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Wirakhmi, Ikit Netra
Universitas Harapan Bangsa
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Pengaruh Anestesi Spinal Terhadap Hemodinamik Pada Pasien Sectio Caesarea di Rumah Sakit Umum Cut Meutia Aceh Utara Nazar, Saiful; Wibowo, Tophan Heri; Wirakhmi, Ikit Netra
Viva Medika Vol 16 No 2 (2023)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i2.913

Abstract

Hemodynamic changes are a risk that can occur in the use of spinal anesthesia in sectio caesarea operations. The aim of this study was to determine the effect of spinal anesthesia on hemodynamics in sectio caesarea patients at Cut Meutia Hospital, North Aceh. This research method uses observational analytic with cross sectional with pretest & posttest only group. The sampling technique was carried out by means of a total sampling of 70 respondents. The research instrument that will be used in this study is the patient observation sheet. Data analysis was performed univariately and bivariately using the Wilcoxon test. The results showed that there were differences in hemodynamics (blood pressure) before and after spinal anesthesia in sectio caesarea patients with a p-value of 0.000 (p<0.05). There were differences in hemodynamics (pulse) before and after spinal anesthesia in sectio caesarea patients with a p-value of 0.000 (p <0.05). This study concluded that there was an effect of spinal anesthesia on hemodynamics in sectio caesarea patients at Cut Meutia Hospital, North Aceh
The Influence of Health Education Using Pocket Books on Mothers' Knowledge Level Regarding Stunting in Kasilib Village Wardani, Husnanisa Kusuma; Triana, Noor Yunida; Wirakhmi, Ikit Netra
Viva Medika Vol 16 No 4 (2023)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i4.1207

Abstract

Stunting is a condition where toddlers have less height compared to their age. This study aims to determine the effect of health education using the pocketbook method on the level of knowledge of mothers about stunting in Kasilib Village. This research is quantitative, using the Pre-Experiment research type, using the One Group Pretest Posttest Design approach. The sampling technique used was the accidental sampling with a total sample of 132 mothers. The sample was taken by accidental sampling. The statistical test used in this study uses the Paired T-Test. The results of the study stated that most of the respondents had a high school education as many as 69 (52.3%), and most of the respondents did not work as many as 82 people (62.1%). The level of mother's knowledge before health education was carried out as many as 72 respondents (53.8%) had sufficient knowledge about stunting after health education was carried out as many as 95 respondents (72%) had good knowledge about stunting. The results of the Paired T-Test obtained a p-value of 0.000 <0.005, which means that there is an influence of health education using the pocketbook method on the level of knowledge of mothers about stunting in Kasilib village. Posyandu cadres or health workers in the working area of ​​Kasilib Village can conduct health education related to stunting regularly.
Overview of Sexuality Satisfaction in Breast Cancer Patients at RSUD Prof. Dr. Margono Soekarjo Purwokerto Melinda, Rahma; Siwi, Adiratna Sekar; Ikit Netra Wirakhmi
Viva Medika Vol 17 No 2 (2024)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i2.1330

Abstract

Cancer is the cause of death and loss of hope for cancer patients around the world, especially breast cancer. Breast cancer sufferers have psychological, social, and physical effects. One of the physical effects is decreased sexual function. Sexual function in cancer patients is an important element that can affect their quality of life. One of the causes of decreased quality of life in cancer is influenced by sexual function. The purpose of this study was to find out the description of sexual satisfaction in breast cancer patients at RSUD, Prof. Dr. Margono Soekarjo Purwokerto. This type of research is quantitative, using descriptive research methods with a cross-sectional approach. The sampling technique using non-probability sampling with purposive sampling using the Slovin formula obtained the results of 79 respondents. The research instrument used was the Sexual Satisfaction Scale for Women (SSS-W) questionnaire, which consisted of 30 questions. Data analysis using a univariate test. Data collection was carried out on April 5–18, 2023. The results showed sexual satisfaction in breast cancer patients at RSUD, Prof. Dr. Margono Soekarjo Purwokerto, namely in the satisfied category, 56 respondents (70,9%)
Edukasi Bullying sebagai upaya meningkatkan pengetahuan dan menurunkan kejadian bullying pada anak di SD Negeri Karangsoka Kembaran maya safitri; Ikit Netra Wirakhmi; Faisal Nur Ramdhani
Jurnal Pengabdian Masyarakat - PIMAS Vol. 3 No. 1 (2024): Februari
Publisher : LPPM Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/pimas.v3i1.1320

Abstract

Prevalensi bullying di Indonesia menurut Komisi Perlindungan Anak Indonesia (KPAI) dan Federasi Serikat Guru Indonesia (FSGI), tercatat terjadi 226 kasus bullying pada tahun 2022 meningkat dibandingkan tahun 2021 terdapat 53 kasus, dan tahun 2020 sebanyak 119 kasus. Sementara itu untuk jenis bullying yang sering dialami korban ialah bullying fisik (55,5%), bullying verbal (29,3%) dan bullying psikologis (15,2%). Siswa SD menjadi korban bullying terbanya sebesar (26%), diikuti SMP (25%), dan SMA (18,7%). Upaya meningkatkan kesadaran Masyarakat terutama anak dapat dilakukan dengan pemberian Pendidikan Kesehatan yang diharapkan mampu meningkatkan perilaku sehat mental serta menurunkan angka kejadian bullying pada anak dengan cara promotive dan preventive.Kegiatan ini melibatkan 51 siswa siswi di SD Negeri Karangsoka Kembaran dengan metode ceramah, diskusi dan tanya jawab. Kuesioner pre dan post-test diberikan sebelum dan sesudah ceramah untuk menilai pengetahuan. Data deskriptif disajikan terkait pengetahuan perilaku bullying pada anak, sebelum pendidikan kesehatan tingkat pengetahuan sebagian besar dalam kategori cukup (70,6%) dan setelah pendidikan kesehatan tingkat pengetahuan dalam kategori baik (98%). Berdasarkan hasil post tes dapat disimpulkan peserta dapat menerima materi dengan baik, Harapannya siswa dan sisiwi yang telah memperoleh materi penyuluhan dapat menjadi motor penggerak (change of agent) dalam menyebar luaskan pengetahuan mengenai perilaku bullying pada anak.
INDUSTRIALIZATION OF WHITE OYSTER MUSHROOM CULTIVATION (PLEUROTUS OSTREATUS) AS A STRATEGIC SOLUTION TO ADDRESS STUNTING IN WINDUAJI VILLAGE, PAGUYANGAN DISTRICT, BREBES REGENCY Yunida Triana, Noor; Saraswati, Esti; Wirakhmi, Ikit Netra; Ningrum, Ema Wahyu; Lestari, Sri; Ratnaningtyas, Nuniek Ina; Wati, Erna Kusuma
Abdi Dosen : Jurnal Pengabdian Pada Masyarakat Vol. 8 No. 4 (2024): DESEMBER
Publisher : LPPM Univ. Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/abdidos.v8i4.2500

Abstract

Stunting is a chronic malnutrition problem caused by inadequate nutritional intake over an extended period. Winduaji Village is classified as an area of extreme poverty with a high prevalence of stunting determinants. There is a need for information dissemination on stunting. The methods used include education on stunting, parenting practices, positive coping, behavioral change communication, and training on creating food products from processed mushrooms, dry cakes, wet cakes, and business management. The target audience consists of 21 community health cadres from Rumah Desa Sehat (RDS) and 60 families in extreme poverty. The goal of the activity is to improve the skills of RDS cadres in assisting impoverished families and to increase their knowledge about stunting prevention efforts, as well as to enhance their ability to develop businesses using processed oyster mushrooms. This activity is part of the Kosabangsa program by DRTPM Ristek Dikti in 2024, conducted from September to November 2024 in Winduaji Village, Paguyangan District, Brebes Regency. The results show an increase in RDS cadres’ knowledge of stunting, behavior change communication, and business management. Families in extreme poverty gained understanding of stunting prevention measures and became able to practice making supplementary foods from processed oyster mushrooms, dry cakes, and wet cakes. An evaluation of this activity needs to monitor the outcomes to ensure the Kosabangsa program positively impacts impoverished communities with stunted children.
GAMBARAN KEJADIAN POST OPERATIVE NAUSEA AND VOMITING (PONV) PADA PASIEN PASCA GENERAL ANESTESI DI RUMAH SAKIT UMUM Hj. ANNA LASMANAH BANJARNEGARA Depi Anggara; Wilis Sukmaningtyas; Ikit Netra Wirakhmi
Jurnal Cakrawala Ilmiah Vol. 3 No. 6: Februari 2024
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Efek samping umum yang biasanya muncul setelah operasi adalah mual, muntah, atau PONV pasca operasi. Kondisi ini terutama menyerang pasien yang melakukan prosedur anestesi umum. Tujuan penelitian ini adalah untuk memahami gejala mual dan muntah yang muncul setelah operasi pada pasien yang mendapat anestesi umum. Penelitian ini menggunakan metode deskriptif observasional untuk mengukur PONV selama dua sampai enam jam operasi. Pengambilan sampel dilakukan dengan menggunakan purposive sampling dengan jumlah sampel sebanyak 103 responden. Penelitian ini dilakukan di Bangsal Bedah RSUD Hj. Anna Lasmanah Banjarnegara pada tanggal 3 September hingga 28 September 2023. Mayoritas responden tidak mengalami PONV 55 (53,4%); mayoritas responden mengalami PONV pada rentang usia 56–65 tahun sebanyak 17 responden (16,5%); mayoritas responden yang mengalami PONV yaitu perempuan sebanyak 25 responden (25,3%) dan mayoritas responden mengalami PONV yaitu pada responden yang memiliki riwayat PONV sebanyak 35 responden (33%). Temuan ini berdasarkan analisis data univariat yang dilakukan dengan menggunakan SPSS Versi 2023
GAMBARAN INDEKS MASSA TUBUH DAN KEJADIAN HIPOTERMI PADA PASIEN SECTIO CAESAREA (SC) DENGAN SPINAL ANESTESI DI RSUD dr. R GOETENG TAROENADIBRATA PURBALINGGA Ocha Rajabia Rahmah; Sukmaningtyas, Wilis; Wirakhmi, Ikit Netra
Jurnal Cakrawala Ilmiah Vol. 4 No. 1: September 2024
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Sectio caesarea merupakan suatu cara pengeluaran fetus melalui sebuah irisan pembedahan yang menembus abdomen seorang ibu dan uterus untuk dapat mengeluarkan satu bayi atau lebih. Anestesi spinal merupakan suatu cara yang memiliki sifat analgetik yang dapat menghilangkan nyeri tetapi pasien tetap sadar. Dikarenakan anestesi spinal memiliki tingkat efektifitas keamanan yang baik serta biaya yang terjangkau. Setiap pasien yang menjalani operasi berada dalam risiko mengalami kejadian hipotermi, faktor resiko anestesi pada pasien yang mengalami hipotermi meliputi lama operasi, kondisi fisik ASA, usia, jenis kelamin, status gizi, dan IMT yang rendah. Tujuan penelitian ini adalah untuk mengetahui gambaran indeks massa tubuh dan kejadian hipotermi pada pasien sectio caesarea (SC) dengan spinal anestesi di RSUD dr. R. Goeteng Taroenadibrata Purbalingga. Penelitian ini merupakan penelitian kuantitatif, jenis penelitian deskriptif observasional dengan desain cross-sectional. Sampel dalam penelitian ini sebanyak 80 responden. Pengambilan sampel dengan total sampling. Teknik analisis menggunakan analisis univariat. Hasil penelitian ini menunjukkan bahwa pasien sectio caesarea dengan spinal anestesi paling banyak berada dalam kategori IMT normal yaitu sebanyak 47 (58,8%). Berdasarkan kejadian hipotermi yang dialami oleh pasien sectio caesarea dengan spinal anestesi yaitu sebanyak 50 (62,5%). Kesimpulan pada penelitian ini didapatkan distribusi frekuensi kejadian hipotermi pada responden dengan IMT kategori normal.
Hubungan Beban Kerja Dan Burnout Terhadap Perilaku Caring Perawat Di RSU Hidayah Purwokerto IASA, ARUM ANINDIKA; Susanti, Indri Heri; Wirakhmi, Ikit Netra
Jurnal Ilmiah Wahana Pendidikan Vol 10 No 7 (2024): Jurnal Ilmiah Wahana Pendidikan
Publisher : Peneliti.net

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.11063574

Abstract

Nurses are the main component in the hospital, working on standby within 24 hours, with all patient conditions. Nurses in carrying out their duties and profession are prone to physical and mental fatigue and are very vulnerable to burnout at work so that it will affect patient caring. This study aims to determine the relationship between workload and burnout to nurses caring at Hidayah RSU Purwokerto. This research method is descriptive quantitative, survey research method which is analytic in nature with a cross sectional approach. Population of 30 nurses and 203 patients. Sampling technique with purposive sampling technique on 135 patients and total sampling on 30 nurses. The research used the Maslach Burnout Inventory-Human Service Survey (MBI-HSS), the workload questionnaire from Nursalam (2016) and the caring behavior questionnaire from Nursalam (2015). The results of the study showed that the majority of nurse respondents aged between 25-34 years were 20 (66.7%). The workload of the nurses in the moderate category was 19 (63.3%), the burnout of the nurses in the moderate category was 17 (56.7%), and the caring behavior of the nurses in the moderate category was 74 (54.8%). Characteristics of the patients aged between 45-55 years were 62 (45.9%). The results of the Spearman rank test showed that there was a relationship between workload and caring behavior (p-value 0.018) with moderate relationship strength and there was a relationship between burnout and nurse caring behavior (p-value 0.009) with moderate relationship strength at Hidayah General Hospital Purwokerto.
Hubungan Tingkat Pengetahuan Dengan Keterampilan Kader Tentang Manajemen Nyeri Non Farmakologis Bagi Pasien Lansia Pada Kader Di Kelurahan Sumampir Wirakhmi, Ikit Netra; Ningrum, Ema Wahyu; Dewi, Pramesti
Jurnal Ilmiah Kesehatan Keperawatan Vol 21, No 2 (2025): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM UNIVERSITAS MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26753/jikk.v21i2.1942

Abstract

Kader kesehatan memiliki peran penting dalam upaya deteksi dini dan pencegahan penyakit di masyarakat. Pengetahuan dan keterampilan kader menjadi faktor utama yang menentukan efektivitas pelaksanaan tugas mereka. Penelitian ini bertujuan untuk menganalisis hubungan antara pengetahuan dan keterampilan kader dalam pelaksanaan kegiatan kesehatan masyarakat. Desain penelitian yang digunakan adalah deskriptif korelasional dengan pendekatan cross sectional. Pengambilan sampel dilakukan secara purposive terhadap kader aktif di wilayah kerja tertentu. Data dikumpulkan melalui kuesioner pengetahuan dan lembar observasi keterampilan, kemudian dianalisis menggunakan uji statistik korelasi Spearman. Hasil penelitian menunjukkan bahwa sebagian besar kader berada pada kategori usia dewasa (19–59 tahun) sebesar 87,8%. Ditemukan adanya hubungan signifikan antara pengetahuan dan keterampilan kader (p = 0,01) dengan tingkat keeratan hubungan sangat lemah (r = 0,275). Temuan ini menunjukkan bahwa peningkatan pengetahuan dapat berkontribusi terhadap peningkatan keterampilan kader, meskipun dengan pengaruh yang terbatas. Dapat disimpulkan bahwa pengetahuan merupakan salah satu faktor yang berperan dalam meningkatkan keterampilan kader, namun perlu didukung dengan pelatihan berkelanjutan, motivasi, dan dukungan tenaga kesehatan agar kompetensi kader dapat berkembang secara optimal. Health cadres play an essential role in early disease detection and prevention within the community. Knowledge and skills are key factors determining the effectiveness of cadre performance in implementing health programs. This study aimed to analyze the relationship between knowledge and skills among health cadres in community health activities. A descriptive correlational design with a cross-sectional approach was employed. Samples were selected purposively from active cadres within a designated working area. Data were collected using a knowledge questionnaire and a skill observation sheet, then analyzed using the Spearman correlation test. The results showed that most cadres were in the adult age category (19–59 years), accounting for 87.8% of participants. There was a significant relationship between knowledge and skills (p = 0.01) with a very weak correlation (r = 0.275). These findings indicate that increased knowledge contributes to improved cadre skills, although the influence is limited. It can be concluded that knowledge is one of the contributing factors in enhancing cadre skills; however, continuous training, motivation, and support from health professionals are necessary to optimize cadre competence in community health practice.
Pemberdayaan Kader Dalam Penatalaksanaan Tuberculosis Melalui Pemanfaatan Pangan Lokal di Desa Kebocoran Netra Wirakhmi, Ikit; Ningrum, Ema Wahyu; Kristianto, Giovanny Bangun; Wahyuningrum, Tenia; Nugroho, Catur; Pradana, Zein Hanni
Jurnal Medika: Medika Vol. 4 No. 4 (2025)
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/0md4z211

Abstract

Tuberkulosis (TBC) masih menjadi tantangan utama kesehatan masyarakat di Indonesia, terutama di wilayah perdesaan dengan kondisi sosial ekonomi rendah. Desa Kebocoran, Kabupaten Banyumas, merupakan salah satu daerah dengan prevalensi TBC cukup tinggi dan keterbatasan pemahaman kader posyandu mengenai pencegahan serta penatalaksanaan TBC. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan dan keterampilan kader TBC melalui edukasi kesehatan dan pelatihan pembuatan menu bergizi berbasis buah melon sebagai potensi pangan lokal. Metode kegiatan meliputi observasi, wawancara dengan pemangku kepentingan, penyuluhan interaktif menggunakan media lembar balik, serta pelatihan praktik pembuatan menu melon. Sebanyak 31 kader TBC mengikuti kegiatan ini. Hasil evaluasi menunjukkan adanya peningkatan pengetahuan kader, dengan rata-rata nilai pre-test sebesar 88,25 meningkat menjadi 92,16 pada post-test. Kader juga mampu membuat dua menu berbasis melon (smoothies dan pudding) yang dikembangkan untuk mendukung pemulihan pasien TBC. Program ini mendapat tanggapan positif dari peserta dan pemangku wilayah, meskipun masih diperlukan kolaborasi lanjutan dengan petani lokal untuk penyediaan bahan baku melon secara berkelanjutan. Kegiatan ini berhasil meningkatkan literasi kesehatan dan keterampilan kader TBC dalam pencegahan serta penatalaksanaan TBC melalui pendekatan edukatif dan inovasi gizi berbasis potensi lokal. Pemberdayaan kader dengan pemanfaatan pangan lokal dapat menjadi model pengembangan masyarakat yang berkelanjutan di wilayah perdesaan.
Co-Authors Adha, Dwi Riani Adinda Yulia Putri Adiratna Sekar Siwi Adriani, Prasanti Alivian, Galih Noor Amalia Dwi Feviana Ameliya Yunita Amin Susanto Amin Susanto Andini, Amelia Anik Hardiyanti Anindita Gani Utami Annisha Febiyani Apriliyani , Ita Apriliyani, Ita Arif Imam Hidayat Arif Nur Hidayanto Arni Nur Rahmawati Asraf Nanda Priyanto Atun Raudotul Ma’rifah Aziz, Salva Nurdianti Azizah Diah Safitri Azizy, Agil Wafi Baehaqi Bagus Tyas Anggoro Bambang Sumantri, R Bagus Bambang Yuli Krisnanto Berlina Trisni Fara Utama Bunda, Mutiara Permata Cahyaningrum, Etika Dewi Catur Nugroho Chanshintop, Sawinee Christine Dyah Depi Anggara Desi Purwasih Desy Rahayu Diah Tri Anggraini Dina Rosmala Silviani Dini Ristya Lestari Dwi Agus Yulianto Dwi Novitasari DWI RIANI ADHA Edi Sulistianto Eka Widiastuti Eka Yuliana Eman Sutrisna Endah Wulan Ramadhani ERINA Ina Rina Erni Rokhani Estri Wulansari Faisal Nur Ramdhani Farida Ismawati, Aida Febiyani, Annisha Feti Fajri Khayatul Mei Firliana, Eka Mitra Yuli Fitri Nur Chasanah Guguh Desy Febriyanti Haniif Jaka Pradipta Hanum, Fauziah Heliyana HR, Okto Hidayah Hidayah Hikmanti, Arlyana IASA, ARUM ANINDIKA Imam Wakhyono Indra Juniardi Indri Dwi Aristiani Indri Heri Susanti Indri Heri Susanti Indri Heri Susanti, Indri Heri Intan Kusumawardhani Iwan Purnawan Jerau, Emiliani Elsi Kartikasari B Khasanah, Ratna Uswatun Khomalasari, Intan Dwi Krisnanto, Bambang Yuli Kristianto, Giovanny Bangun Kurniawan, Wasis Eko Kusuma, Agus Kurniadi Hananta Laili Muhanifah Lestari, Meli Mugi Lutviah Silviati M. Yogi Riyantama Isjoni Ma'rifah, Atun Roudotuk Made Suandika Maolinda, Yunia Mariah Ulfah Mariah Ulfah Maya Safitri Maya Safitri Melinda, Rahma Milina Setianingsih Muhanifah, Laili Murniati Murniati Musyaffa, Almas Mutiara Permata Bunda Nabila Fitria Wulandari Natikoh, Natikoh Nazar, Saiful Neviami, Jeni Nida, Faridatun Ningrum, Ema Wahyu Noor Yunida Noor Yunida Triana Noor Yunida Triana Novianasari, Eka Nuniek Ina Ratnaningtyas Nur Fitriana, Salma Nuraini Habibah Nuretha, Anti Alya Ocha Rajabia Rahmah Pepi Puspasari Pradana, Zein Hanni Pramesti Dewi Prananingrum, Gesty Pungki, Diaz Vinalia Purimahua, Christin J. Putrie, Azzahra Rahmawati, Chintya Reni Dwi Setyaningsih Restu Pujianto Riana, Maya Reza Rina, ERINA Ina Ririn Isma Sundari Ririn Isma Sundari Rohmah, Afifa Tur Roro Lintang Suryani Roudhatul Khasanah, Laely Alfiani Safitri, Ganes Indah Saiful Nazar Salsabila, Hima Setya Saputri, Riska saraswati, esti Sari, Ameliya Sekar Siwi, Adiratna Setyawati, Martyarini Budi Sidik Awaludin Siti Haniyah Siti Nurkhasanah Sri Lestari SRI RAHAYU Suci Khasanah Surtiningsih Surtiningsih Susanto, Amin Susetya, Putut Anggara Susilo Rini Susilo Rudatin Swasti Jamalina Tarafiar Choerunisa Tastrya Nur Yunita Tatang Kurniawan Setia Aji Tenia Wahyuningrum Tika Mutiyani Tin Utami Tin Utami Tophan Heri Wibowo Tri Larasati, Hana Tri Sumarni Tri Sumarni Triana, Noor Yunida Tulus, Ilyas Suberkah Umu Hani Utami, Tin Uun Octaviani wahyuni, maudy tri Wardani, Husnanisa Kusuma Wasis Eko Kurniawan Wasis Eko Kurniawan Wibowo, Tophan Heri Wilis Sukmaningtyas Willy Pramudya willy pramudya Yuli Dwi Hartanto Yunida Triana, Noor Zaeni Nur Khozin Zaky Ariyanto, Hafizh Zulfa Amalia Winaz