effective education and training must be developed to address the knowledge gap, one of which is the online training method utilizing telenursing-based electronic learning (e-learning).
The Imperative of Upholding Academic Integrity in the Face of Artificial Intelligence Challenges Yusuf, Saldy
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 8 No. 2 (2024): Volume 8 No. 2 Februari 2024
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v8i2.33198

Abstract

Effective scholarly communication, whether oral or written, is inherently challenging. Scientific discourse relies on objective facts rather than subjective opinions. Hence, it necessitates grounding in evidence derived from research, ensuring the arguments presented are objective and supported by factual findings. Generating scholarly information, even in a single sentence, is a laborious process, demanding considerable time, financial resources, and substantial energy. In some instances, continuous or multi-year research is imperative. Nevertheless, technological advancements have revolutionized this landscape. Writing can now be expedited through the use of available artificial intelligence (AI) technologies, ranging from free versions to premium services. For example, Jenni AI functions akin to a "magical assistant," generating text on requested topics. ELICIT AI excels in grid synthesis, ResearchPal automates literature reviews, and others provide various functionalities. This poses a temptation to researchers, making AI a double-edged sword in the realm of publication integrity.
Co-Authors Abdul Gaffar Abdul Majid Abdul Majid Abdul Majid Ade Irma Rahayu, Ade Irma Adhisty, Weny Anggraini Afelya, Titi Iswanti Amrullah, Fitria Andi Hastuti Andi Minhajuddin Andriana Arfah Anita Rosman Arafah, Masniati Arifuddin, Fitrawati Aswar Musakkir Awal Darmawan Baharia Laitung, Baharia Bambi, Adi Angriawan Burhanuddin Bahar Cahyono Kaelan, Cahyono Deliaty Bagenda Dirga Dijaya Mulyadi Elisa Sinaga Elly L. Sjattar Elly L. Sjattar Elly Lilianty Sjattar Elly Lilianty Sjattar Elly Lilianty Sjattar Erfina Erfina Etri Selpawani Etty Etty Eva Arna Abrar Fachry Abda El Rahman Fitria Amrullah Hade, Nurwahidah Hade, Nurwahidah Halbina Famung Halmar Harbaeni, Harbaeni Hasdi, Hasdi Hasni Hasniati, Hasniati Hasriyani Hasriyani, Hasriyani Herman Priyono Luawo Huddu, Risma I Gusti Ngurah Antaryama Ilhamjaya Patellongi Indiriadi Indiriadi Irfanita Nurhidayah Irna Satriani Irwan Irwan Irwan, Andi Masyitha Jannah, Uyunul Jasmin, Muh juhelnita bubun Juhelnita Juhelnita Kadek Ayu Erika Kadek Erika Kaelan, Cahyono Kasma Yuliani KHOIRUL ANAM Kiki Rizky Aulina Kusrini Kadar Kusrini S. Kadar Liza Fauzia Lya Fitriyani M. Alfian Rajab Makbul Aman, Makbul Makkaraka, Nurhidayah Makkaraka, Nurhidayah Malasari, Silvia Maryunis Maryunis Maryunis Maryunis Masriadi, Masriadi Megawati Syam Minhajuddin, Andi Minhajuddin, Andi Moh Gifari S Moh. Syafar Sangkala Muh Hatta Muh. Syahrul Muhammad Darwis Muhrawi Yunding Muhtar, Trini Andini Muhtar, Trini Andini Mulyati Mulyati Musdalifah Musdalipa Kendeng Musfirah Ahmad Nur Febrianti Nur Ila Nur Isnah, Wa Ode Nurbaya Nurbaya Nurfiah, Nurfiah Nurhaya Nurdin Nurul Hidayah Nurwahidah Nurwahidah Nurwahidah Nurwahidah Paridah Paridah R, Risnawati R, Risnawati Rasnah, Rasnah Rasyid, Nur Awaliah Rice Mandowa Rini Angriani Rini Rachmawaty Risnah, Risnah Risnawati R Risnawati R Risnawati R Risnawati R Rosman, Anita Rosyidah Arafat Rosyidah Arafat, Rosyidah S, Moh Gifari Sabir, Nurfadillah Saleh, Ariyanti Sari, Mutmainnah Sari, Mutmainnah Sarina Musdiaman Sarina Sukri Sarnida Sarnida Selvia, Heni Silvia Malasari Sintawati Majid Siska Misali Sitti Nurhadijah Sitti Salmawati Sjattar, Elly L St Syahriyani Subu, Muhammad Arsyad Suhirman Suhirman Sukmawati Sukmawati Sulaeha Sulaeha Syahriyani, St Syahrul Syahrul Syahrul Syahrul Syahrul Syahrul Syahrul Syahrul Syaiful Rassa, Syaiful Syakib Bakri Syam, Yuliana Syam, Yuliana Syam, Yuliana Syam, Yuliana Takdir Tahir Tarigan, Sumiati Tarigan, Sumiati Ul Husna, Annisa Dirani Usman, Suharno Uyunul Jannah Wahyu Hidayat Wahyu Hidayat Wahyuna Sahmar Wawan Karniawan Yasin, Nian Yuliana Syam Yuliana Syam Zulfahmi