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All Journal NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Jurnal Keperawatan Indonesia Nurse Media Journal of Nursing Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal NERS Jurnal Penelitian Kesehatan Suara Forikes Jurnal Keperawatan Padjadjaran JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Journal Of Nursing Practice Jurnal Keperawatan Silampari Jurnal Kesehatan Jurnal Keperawatan Priority Jurnal Keperawatan Raflesia Indonesian Journal of Innovation Studies DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Jurnal Kesehatan
Defi Efendi
Faculty Of Nursing Universitas Indonesia
Computer Science & IT Dentistry Education Engineering Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Other

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Preterm Infants’ Weight Gain and Nutrition: Retrospective Study in a Top Indonesian Referral Hospital Irianti, Dewi; Rustina, Yeni; Efendi, Defi
Journal Of Nursing Practice Vol. 4 No. 2 (2021): Journal Of Nursing Practice
Publisher : Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v4i2.125

Abstract

Background: Impairment of nutritional fulfillment is one of the problems that is often encountered in premature infants. Purpose: This study aims to determine the effect of the type of nutrition on the weight increase of premature babies.Methods: A retrospective study was conducted through a medical record review in a top national referral hospital, Indonesia. Total of 75 preterm infants divided into groups of 15 infants by nutrition type (100% BM, 75% BM, 50% BM, 25% BM, and 0% BM). Weight gain was assessed for 12 days through the patients’ medical records. Weighing observation was devided into four times: birth weight in day-1, day-4, day-8, and day-12. Subjects were recruited using consecutive sampling with the following criteria: preterm infants with chronological age > 7 days and weight > 1000 grams. Meanwhile, the exclusion criteria were preterm infants treated in the neonatal intensive care unit (NICU), preterm infants with medical diagnosis of hydrocephalus, sepsis, and congenital anomalies, conjoined twin babies. The general linear model-repeated measure was used to quantify the contrast of increases in infants’ body weight among groups for days 1-4; 4-8; and 8-12. Results: There were no significant differences between the five types of nutrients in terms of increase in the infants’ body weight in day 1-4 (p > 0,68); day 4-8 (p > 0,65); day 8-12 (p > 0,12). Conclusion: Although it not likely to accelerate the infant’s weight, mother’s own milk is still the first recommendation due to its immunity components, nutritional elements, and safety.
Increasing the Knowledge and Confidence of Mothers in Caring for Low Birth Weight Babies Through Education from the Maternal and Child Health Handbook Sugiarti, Sugiarti; Rustina, Yeni; Efendi, Defi
Jurnal Keperawatan Soedirman Vol 15, No 2 (2020)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2020.15.2.1160

Abstract

Having a Low Birth Weight (LBW) is one of the risk factors that may lead to stunting in children under five years old. An education program based on the Maternal and Child Health handbook (MCH) for the first 1000 days of a child’s life is one way to prevent the impact of stunting by improving the mothers’ knowledge and self-confidence to look after LBWB. The study is designed along the line of pre-post quasi-experimental research with a control group, involving 69 samples of mothers with LBWB that match the predetermined criteria. Twenty three of these mothers whose babies were cared for in the perinatology ward were provided with instructions from the MCH handbook, another group of 23 mothers received the same instructions with additional audiovisual media from a mobile application, and the remaining 23 mothers only received verbal instructions in the ward. The data were analyzed using the Paired t-test/Wilcoxon and Kruskall-Wallis tests. The analysis revealed that the MCH handbook based instruction provided a significant boost on the score of mother’s knowledge and confidence, before and after they have received the instructions, both in the group that received the MCH handbook based instruction (p<0.001) and the group that received their instructions from a mobile application (p<0.001). Additional instructions using audiovisual media from a mobile application also provided a significant boost to the knowledge score, and therefore the post-education score of the mothers in this group was higher than in the other two groups (p<0.001). Mother’s knowledge of the provision of care for LBWB can therefore be optimized through education, discussion, and the use of technology as an instructional medium to complement the use of the MCH handbook.
A Comparison of Pain Scale on Neonates in a Top Refferal Hospital in Indonesia Septiana, Nenty; Rustina, Yeni; Efendi, Defi
Journal Of Nursing Practice Vol. 5 No. 1 (2021): Journal Of Nursing Practice
Publisher : Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v5i1.163

Abstract

Background: Pain assessment scale in neonates is the cornerstones of pain management so that the impact of pain can be prevented to maximize neonatal growth and development.Purpose: This study aimed to identify the most appropriate pain assessment scale used for neonates in Indonesia.Methods: A cross sectional study design was used in 30 neonates hospitalized using Neonatal Infant Pain Scale (NIPS), Neonatal infant Acute Pain Assessment Scale (NIAPAS) and Pain Assessment Tool (PAT). Pain assessment was performed by nurses (n=30) and expert nurses (n=5) participated in the validation of scales. Statistical analysis using validity (content, construct and concurrent validity) and reliability (inter-rater reliability and internal consistency) test.Results: NIPS instrument have excellent validity, reliability, and feasibility value compared with NIAPAS and PAT.Conclusion: NIPS was shown a valid, reliable, and practical scale for assessing pain in neonates. It allows nurses to identifying pain and help to provide of appropriate pain management
Aplikasi Teori Comfort dapat Meningkatkan Kenyamanan Bayi dengan Masalah Keperawatan Disorganisasi Perilaku Nyimas Sri Wahyuni; Yeni Rustina; Defi Effendi
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 13, No 2 (2022): April 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v13i2.1777

Abstract

The action procedure for low birth weight (LBW) infants during treatment causes the baby to respond to nursing problems with disorganization of infant behavior. This study aims to describe the approach of Kolcaba's Comfort theory in meeting the disorganized needs of infants' behavior. This study method was carried out by case reports. Nursing interventions were carried out with a comfort nursing process, by creating physical, psychospiritual, sociocultural and environmental comfort for the baby. Based on the evaluation, it was concluded that three out of five infants with LBW were in a transcendence comfort level which indicated that the infants felt comfortable after the intervention. Kolcaba's Comfort theory can be applied in neonatal care because the care is carried out holistically and is able to create baby comfort.Keywords: low birth weight babies; baby behavior; convenience theory ABSTRAK Prosedur tindakan untuk bayi berat lahir rendah (BBLR) selama dirawat menyebabkan bayi berespon dengan masalah keperawatan disorganisasi perilaku bayi. Studi ini bertujuan untuk menggambarkan pendekatan teori Comfort Kolcaba dalam memenuhi kebutuhan disorganisasi perilaku bayi. Metode studi ini dilakukan dengan laporan kasus. Intervensi keperawatan dilakukan dengan proses keperawatan Comfort, dengan menciptakan kenyamanan bayi secara fisik, psikospiritual, sosiokultural dan lingkungan. Berdasarkan evaluasi disimpulkan bahwa tiga dari lima bayi dengan BBLR berada dalam tingkat kenyamanan transcendence yang menunjukkan bahwa bayi merasa nyaman setelah dilakukan intervensi. Teori Comfort Kolcaba dapat diterapkan dalam perawatan neonatal karena perawatan dilakukan secara holistik dan mampu menciptakan kenyamanan bayi.Kaca kunci: bayi berat lahir rendah; perilaku bayi; teori kenyamanan
Perawatan Metode Kanguru (PMK) dapat mempercepat proses penyapihan penggunaan High Flow Nasal (HFN) pada bayi prematur Nining Caswini; Yeni Rustina; Defi Efendi
NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Vol 7, No 1 (2021): Juni
Publisher : Fakultas Ilmu Keperawatan Universitas Islam Sultan Agung, Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/nurscope.7.1.1-5

Abstract

Pendahuluan: Alat bantu napas seperti heated humidified high flown asal (HHHFN) merupakan alat bantu napas yang sering digunakan pada bayi prematur. Tujuan penelitian ini adalah untuk mengidentifikasi penerapan perawatan metode kanguru (PMK) pada bayi prematur yang terpasang HHHFN dan dampaknya terhadap lama pemakaian HHHFN. Metode: Quasy experiment pre-post design dilakukan pada 44 bayi yang terbagi menjadi 22 bayi untuk kelompok intervensi dan 22 bayi untuk kelompok kontrol. Kriteria inklusi meliputi usia gestasi >28-36 minggu, berat badan bayi antara >1000-2500 gram, dan terpasang alat bantu napas HHHFN. Hasil: Terdapat perbedaan bermakna antara kelompok intervensi dan kelompok kontrol terhadap perlakuan PMK dan lama pemakaian HHHFN dengan nilai p= 0,001; ɑ< 0,05. Simpulan: Hasil penelitian mengidentifikasi bahwa penerapan PMK pada bayi prematur yang terpasang alat bantu napas HHHFN dapat mempercepat proses weaning jika dibandingkan dengan bayi yang tidak dilakukan PMK (p<0,001). Oleh karena itu, perawat yang bertugas di ruang perawatan neonatus perlu menerapkan PMK pada neonatus yang terpasang HHHFN agar bayi dapat menurunkan lama pemakaian HHHFN dan menurunkan lama rawat di rumah sakit.
Newborn Individualized Developmental Care and Assessment Program (Nidcap) Terhadap Hasil Jangka Panjang Perkembangan Bayi Prematur: Suatu Telaah Defi Efendi; Yeni Rustina
Jurnal Keperawatan Indonesia Vol 16 No 3 (2013): November
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v16i3.326

Abstract

AbstrakNeonates Intensive Care Units (NICU) merupakan tempat penting untuk bayi prematur yang sekaligus merupakan tempat berbahaya akibat karakteristik NICU. NICU dapat meningkatkan risiko gangguanperkembangan bayi. Gangguan ini dapat dicegah melalui penerapan asuhan perkembangan. Newborn Individualized Developmental Care and Assessment Program (NIDCAP) merupakan metode asuhan perkembangan yang dianggap sebagai salah satu pendekatan terbaik dalam pemberian asuhan perkembangan dengan pertimbangan NIDCAP mampu memberikan pelayanan secara individual berdasarkan isyarat bayi dengan pendekatan perawatan berfokus keluarga. Pengukuran efektifitas NIDCAP didasarkan pada respon neurobehavioral bayi prematur saat berada di NICU. NIDCAP terbukti dapat memperbaiki pola tidur bayi, dan respons fisiologis bayi seperti saturasi oksigen, pernafasan, dan nadi. Hasil studi literatur menunjukkan bahwa asuhan perkembangan dengan menggunakan metode NIDCAP tidak berpengaruh terhadap hasil perkembangan bayi prematur jangka panjang. Studi dan pengkajian yang mendalam diperlukan untuk menemukan asuhan perkembangan dengan menggunakan metode yang lebih efektif dan efisien.Kata Kunci: Bayi prematur, hasil jangka panjang, Newborn Individualized Developmental Care and Assessment Program (NIDCAP)AbstractA Review: Newborn Individualized Developmental Care and Assessment Program (NIDCAP) to Development of Long-Term Results Premature Infants. Neonatal Intensive Care Unit (NICU) is both vital spot for preterm infant and also dangerous spot which caused by NICU’s characteristics. NICU increases the risk of infant developmental disturbance. Infant developmental disturbance can be prevented by implementing Developmental care in NICU setting. Newborn Individualized Developmental Care and Assessment Program (NIDCAP) is method who beingregarded as one of the best approach for delivering developmental care with those consideration NIDCAP is able to give an individual service base on the infant cues trough family-centered care approach. The measurement of NIDCAP effectiveness is shown by the infant’s neurobehavioral response in the NICU. NIDCAP can repair the baby’s sleep-awake pattern, and her physiological response such as oxygen saturation, respiration rater, and hearth rate. This study show that the implementation of developmental care using the NIDCAP method doesn’t affect to the long-term outcome for the preterm infants. The further research is needed to find out the other developmental care method which is more effective and efficient.Keywords: Long-term outcome, Newborn Individualized Developmental Care and Assessment Program (NIDCAP), preterm infant.
Oral Care Prevents Late-Onset Sepsis in Risk Preterm Infants Fitri Wahyuni; Yeni Rustina; Defi Efendi
Jurnal Keperawatan Indonesia Vol 23, No 1 (2020): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v23i1.551

Abstract

The incidence of infections in preterm infants is still quite high. In this study, oral care with human breast milk was implemented in risk preterm infants as a precaution. The study was conducted using a quasi-experimental method with a non- equivalent control group and posttest only design in 40 risk preterm infants. The participants were divided into two groups of 20. The data were analyzed using independent t-test and a Wilcoxon test. The results show that this intervention has an effect on the incidence of late-onset sepsis in preterm infants. The effect is based on symptoms: body temperature instability (p = 0.021), C-reactive protein (p = 0.006), and leukocytes (p = 0.020) all indicated differences between the two groups. It is recommended that this practice be adopted as a routine therapy program in perinatology.Keywords: exclusive breastfeeding, late-onset sepsis, oral care, risk preterm infants, sepsis Abstrak Perawatan Mulut Mencegah Sepsis Neonatorum Awitan Lambat pada Bayi Prematur Risiko Tinggi. Angka kejadian infeksi setelah lahir pada bayi prematur masih cukup tinggi. Pelaksanaan intervensi pemberian oral care menggunakan air susu ibu pada bayi prematur risiko tinggi telah dilakukan sebagai pencegahan. Penelitian dilakukan menggunakan metode kuasi eksperimen dengan desain post-test only, kelompok kontrol non ekuivalen, pada 40 bayi prematur risiko tinggi sebagai sampel. Responden dibagi menjadi dua kelompok, masing-masing kelompok 20 responden. Data dianalisis menggunakan uji t independen dan wilcoxon. Hasil Intervensi ini terbukti memiliki manfaat terhadap dalam menurunkan kejadian sepsis neonatorum awitan lambat pada bayi prematur berdasarkan tanda klinis seperti ketidakstabilan suhu tubuh (p value 0,021), hasil pemeriksaan C-Reaktif Protein (p value 0,006) dan leukosit (p value 0,020) yang menunjukkan adanya perbedaan yang bermakna antara kelompok kontrol dan kelompok intervensi. Intervensi ini diharapkan dapat dilanjutkan menjadi program terapi rutin yang akan dilakukan di ruang rawat perinatologi. Kata Kunci: ASI eksklusif, bayi prematur, oral care, sepsis, sepsis neonatorum awitan lambat
Pemberian Posisi (Positioning) dan Nesting pada Bayi Prematur: Evaluasi Implementasi Perawatan di Neonatal Intensive Care Unit (NICU) Defi Efendi; Dian Sari; Yanti Riyantini; Novardian Novardian; Dian Anggur; Pipit Lestari
Jurnal Keperawatan Indonesia Vol 22, No 3 (2019): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v22i3.619

Abstract

Pemberian posisi yang salah dapat meningkatkan risiko morbiditas dan mortalitas. Artikel ini bertujuan untuk menggali pemberian posisi (positioning) dan nesting pada bayi prematur di NICU. Penelitian ini berupa studi literatur tahun 2007-2017, serta pengalaman penulis dalam aplikasi pemberian posisi dan nest di dua rumah sakit rujukan nasional dalam lima tahun terakhir. Hasil studi ini menunjukkan beberapa posisi yang dapat diberikan pada bayi prematur di antaranya adalah posisi supinasi, lateral kiri, lateral kanan, pronasi, dan quarter/semi pronasi. Posisi pronasi dan kuarter/semi pronasi direkomendasikan untuk bayi prematur dengan Respiratory Distress Syndrome (RDS). Posisi lateral kanan direkomendasikan untuk bayi prematur dengan Gastroesofageal reflux (GER). Posisi supinasi merupakan alternatif terakhir pemberian posisi pada bayi prematur dengan kontraindikasi posisi pronasi, kuarter/semi pronasi, dan lateral. Pembuatan nest dapat dimodifikasi dari potongan beberapa kain yang digulung. Perawat hendaknya meningkatkan pengetahuan dan keterampilan agar mampu memberikan variasi posisi sesuai kondisi dan indikasi bayi yang dirawat di NICU. Kata Kunci: Bayi prematur, pemberian posisi, nest, perawatan intensif  Abstract Positioning and Nesting for the Preterm Infant: Evaluation for Nursing Care in Neonatal Intensive Care Unit  (NICU). Incorrect positioning may increase the risk of morbidity and mortality. This article aims to explore positioning and nesting in a preterm infant in NICU. This study is a literature study in 2007-2017, as well as documentation of the application of positioning and nest at two national top referral hospitals in the last five years. The alternative position for preterm infants include supine, left lateral, right lateral, pronation, and quarter/semi-prone positions. The pronation and quarter/semi-prone are recommended for preterm infants with Respiratory Distress Syndrome (RDS). Right lateral positions are recommended for preterm infants with Gastroesophageal reflux (GER). The supination is the last alternative when the other positions are contraindicated. The nurses can modify nest from pieces of some rolled fabric. Nurses should increase their knowledge and skills in order to be able to provide proper position according to the conditions and indications of the infant cared in NICU. Keywords: intensive care, nest, positioning, preterm infant
Prone Position Improve Physiological Parameters of Preterm Infants Weaning from CPAP: A Randomized Control Trial Ayu Ferissa Simorangkir; Yeni Rustina; Defi Efendi
Jurnal Keperawatan Padjadjaran Vol. 9 No. 1 (2021): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v9i1.1609

Abstract

The need for continuous positive airway pressure (CPAP) was vital for preterm infant with respiratory distress, but the impact of long-term use was very harmful. The effort to do weaning must be done and facilitate the infant to adapt wean off CPAP. The effect of positioning on stabilized physiological parameters may help preterm infant to adapt under gradual weaning from CPAP. Aim in this study to determine the effect of prone positioning on physiological parameters in preterm infants under gradual weaning CPAP. From Mei to September 2020 total sample 60 preterm infants on non-invasive ventilation or CPAP were randomized into prone position (intervention group, n = 30) and supine position (control group, n = 30). Oxygen saturation, respiratory and heart rate between groups were compared. In the prone position was significant higher than supine position at 30th minute. The mean oxygen saturation in the prone position (99.87±0.35) was higher than in the supine position (97.63±1.45; p=0.001), the mean respiratory rate in the prone position (42.10±8.59 breaths/min) was lower than in the supine position (53.20±6.24 breaths/min; p=0.001), and the mean heart rate in the prone position (144.63±13.07/beats/min) was lower than in the supine position (153.53±10.02/beats/min; p=0.001), so that the prone position can be applied to increase oxygen saturation and to maintain the stability of respiratory rate in preterm infants during gradual weaning. The failure to wean off CPAP (re-CPAP) in the prone group was less frequent which is 3 respondents (5% versus 10%). However, there is no relation between positioning and re-CPAP (p=0.472).
Aplikasi Mobile–Health sebagai Upaya Peningkatan Kualitas Pelayanan Keperawatan Anak dengan Penyakit Kronis pada Setting Home Hospital Defi Efendi; Dian Sari
Jurnal Keperawatan Indonesia Vol 20 No 1 (2017): Maret
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v20i1.447

Abstract

Dominasi penyakit pada anak di Indonesia mulai bergeser dari penyakit akut menjadi penyakit kronis. Perawatan jarak jauh (home hospital) merupakan tren pada anak dengan penyakit kronis yang membutuhkan perawatan kontinu dalam waktu yang lama. Artikel ini bertujuan untuk menggali potensi penerapan sistem mobile–health di Indonesia. Telaah literatur dari artikel ini didapatkan dari PubMed, CINAHL, dan Medline sejak tahun 2004-2014. Mobile–health merupakan aplikasi yang menawarkan integrasi berbagai fungsi perawatan melalui penggunaan telepon pintar. Beberapa negara percontohan seperti Amerika Serikat, Swedia, dan Jepang telah membuktikan kontribusi mobile – health dalam meningkatkan kualitas pelayanan. Indonesia sejauh ini belum melakukan pengembangan mobile – health di berbagai layanan kesehatan. Penggunaan telepon pintar di Indonesia telah meluas untuk berbagai tujuan, sehingga aplikasi mobile – health untuk pelayanan keperawatan anak sangat mungkin dan  mudah diterapkan. Perawat anak di Indonesia hendaknya mulai mengambil inisiatif untuk mengenali aplikasi program, melakukan riset, dan kolaborasi dengan beberapa profesi terkait agar dapat berkontribusi terhadap perbaikan pelayanan kesehatan di masa yang akan datang.  Abstract Mobile-Health Application as The Efforts to Improve of Nursing Service Quality in Children with Chronic Disease at Home Hospital Set: Literature Review. The dominance of the disease in children in Indonesia began to shift from the acute disease into a chronic disease. Care distance (home hospital) is a trend in children with chronic diseases who require continuous treatment for a long time. This article aimed to explore the potential application of mobile-health system in Indonesia. Literature reviews in this study were obtained from PubMed, CINAHL and Medline since 2004-2014. Mobile-health is an application that offers the integration of various functions of the above treatments through the use of smartphones. Some pilot countries such as the USA, Sweden, and Japan has proved mobile contribution - health in improving the quality of service. Up to now, Indonesia has not yet conducted any mobile-health development at various health service. In fact, the use of smartphone in Indonesia has been extended for numerous purposes, therefore mobile-health application is possibly and easily implemented in pediatric nursing area. The pediatric nurse in Indonesia should commence an initiative to identify kind of applications, conduct research, and collaborate with some associated disciplines to contribute to the improvement of future health services.  Keywords: mobile-health, child with chronic illness, home hospitals
Co-Authors Abram Babakal Abram Babakal Abram Babakal Annisa Imania Asmarini, Titik Ambar Ayu Ferissa Simorangkir Ayuni Rizka Utami Ayuni Rizka Utami Carolina, Anita Rezeki Darsono Darsono Desriati Devi Dian Anggur Dian Sari Dian Sari Dian Sari Dian Sari Dian Sari Dian Sari Elfira Awalia Rahmawati Erna Julianti Erna Julianti Eva Oktaviani Fitri Wahyuni Fitri Wahyuni fransiska ompusunggu I Gusti Agung Ayu Suartini Iin Desmiani Duri Imania, Annisa Irianti, Dewi Julikah, Julikah Komang Yogi Triana Komarudin Komarudin Lestari, Pande Lilik Mais, Pricilia Mega Hasanul Huda Muhamad Zulfatul A’la Natalia Devi Oktarina Ni Luh Eka Setiasih Ni Luh Putu Agustini Nina Dwi Putri Nining Caswini Novardian Novardian Nyimas Sri Wahyuni Pande Lilik Lestari Pande Lilik Lestari Pipit Lestari Pricilia Mais Pricilia Mais Purba, Humbang R. Rr Maria Dyah Kurniasari Ratri Tamayanti Raudha Ilmi Farid Regina Natalia Reisy Tane Septiana, Nenty Sisyawati Putriningsih Sugiarti Sugiarti Sugiarti Sugiarti Sugiarti, Sugiarti Sunarsih Sunarsih Tamayanti, Ratri Titik Ambar Asmarini Titik Ambar Asmarini Utami, Ayuni Rizka Utario, Yossy Yanti Riyantini Yeni Rustina Yeni Rustina Yogi Prawira Yohanes Andy Rias