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Stroke-Associated Pneumonia: Risk Factors and Discharge Status Septianingrum, Yurike; Sari, Ratna Yunita; Martining Wardani, Erika; Ainiyah, Nur; Faizah, Imamatul; Yusuf, Ah.; Yuni Widyawati, Ika
Nurse Media Journal of Nursing Vol 14, No 3 (2024): (December 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i3.56841

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Background: Stroke-associated Pneumonia (SAP) is one of the complications that occur in stroke patients and is associated with worse clinical outcomes. Risk factors for SAP and its impact on discharge status remain unclear.Purpose: This study aimed to determine the factors influencing the incidence of stroke-related pneumonia in the hospital and the patient’s discharge status.Methods: A case-control study was conducted at a private hospital in Surabaya from January 2021 to 2022. Medical record data were reviewed to identify stroke patients with suspected or confirmed pneumonia, after which risk factors (age, gender, stroke type, length of stay, stroke frequency, dysphagia, diabetes mellitus, hypertension, COVID-19, and discharge status) associated with the occurrence of SAP were examined. We excluded diagnoses of diseases with clinical manifestations such as tuberculosis-like pneumonia, lung tumor, pulmonary edema, pulmonary embolism, pulmonary atelectasis, and incomplete or missing medical record data. Data analysis used the Chi-square test to identify the risk factors for stroke-associated pneumonia.Results: One hundred sixty-three stroke patients treated in all inpatient rooms were diagnosed with pneumonia; 52.8% of them had confirmed pneumonia, while the rest were still suspected of pneumonia. Most pneumonia occurs in ischemic stroke patients (93.9%), first-time stroke patients (87.1%), experienced dysphagia (55.2%), length of stay less than 7 days (55.2%), hypertension (55.2%), diabetes mellitus (57.1%), and discharged home (84%). We also found as much as 12.9% inpatient mortality due to SAP. Dysphagia, DM, and COVID-19 were significantly correlated with the incidence of stroke-associated pneumonia (p=0.000).Conclusion: Stroke-associated pneumonia is a substantial medical complication among stroke patients affected by dysphagia, DM, and COVID-19. Screening for dysphagia is necessary for nurses to prevent SAP in stroke patients.
OPTIMIZING FAMILY EMPOWERMENT IN IMPROVING KNOWLEDGE AND BEHAVIOR AS PREVENTION OF RECURRENT STROKE Septianingrum, Yurike; Sari, Ratna Yunita; Hatmanti, Nety Mawarda; Wijayanti, Lono; Imamatul, Faizah; Yuniati, Dyah
Journal of Indonesian Public Health Service Vol. 2 No. 1 (2025): Volume 2, Issue 1, May 2025
Publisher : Library Unit collaborates with the Institute for Research and Community Service, College of Health Sciences Husada Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/jiphs.v2i1.55

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Family as an informal caregiver has a very important role in the care of stroke patients. Families do not have sufficient knowledge and skills in caring for stroke patients because they are not trained. Families actively involved in care will feel more prepared to face new responsibilities in caring for stroke patients. This community service activity aims to improve knowledge and behavior to prevent recurrent stroke. The method used in this community service activity is a participatory education approach, including educational methods using the stroke self-management education module. This activity was conducted in May 2024 at RW 07, Banyu Urip Village, Surabaya. It was attended by 20 families of stroke patients. Evaluation of knowledge using the recurrent stroke prevention knowledge questionnaire and behavior using the stroke patient care behavior questionnaire. The community service results showed that family caregivers' knowledge and behavior increased after the family empowerment program. Family empowerment can improve knowledge and behavior in family caregivers of stroke patients in preventing recurrent stroke. Family empowerment programs can be provided periodically by community nurses to improve the ability of family caregivers to improve the quality of life of stroke patients.
Hubungan Kepatuhan Minum Obat dengan Tingkat Resiko Stroke pada Pasien Hipertensi Sari, Ratna Yunita; Hasina, Siti Nur; Faizah, Imamatul; Rohmawat, Riska; Putri, Rahmadaniar Aditya
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 15 No 3 (2025): Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal: Juli 2025
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v15i3.3779

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Hipertensi merupakan salah satu factor risiko utama terjadinya stroke, kepatuhan pasien dalam mengkonsumsi obat antihipertensi sangat berperan penting dalam mengendalikan tekanan darah dan mencegah komplikasi. Penelitian ini bertujuan untuk menganalisis hubungan kepatuhan minum obat dengan tingkat resiko stroke pada pasien hipertensi. Jenis penelitian ini menggunakan analitik observasional dengan pendekatan cross sectional dengan jumlah populasi dalam penelitian yaitu 135 orang dan sampel sebanyak 101 responden dengan teknik simple random sampling. Variabel independen yaitu kepatuhan minum obat dan variabel dependen yaitu tingkat resiko stroke. Pengumpulan data menggunakan kuesioner Morified Morisky Adherence Scales-8 (MMAS-8) dengan nilai Cronbach alpha 0,824 dan Stroke Risk Scorecard yang telah dimodifikasi dengan nilai Cronbach alpha 0,730 dan dianalisis menggunakan uji Rank Spearmens dengan kemaknaan α < 0.05. Hasil penelitian menunjukkan bahwa dari 101 responden sebagian besar (58,4%) memiliki kepatuhan minum obat yang rendah dan hampir setengah (42,6%) memiliki tingkat resiko stroke sedang. Hasil uji Rank Spearmen ρ = 0.000 yang berarti ρ < α, yang berarti ada hubungan kepatuhan minum obat dengan tingkat resiko stroke pada pasien hipertensi. Pasien yang tidak patuh minum obat memiliki risiko lebih tinggi mengalami stroke dibandingkan pasien yang patuh.
Association Between Family Support and Breastfeeding Success in a Neonatal Care Unit: A Study at Islam Hospital Surabaya Jemursari Purwandira, Lina; Nurjanah, Siti; Hidaayah, Nur; Sari, Ratna Yunita
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 3 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i3.602

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Background: Successful breastfeeding is influenced by various factors, one of which is family support. Support from a husband, mother, or other close family members plays a crucial role in building a mother’s confidence and commitment to exclusive breastfeeding. Lack of emotional, informational, or instrumental support may lead to early weaning or the use of formula milk.Objective: This study aimed to analyze the relationship between family support and the success of breastfeeding in the neonatal room of Islam Hospital Surabaya Jemursari.Methods: A cross-sectional design was employed involving 48 postpartum mothers whose neonates were admitted to the neonatal room. Participants were selected using simple random sampling. The independent variable was family support, and the dependent variable was the success of breastfeeding. Data were collected using a validated structured questionnaire assessing the level of family support and breastfeeding outcomes. Statistical analysis was conducted using the Spearman rho correlation test with a significance level of α = 0.05.|Results: Among the 27 respondents who reported successful breastfeeding, the majority received sufficient family support, while a smaller proportion reported low support. Interestingly, among 21 respondents who also reported breastfeeding success, nearly half received less family support. The Spearman rho test yielded a p-value of 0.211, indicating no statistically significant relationship between family support and breastfeeding success (p > 0.05).Conclusion: This study found no significant relationship between family support and breastfeeding success in the neonatal unit. Further research with larger sample sizes and more detailed measurement tools is recommended to explore this relationship further.
Pelatihan Penderita Diabetes Mellitus Tetap Sehat dengan Resistance Exercise di Tengah Pandemi Covid-19 Sari, Ratna Yunita; Muhith, Abdul; Rohmawati, Riska; Faizah, Imamatul; Shanty, Lea Maera
Aksiologiya: Jurnal Pengabdian Kepada Masyarakat Vol 7 No 1 (2023): Februari
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/aks.v7i1.9996

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Kebijakan  pelaksanaan pemberlakuan pembatasan kegiatan masyarakat (PPKM) selama pandemi Covid-19 guna meminimalisir angka kejadian Covid-19  menyebabkan semua kegiatan mayarakat sangat dibatasi. Hal ini membuat rendahnya aktivitas dan berolahraga sehingga mempengaruhi kesehatan terutama bagi orang penderita diabetes mellitus yang termasuk faktor komorbid jika terinfeksi virus  Covid-19. Menjaga kesehatan penderita diabetes mellitus sangat dianjurkan selama pandemic Covid-19 dengan berolahraga ringan yang membantu meningkatkan imunitas didalam tubuh, memperlancara sirkulasi darah dan mencegah terjadinya neuropati diabetikum. Kegiatan pengabdian ini memiliki tujuan untuk meningkatkan pemahaman dan melatih tentang pentingnya olahraga dirumah guna menjaga statsus kesehatannya selama pandemic Covid-19 dengan resistance exercise. Kegiatan pengabdian masyarakat dilaksanakan di lingkup wilayah posyandu Sapta Lestari RW 07 Kelurahan Sidotopo Wetan Kota Surabaya. Metode pelaksanaan kegiatan mengggunakan pendekatan partisipatif dengan cara ceramah, diskusi, curah pendapat serta demonstrasi langsung untuk meningkatkan pengetahuan penderita diabetes mellitus tentang latihan resistance exercise. Analisis yang digunakan untuk mengamati serta mengevaluasi tingkat pengetahuan menggunakan kuesioner pretest dan posttest. Hasil evaluasi didapatkan peningkatan pengetahuan masyarakat penderita diabetes mellitus sebesar 46,84% dari hasil pretest dan posttest yaitu 56,77% menjadi 100%. Kesimpulan dari hasil kegiatan pengetahuan masyarakat penderita diabetes mellitus meningkat tentang resistance exercise yang dapat dilaksanakan secara mandiri diruma yang berguna untuk menjaga kesehatan selama pandemic covid-19.
Family Life Experiences in Caring for Children with Leukemia: A Literature Review Siti Nurjanah; Yurike Septianingrum; Ratna Yunita Sari
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No S2 (2022): Suplement 2
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (880.067 KB) | DOI: 10.30604/jika.v7iS2.1439

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Acute Lymphoblastic Leukemia (ALL) is the most common childhood cancer, and ALL is the leading cause of death in children. Chronic diseases, one of which is cancer suffered by children, can provide varied responses to families. Caring for children with cancer requires a very long and complex process, so it requires good coordination between children, parents, families and the health team. The purpose of this literature review is to obtain in-depth information on the experiences of parents in caring for children with cancer. The method of writing this article is a literature review of 40 articles with the year 2019-2021 published from an electronic database, namely CINAHL, Web of Science, SAGE and Proquest. The method of searching and selecting articles used The Center for Review and Dissemination and the Joanna Briggs Institute Guideline and PRISMA diagram. Checklist with selection criteria using the PICOS approach. The results of a literature review show that while caring for children with cancer, parents experience stress, anxiety about losing a child, uncertainty in child treatment, difficulties in caring for children and family responsibilities. Support in the form of psychosocial, material, and social support is needed for the family. The declining health condition of children is the biggest obstacle for parents, material needs are needed to support the care of children suffering from cancer, and there is hope from parents for their child's recovery. Abstrak: Leukemia Limfoblastik Akut (LLA) adalah kanker anak yang paling umum, dan LLA adalah penyebab utama kematian pada anak-anak. Penyakit kronis salah satunya kanker yang diderita anak dapat memberikan respon yang bervariasi pada keluarga. Merawat anak penderita kanker membutuhkan proses yang sangat panjang dan kompleks, sehingga membutuhkan koordinasi yang baik antara anak, orang tua, keluarga dan tim kesehatan. Tujuan dari literature review ini adalah untuk mendapatkan informasi yang mendalam tentang pengalaman orang tua dalam merawat anak penderita kanker. Metode penulisan artikel ini adalah literature review sebanyak 40 artikel dengan tahun 2019-2021 yang diterbitkan dari database elektronik yaitu CINAHL, Web of Science, SAGE dan Proquest. Metode pencarian dan pemilihan artikel menggunakan The Center for Review and Dissemination dan Joanna Briggs Institute Guideline dan diagram PRISMA. Checklist dengan kriteria seleksi menggunakan pendekatan PICOS. Hasil studi pustaka menunjukkan bahwa selama mengasuh anak penderita kanker, orang tua mengalami stres, kecemasan kehilangan anak, ketidakpastian dalam perawatan anak, kesulitan dalam mengasuh anak dan tanggung jawab keluarga. Dukungan berupa psikososial, materil, dan sosial. dukungan diperlukan untuk keluarga. Kondisi kesehatan anak yang menurun menjadi kendala terbesar bagi orang tua, kebutuhan materi yang diperlukan untuk mendukung perawatan anak penderita kanker, dan ada harapan dari orang tua untuk kesembuhan anaknya. 
The Effect of Acceptance and Commitment Therapy on Self-Efficacy Santri Faizah, Imamatul; Hasina, Siti Nur; Sari, Ratna Yunita; Rohmawati, Riska; Putri, Rahmadaniar Aditya
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3238

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Low Self-Efficacy is a problem for every new santri who lives in Islamic boarding schools. Acceptance and commitment therapy (ACT) is an empirical therapy that aims to increase psychological flexibility as a basis for handling self-acceptance, self-awareness and self-efficacy in psychotherapy. Objective: The aim of this study was to analyze the effect of acceptance and commitment therapy on self-efficacy of new santri. Methods: This study was designed as a quasi-experimental with a pre-test and post-test control group or a non-equivalent control group. The sampling technique in this study was purposive sampling with 22 treatment group respondents and 22 control group respondents. The variables are acceptance and commitment therapy as independent variables and self-efficacy as dependent variable. This study used the General Self-Efficacy Scale (GSES) instrument which has been adapted to Indonesian. The statistical test used t-test with α ≤ 0.05. Results: The treatment group showed a difference in the average value of self-efficacy between before and after participating in acceptance and commitment therapy as the results of paired sample t test obtained a value of p = 0.000 in treatment group and p = 0.197 in control group. Conclusion: Acceptance and commitment therapy has an effect on self-efficacy of new santri at Islamic Boarding School of Daruttaqwa Gresik. ACT can be used as an alternative of nursing interventions especially in islamic boarding schools.
Efektivitas Senam Bugar Tehadap Insomnia Pada Lansia di Kelurahan Tambak Sawah Sidoarjo Rohmawati, Riska; Sari, Ratna Yunita; Faizah, Imamatul; Soleha, Umdatus
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 15 No 1 (2020): March Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v15i1.86

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As we get older, the need for sleep in most elderly people tends to decrease. The purpose of the study is to analyze the effect of yoga exercises on insomnia in the elderly in the Sidoarjo Add Sawah Village. This type of research uses a pre-experimental design with one group pretest - posttest design, using a sampling technique that is a total sampling of 30 respondents. 15 groups and 15 intervention groups. Giving fit exercise is done three times a week, in the morning. Data was collected using insomnia rating scale questionnaire before it was done and after the intervention. Then the data were analyzed by Willcoxon and Mann Whitney tests. The results showed that fit exercise was significant in insomnia levels. The results of the test analysis obtained p count of 0.002 in the intervention group and 0.317 in the control group. This means that fit exercise three times a week can reduce insomnia levels in the elderly in the village of Tambak Sawah Sidoarjo. The conclusion of the research shows that fit exercise can reduce insomnia level, for that reason, it should be better in Tambak Sawah village in Sidoarjo to do fitness fit so that the elderly do not experience insomnia.Keywords: Insomnia, Exercise Fitness, Elderly
Pengaruh Pre-Operative Teaching Islami Terhadap Tingkat Cemas Pasien Pre-Operasi TUR-P di RSI Jemursari Surabaya Sari, Ratna Yunita; Rohmawati, Riska; Faizah, Imamatul; Heris, Wesiana
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 15 No 1 (2020): March Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v15i1.87

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Transurethral Resection of the Prostate (TURP) is a surgical procedure to treat benign prostate hyperplasia. The planned surgical procedure will make the patient feel anxious. The purpose of this study was to determine the effect of Islamic-based preoperative teaching on the anxiety level of TUR-P preoperative patients in the Azzara 2 hospital room. Islam Jemursari Surabaya. Quasi-experimental research design with a pre and post-test control group design approach. The sample size used 24 residential respondents, which were then divided into 12 respondents in the intervention group and 12 respondents in the control group. The procedure is performed when the patient is hospitalized until near the operation. Data collection was carried out by measuring the level of anxiety before and after the Islamic-based preoperative teaching. Data were then analyzed using the Willcoxon and Mann Whitney tests. The results showed that Islamic-based preoperative teaching affected reducing anxiety levels in pre-operative patients. TUR-P analysis of the Mann-Whitney test showed a p-value of 0.002. The conclusions of the study show that Islamic-based preoperative teaching can reduce patient anxiety levels, nurses should be able to apply Islamic-based preoperative teaching to overcome anxiety experienced by patients before surgery.Keywords: TUR-P, Islami Preoperative Teaching, Anxiety
Aktivasi Kader Surabaya Hebat melalui Stroke Self-Management Program pada Penderita Stroke Faizah, Imamatul; Kartini, Yanis; Sari, Ratna Yunita; Rohmawati, Riska; Hasina, Siti Nur; Septianingrum, Yurike; Aulia, Nurlisa Naila
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 9 (2024): Volume 7 No 9 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i9.16051

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ABSTRAK Penderita post stroke perlu mendapatkan pendidikan kesehatan secara menyeluruh dan memerlukan jangka waktu yang panjang dalam mengelola dirinya untuk mencegah kejadian stroke berulang. Pelaksanaan kegiatan pengabdian pada masyarakat ini bertujuan untuk mengaktivasi Kader Surabaya Hebat dalam pemberian edukasi Stroke Self-Management Program sebagai upaya peningkatan kemandirian dan kemaknaan hidup penderita post stroke. Metode yang digunakan dalam kegiatan pengabdian masyarakat ini adalah dengan memberikan penyuluhan kesehatan dan memberikan penyuluhan stroke self-management program, beserta pelatihan stroke self-management program. Kegiatan ini dilaksanakan selama satu bulan dan diikuti oleh 24 kader dan masyarakat. Sebelum dilakukan pelatihan tentang Self-Management program, hampir seluruhnya (75%) responden memiliki pengetahuan dan keterampilan kurang dan setelah dilakukan pelatihan didaptkan hampir seluruhnya (83%) memiliki pengetahuan dan keterampilan baik. Aktivasi kader Surabaya sehat melalui stroke self-management program dan peningkatan pengetahuan kader serta masyarakat. Kata Kunci: Kader, Stroke Self-Management Program, Penderita Stroke  ABSTRACT Post-stroke sufferers need to receive comprehensive health education and need a long period of time to manage themselves to prevent recurrent strokes. Implementation of this community service activity aims to activate the Great Surabaya Cadre in providing Stroke Self-Management Program education as an effort to increase the independence and meaning of life for post-stroke sufferers. The method used in this community service activity is to provide health education and provide education on the stroke self-management program, along with stroke self-management program training. This activity was carried out for one month and was attended by 24 cadres and the community. before the training on the Self-Management program was carried out, almost all (75%) of the respondents had poor knowledge and skills and after the training it was found that almost all (83%) had good knowledge and skills. activation of healthy Surabaya cadres through the stroke self-management program and increasing knowledge of cadres and the community. Keywords: Kader, Stroke self-management program, penderita stroke
Co-Authors -, Rusdianingseh Abdul Manan Abdul Muhith Afiyah, R. Khairiyatul ah. Yusuf Ahla Tamaro Ahla Tamaro Ahla Tamarof Alvian Nugraha Putra Alvianita Suherman Anh, Duong Thi To Arif Helmi Setiawan Arum Rahmawati Astri Puji Lestari Aulia, Nurlisa Naila Choirotussanijjah Damawiyah, Siti Danny Irawan Danny Irawan Dany Irawan Diaz Octavia Anggraini Difran Nobel Bistara Dimas Arendra Aidilfi Akbar dr. Effendi, Sp. PD dr. Evi Sylvia Awwalia, Sp. PD Dyah Yuniati Erika Chandra Dewi Evi Sylvia Awwalia Faiqotul Ilmi Faiqotul Ilmi Firdaus Firdaus Hatmanti, Nety Mawarda Heris Santy, Wesiana Hidaayah, Nur Himyatul Khoiroh Ika Yuni Widyawati Illa Billah Imamatul Faizah Imamatul Faizah Imamatul Faizah Imamatul Faizah Faizah Imamatul, Faizah Immatul Faizah Indira Yulias Wihannusa Krisnawati, Dyah Ika Kuo, Tsung-Rong Lea Maera Shanty Lea Maera Shanty M. Shodiq M.shodiq, M.Shodiq Mawarda Hatmanti, Nety Misutarno, Misutarno Nadatien, Ima Niken Adiba Nadya Noventi, Iis Nur Ainiyah Nurjanah, Siti - Nurlisa Naila Aulia Nurul Kamariyah Priyo Mukti Pribadi Winoto Purwandira, Lina Putri, Rahmadaniar Aditya Rahayu Anggraini Rahmadaniar Aditya Putri Retno Diah Putri Ekayanti, S. Kep Rining Sulistya Rahayu Riska Rohmawati Riska Rohmawatif Rita Vivera Pane Rohmawat, Riska Rohmawati, Riska Sa'bania Hari Raharjeng Sekar Syima Ad-Dhamrah Sulasmono Septianingrum, Yurike Setiawan, Arif Helmi Shanty, Lea Maera Siti Maimunah Siti Nur Hasina Siti Nurjanah Siti Robi’atus Sholiha Soleha, Umdatus Sudarti, Erna Sulistyorini Sulistyorini Umi Hanik Wardani, Erika Martining Wesiana Heris Wijayanti, Lono Yanis Kartini Yoga Ayom Pangestu Yuniati, Dyah Zahroh, Chilyatiz