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All Journal Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Journal Of Nursing Practice Proceedings of the International Conference on Applied Science and Health EDUKATIF : JURNAL ILMU PENDIDIKAN Journal of Health Sciences Business and Finance Journal Jurnal Ilmiah Keperawatan Community Development Journal Jurnal Ilmiah Pendidikan Citra Bakti Community Development Journal: Jurnal Pengabdian Masyarakat Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Indonesian Journal of Community Health Nursing Indonesian Journal of Global Health research Madaniya Indian Journal of Forensic Medicine & Toxicology BEMAS: Jurnal Bermasyarakat Jurnal EduHealth Journal of Applied Nursing and Health Nurse and Holistic Care Prosiding Seminar Nasional Pengabdian Kepada Masyarakat Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan Jurnal Penelitian Pendidikan Indonesia Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) Jurnal Ilmiah Pendidikan Citra Bakti
Soleha, Umdatus
Universitas Nahdlatul Ulama Surabaya
Religion Humanities Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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EFFECT OF COMBINED BOBATH AND BALANCE EXERCISE THERAPY ON PHYSICAL MOBILITY IMPROVEMENT IN STROKE PATIENTS: A CASE STUDY Sulistiyawati, Sri; Septianingrum , Yurike; Soleha, Umdatus; Wijayanti, Lono
Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan Vol 9 No 2 (2025): Volume 9 Issue 2, June 2025, Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kes
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/lkh.v9i2.72

Abstract

Background: Stroke emerged as a serious global health problem, ranking as the leading cause of disability and the second leading cause of death worldwide. The most common impact of stroke was impaired physical mobility, especially with damage to the brain's motor centers or nerve pathways controlling body movements. In stroke patients, this disorder could appear directly after an acute attack and persist into the rehabilitation phase if not treated properly. One intervention to address physical mobility disorders in stroke patients was the application of a combination of Bobath therapy and balance exercises to accelerate motor function recovery, prevent immobilization complications, and increase patient independence. Objectives: This case study aims to analyze the effectiveness of the application of the combination of Bobath therapy and Balance exercise on physical mobility disorders in stroke patients. Methods: This study is a case study of a description of one stroke patient in Mrs. S in the Arjuna Room of Bhakti Dharma Husada Hospital Surabaya by using a descriptive nursing process with an approach to describe in depth the application of the intervention to the patient. Results: The implementation of a nursing intervention in the form of a combination of Bobath therapy and balance exercise who experienced physical mobility impairment due to non-hemorrhagic stroke for six days showed positive results. Conclusion: The increase in muscle strength can be seen from the patient's ability to maintain posture, transition from lying down to sitting to standing, and show better stability during balance exercises.
PENERAPAN RANGE OF MOTION (ROM) KOMBINASI HEAD OF BED PADA PASIEN STROKE ISKEMIK DENGAN MASALAH KEPERAWATAN GANGGUAN MOBILITAS FISIK DI RUMAH SAKIT SURABAYA Ernawati, Yayuk; Septianingrum, Yurike; Wijayanti, Lono; Soleha, Umdatus
Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan Vol 9 No 2 (2025): Volume 9 Issue 2, June 2025, Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kes
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/lkh.v9i2.74

Abstract

Background: Stroke patients often experience hemiplegia or hemiparesis. Proper treatment can help the healing and recovery process. Objectives: This study aims to provide an overview of the implementation of the combination of Range of Motion (ROM) and Head of Bed (HOB) Elevation in ischemic stroke patients with impaired physical mobility in patient Mrs. L in Room Y, Surabaya Hospital. Methods: This type of research is descriptive, using a case study approach. Nursing care was provided from June 4 - June 6, 2025. The results of the assessment on Mrs. L had a stroke with hemiparesis. The nursing problems obtained were decreased intracranial adaptive capacity, impaired physical mobility, and risk of falling. The interventions given were head up 30 ⁰, Range of Motion, and education of patients falling. Results: The application of a combination of Range of Motion and Head of bed elevation with impaired physical mobility significantly helps the healing and recovery process in stroke infarction patients. Conclusion: Evaluation of nursing problems shows that the nursing diagnosis of decreased intracranial adaptive capacity and impaired physical mobility is partially resolved with increased muscle strength from 1 to 2 and increased range of motion, and the patient does not fall.
MOTOR IMAGERY TRAINING FOR MOTOR RECOVERY IN LEFT HEMIPARESIS POST-STROKE: A SHORT-TERM CASE STUDY Taufiq, Isa; Septianingrum, Yurike; Soleha, Umdatus; Wijayanti, Lono
Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan Vol 9 No 2 (2025): Volume 9 Issue 2, June 2025, Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kes
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/lkh.v9i2.76

Abstract

Background: Stroke remains one of the leading causes of long-term disability worldwide, with hemiparesis being the most common motor deficit. Hemiparesis on the dominant side, such as sinistra hemiparesis, greatly impairs daily function. Motor Imagery Training (MIT) is a cognitive-based therapeutic approach that stimulates motor-related cortical areas through mental rehearsal of movement, offering a non-invasive, low-cost intervention to promote neuroplasticity during stroke rehabilitation. Objectives: This case study aims to evaluate the short-term effects of a 4-day Motor Imagery Training intervention on a post-stroke patient with hemiparesis sinistra, focusing on motor function improvement and cognitive engagement. Methods: Mrs SA, a 66-year-old female with a history of uncontrolled hypertension and prior stroke, presented with left-side weakness, facial asymmetry. The patient underwent MIT sessions for four consecutive days (30 minutes/day), guided by auditory scripts and visual imagery techniques targeting upper limb function. Motor performance was evaluated using the Fugl-Meyer Assessment for Upper Extremity (FMA-UE) and the Medical Research Council (MRC) scale. Results: After four MIT sessions, the patient demonstrated improved motor strength (MRC 4-/5), increased FMA-UE score from 29 to 36, and enhanced focus and engagement. Subjectively, the patient reported increased motivation and perceived movement initiation. These findings suggest early cortical activation and functional gains, even within a limited intervention period. Conclusion: This case supports existing evidence on the effectiveness of MIT in promoting neurofunctional recovery in stroke rehabilitation. Despite its brief duration, MIT contributed meaningfully to motor recovery and psychological readiness. Motor imagery is feasible for early rehabilitation and can be tailored to settings with limited resources.
The Effectiviness of Aquatic Therapy as A Rehabilitation Innovation for Stroke Patients: Water as A Medium of Recovery-A Systematic Literature Review Babo, Leticia Freitas; Septianingrum, Yurike; Hidayatullah, Achmad; Soleha, Umdatus; Wijayanti, Lono
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): 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.v7i5.6646

Abstract

Stroke often causes long-term disabilities, significantly affecting motor and functional abilities. Rehabilitation interventions such as aquatic therapy, which utilize the properties of water to enhance movement and reduce pain, have gained increasing attention as innovative rehabilitation strategies. This systematic literature review aims to analyze and summarize the effectiveness of aquatic therapy as a rehabilitation innovation for improving functional recovery in stroke patients. A systematic search was conducted in three databases—PubMed, ScienceDirect, and Google Scholar—for articles published between January 2020 and January 2025. The keywords used in English included “aquatic therapy,” “stroke rehabilitation,” and “water-based therapy.” From the initial search, a total of 45 articles were identified. After screening titles and abstracts based on inclusion criteria (language, publication year, and open-access availability), 20 full-text articles were reviewed in detail. Following critical appraisal and relevance assessment to the research objectives, 10 articles were selected for final analysis. These articles were then synthesized to evaluate the effects of aquatic therapy on functional recovery, particularly focusing on gait and balance improvement in post-stroke patients. This review found 45 studies after identification. Most studies showed that aquatic therapy significantly improved balance, gait, muscle strength, and quality of life among stroke survivors. Additionally, resistance offered by water supports muscle strengthening without overstraining. However, variations in session duration, water temperature, and exercise intensity across studies suggest a need for standardized protocols. Aquatic therapy is an effective and innovative rehabilitation approach for stroke patients, particularly in enhancing motor recovery and quality of life. Future research should focus on standardized intervention protocols and long-term outcomes.
Assessment Tools for Post-Stroke Discharge Readiness: A Literature Review Kadir, Afrizal Nur; Septianingrum, Yurike; Aprilian, Arvino; Wijayanti, Lono; Soleha, Umdatus
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): 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.v7i5.6699

Abstract

Stroke survivors are at high risk of hospital readmission due to recurrent stroke, comorbidities, and inadequate discharge preparation. Readiness for hospital discharge plays a pivotal role in ensuring a safe transition of care and improving post-stroke outcomes. Evaluating patient and caregiver readiness for hospital discharge is essential to reduce the likelihood of readmission and optimize home care outcomes. This review aimed to identify, describe, and evaluate existing tools used to assess discharge readiness in post-stroke patients, and examine their effectiveness in supporting care transitions and preventing hospital readmissions.Methods: A systematic review was conducted in accordance with PRISMA guidelines. Four databases-PubMed, Science Direct, Clinical Key, and Google Scholar—were searched for relevant articles published between 2021 and 2025 using predefined keywords related to stroke, discharge readiness, transition of care, and readmission. After screening 202 initial records, 34 articles were selected for full-text review. Ten studies met the inclusion criteria and were then critically appraised using the Joanna Briggs Institute (JBI) checklist to assess methodological quality and risk of bias. The included studies were synthesized narratively based on study design, assessment tools used, psychometric properties, and their impact on discharge readiness and hospital readmission outcomes. The review identified several validated tools, including the Readiness for Hospital Discharge Scale (RHDS), the Preparedness Assessment for the Transition Home After Stroke (PATH-s), and the Caregiver Contribution to Self-Care Inventory (CC-SC-CII-v2). These tools varied in focus, population, and application context. While some showed strong psychometric properties and predictive power for readmission, others highlighted the need for caregiver inclusion and context-specific adaptation. However, inconsistencies in implementation, limited integration into clinical workflows, and lack of long-term outcome evaluations remain significant barriers. This review enhances understanding of discharge readiness assessment tools in post-stroke care and underscores their value in reducing readmissions and optimizing care transitions.
The Relationship Between Perfectionism and Non-Suicidal Self Injury Incidents Among Nursing Students Wulandari, Maharani Suci; Budury, Syiddatul; Soleha, Umdatus; Sharoni, Siti Khuzaimah Ahmad
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. SI2 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.ISI2.2025.73-79

Abstract

Students with perfectionistm personalities tend to always want to look perfect, so they are at high risk of experiencing despair, shame, anger, and depression. This condition often triggers Non-Suicidal Self Injury (NSSI) behavior as a way to vent or suppress emotions, which can cause body damage and the risk of infection. This study aims to analyze the Relationship between Perfectionist Personality and NSSI Incidents in Nursing Undergraduate Students. This study uses a cross-sectional approach. The population of this study were 160 undergraduate nursing students at Semester 7. The sample obtained 115 respondents using proportionate stratified. Data collection used the Hewitt and Flett Multidimensional Perfectionism Scale and the Inventory of Statements About Self Injury. Data analysis used the Spearman test with a significance level of α = 0.01. The results of the study were obtained from 115 respondents, almost half of which 40 (34.8%) respondents had a very high perfectionism personality, and almost half of which 55 (47.8%) respondents had very low Non-Suicidal Self Injury behavior. Based on the results of the Spearman test, the value of ρ = 0.000 was obtained, which means that there is a relationship between Perfectionism Personality and Non-Suicidal Self Injury Incidents among nursing students. The high level of perfectionism in nursing students, accompanied by low levels of NSSI, indicates that most of them have adaptive behavioral patterns. This means that even though they tend to be perfectionists, they are able to manage stress without engaging in destructive behavior. It is expected that the University will strengthen the counseling or campus psychologist services by holding regular counseling sessions that are scheduled regularly. This can help students cope with stress, anxiety, and other mental health issues, including preventing perfectionism personality and NSSI behavior.
Unveiling Bullying Dynamics in Islamic Boarding Schools for Adolescent Mental Health Promotion Khamida, Khamida; Fitriyah, Fifi Khoirul; Hidaayah, Nur; Fitriasari, Andikawati; Algristian, Hafid; Soleha, Umdatus; Iskandar
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. SI2 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.ISI2.2025.8-13

Abstract

Background: Islamic boarding schools as educational institutions that teach religious morals as a basis for behavior should be a safe and comfortable place of education for students. There should be no more violence occurring in Islamic boarding schools, but in fact, recently there has been a lot of news about incidents of violence or bullying occurring in Islamic boarding schools. Islamic boarding schools are expected to provide a safe environment for students while fostering religious and moral values. However, incidents of bullying continue to occur within these institutions, highlighting a gap between expected and actual student experiences. Objective: This study aimed to analyze the factors that influence bullying incidents in an Islamic boarding school environment. Methods: A cross-sectional study was conducted at Al-Hidayah Islamic Boarding School, Sidoarjo, involving 109 students selected through simple random sampling (10% of the population). Independent variables included age, gender, school level, length of stay, and peer perception, while the dependent variable was bullying incidence. Data were collected using a validated and reliable questionnaire and analyzed using multiple linear regression at a significance level of 0.05. Results: The results indicated that 68.8% of respondents were in early adolescence (12–16 years), 60.6% were male, and 52.3% had stayed at the boarding school for over 35 months. Additionally, 68.8% of respondents had negative perceptions of their peers. The regression analysis yielded a significance value of 0.004 (p < 0.05) with an R-square of 15.4%, indicating that all independent variables jointly influenced bullying incidents. Conclusion: Age, gender, school level, length of stay in the boarding school, and peer perceptions collectively influence bullying behavior among students. These findings highlight the need for boarding school administrators to implement policies and interventions that address these contributing factors to reduce bullying prevalence.
Stabilizing Blood Sugar Levels in Type 2 DM Patients by Providing Benson Relaxation Therapy Combined with Dhikr Based on Self-Care Orem Zahrotul Jannah; Umdatus Soleha; Abdul Muhith
Journal Of Nursing Practice Vol. 8 No. 1 (2024): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i1.421

Abstract

Background: People with diabetes mellitus experience hyperglycemia, the higher the likelihood of complications if do not get the right treatment immediately. In addition, people with diabetes mellitus are prone to stress because the disease is difficult to cure and patients must take medications every day. Therefore, proper management is needed. Purpose: The purpose of this study is to determine the effect of self-care orem-based dhikr combination benson relaxation therapy  on blood sugar levels in type 2 diabetes mellitus patients in the Ujungpangkah Gresik Health Center Working Area. Method: This type of research uses Quasy Experiment with Pretest Posttest Control Group Design. The sample in this study was 46 respondents, which were divided into 2 groups, namely 23 respondents for the control group and 23 respondents for the intervention group. The independent variable of this study was benson relaxation therapy combined with dhikr, while the dependent variable was blood sugar levels. The data were analyzed using paired T-Test and Independent T-test tests on blood sugar level variables with kemaknaan α=0,05. Results: The results of the independent t-test on the variable of blood sugar levels with a significant level of 0.000 < α = 0.05, showed that there was an effect of the administration of benson relaxation therapy combined with dhikr on blood sugar levels in type 2 DM patients. Conclusion: The conclusion of this study is that benson relaxation therapy combined with dhikr has an effect on blood sugar levels in patients with type 2 diabetes mellitus. In the future, it is hoped that health workers can increase the provision of information and education evenly to health service places.
Combination of Pillow Use 30° and Sleeping Position on the Left Side Prevention Gastroesophageal Reflux based on Theory of Comfort: Study in Post-Egd Gerd Patients Lya Marliana; Umdatus Soleha; Wesiana Heris Santy
Journal Of Nursing Practice Vol. 8 No. 2 (2025): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i2.550

Abstract

Background: Patients with suspected gastroesophageal reflux disease (GERD) often experience recurrent gastroesophageal reflux, where stomach contents repeatedly rise into the esophagus, causing disturbing symptoms. Purpose: Based on the results of the 2018 Riskesdas, the triggers for GERD were smoking prevalence in the population aged 10-18 years from 8.8% to 9.1% and the proportion of consumption of alcoholic drinks and types of alcoholic drinks in the population aged 10+ years from 3% to 3.3%. Comforting intervention is needed in nursing intervention by providing a combination of using a 30° pillow and left side sleeping position for GERD patients. According to Kolkaba, the level of comfort that can meet basic human needs is at the level of transcendence comfort. Methods: The method used is true experimental with a pretest-posttest control group design approach. This design involved two groups, namely the intervention group using a combination of using a 30°pillow and sleeping on the left side and the control group. Results: Data collection was carried out using questionnaires, direct observation and medical records. Conclusion: Based on the test results using Mann Whitney, a p value of 0.000 was obtained, where the value was <0.05, which means there was a difference in the gastroesophageal reflux score between the treatment and control groups in the delta/change data, where based on the mean value, the gastroesophageal reflux score for the treatment group had a decrease in score. Greater than the control group when delta/change data.
The Effect of Deep Breathing Exercise Therapy Combination of Aromatherapy Based on Orem's Self Care Theory on Fatigue and Sleep Quality in Chronic Kidney Disease Patients Hemodialysis Tamarah, Elok; Soleha, Umdatus; Santy, Wesiana Heris; Hasina, Siti Nur
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): 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.v7i1.4198

Abstract

Patients hemodialysis with experience complaints of anemia, fatigue, sleep disturbances, and increased urea levels. Fatigue and sleep disorders are still a high problem in Indonesia. Increased urea levels can cause decreased appetite, poor nutritional intake and complaints of fatigue. The aim of the research was to analyze the effect of deep breathing exercise therapy combined with Orem self-care based aromatherapy on fatigue levels and sleep quality. The design in this research is quasi-experimental. Population of all hemodialysis patients at RSI Jemursari Surabaya. The sample size was 40 people, divided into 2 groups, namely the intervention group and the control group. The sampling technique was taken using a total sampling technique. Data were analyzed using the independent t-test a < 0.05 and looking at the difference in values using the delta test. The results of research conducted at RSI Jemursari Surabaya, showed that the average fatigue score in the intervention group before giving deep breathing exercise therapy, a combination of aromatherapy based on self-care Orem, was 36.90 and after being given the intervention, it was found to decrease by 15.90, while the control group did not. given any therapy, according to hospital standards of 34.65 and experienced a decrease of 19.65. Based on the independent t - test, it shows p = 0.003 and sleep quality shows p = 0.001, which means that deep breathing exercise therapy combined with aromatherapy based on Orem self-care has an effect on fatigue and sleep quality. Deep breathing exercise therapy a combination of aromatherapy based on Self-Care Orem according to standards, can reduce fatigue levels and improve sleep quality.
Co-Authors -, SITI NURJANAH Abdul Muhith Achmad Hidayatullah, Achmad Achsan Tudhonny Afiyah, R. Khairiyatul Agustin, Dian Rahmawati Ah Yusuf, Ah Algristian, Hafid Amanda Indrika, Elke Amansyah Tohari, Delly Andini, Ary Anisah, Choirun Aprilian, Arvino Babo, Leticia Freitas Bambang Edi Suwito Budi Prasetyo Budiarti, Rizqi Putri Nourma Budury, Syiddatul Chatarina Umbul Wahyuni Choirun Anisah Damawiyah, Siti Danny Irawan Delly Amansyah Tohari Diana Mufidati Diana Mufidati Difran Nobel Bistara Endang Sulistiyani Erika Chandra Dewi Ernawati, Yayuk Fauziah Rochmah, Ardianti Fifi Khoirul Fitriyah Firdaus Firnanda Erindia Fitriasari, Andikawati Heris Santy, Wesiana Hidaayah, Nur Imamatul Faizah Ira Trio ISKANDAR Ismatika Ismatika Ismatika, Ismatika Kadir, Afrizal Nur Kamariyah, Nurul Khamida Khamida Khamida, Khamida Khusnah, Hidayatul Latifatul Muna Lya Marliana Mawarda Hatmanti, Nety Meidyta Sinantryana W Milaningrum, Kartika Misutarno, Misutarno Mufidati, Diana Muhammad Bagus Qomaruddin Muhammad, Akbar Reza Mulyadi Mulyadi Muna, Latifatul Nadatien, Ima Noer Farakhin Noventi, Iis Nur Ainiyah Nurhayati Puspita, Uci Nurjanah, Siti - Nursalam Nursalam Nyoto Nyoto Nyoto Nyoto, Nyoto Putri, Dini Firdiana Putri, Rahmadaniar Aditya Rahayu Anggraini Ratna Yunita Ratna Yunita Sari RatnaYunita Sari Riyan Sisiawan Putra Rizki Amalia Rizki Amalia Rohmawati, Riska RR Dian Tristiana S.Pd. M Kes I Ketut Sudiana . Sari, Ratna Yunita Septianingrum , Yurike Septianingrum, Yurike Setiawan, M. Arif Helmi Sharoni, Siti Khuzaimah Ahmad Sigit Mulyono Singgih Singgih Siti Hardiyanti SITI NURJANAH Siti Nurjanah SITI NURJANAH - Sri Hartatik Sri Hartatik Sudarianik, Sudarianik Sulaiha, Siti Sulistiyani, Endang Sulistiyawati, Sri Tamarah, Elok Taufiq, Isa Umi Hanik Umi Hanik Wahyu Pranoto Wardani, Erika Martining Wijayanti, Lono Winawati Eka P Winoto, Priyo Mukti Pribadi Wulandari, Maharani Suci Yanis Kartini Zahroh, Chilyatiz zahrotul jannah