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Peluang Ketahanan Hidup 5 Tahun Pasien Kanker Serviks Di RSUPN Dr. Cipto Mangunkusumo dan RSK Dharmais, Jakarta, 2002 Dewi Gayatri; Besral Besral; Elly Nurachmah
Jurnal Keperawatan Indonesia Vol 7 No 1 (2003): Maret
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v7i1.128

Abstract

AbstrakKematian akibat kanker di dunia semakin meningkat baik di negara maju maupun berkembang. Di Indonesia, data menunjukkan hal serupa. Registrasi kanker di Indonesia berdasarkan kependudukan belum ada serta penelitian yang berkaitan dengan ketahanan hidup kanker serviks sangat kurang. Hal ini membuat peneliti tertarik untuk mengukur ketahanan hidup 5 tahun pasien kanker serviks. Desain penelitian ini adalah kohort retrospektif pada 451 subyek penelitian dengan mengunakan data rekam medis pada diagnosis tahun 1993-1996 yang diikuti selama 5 tahun. Hasil penelitian ini menyimpulkan bahwa probabilitas ketahanan hidup 5 tahun pasien kanker serviks dengan stadium I sekitar 70%, stadium II sekitar 37,4%, stadium III sekitar 12,4%, dan stadium IV pada tahun kedua sudah menjadi 0%. AbstrackThe caused of death by cancer was increase both in the developed countries and developing countries. In Indonesia, the data shows the same pattern. In Indonesia, population based cancer registry was not yet developed furthermore lack of research related to survival rate of cervical cancer. This situation made author interested to know the probability of five-years survival of cervical cancer patient. The design of this study is retrospective cohort among 451 subjects, the data was collected form the medical record of cervical cancer patient those who was diagnosed during 1993—1996 and then followed up to 5 years. The result of this study is conclude that the probability of 5-years survival of cervical cancer patient with the stage-I is 70%, stage-II is about 37,4%, stage-III is about 12,4%, and stage-IV was to be 0% at the second year.
Perbandingan Penyembuhan Luka Terbuka Menggunakan Balutan Madu atau Balutan Normal Salin-Povidone Iodine Zulfa Zulfa; Elly Nurachmah; Dewi Gayatri
Jurnal Keperawatan Indonesia Vol 12 No 1 (2008): Maret
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v12i1.197

Abstract

AbstrakPenelitian ini bertujuan mengidentifikasi perbedaan keefektifan penyembuhan luka menggunakan balutan madu dan balutan normal salin-povidone iodine pada pasien trauma dengan luka terbuka yang dirawat di salah satu RS di Bukittinggi. Desain penelitian ini adalah kuasi eksperimen, non-equivalent control group dengan pre dan post-test. Sampel berjumlah 6 responden (3 responden untuk masing-masing kelompok intervensi madu serta normal salin-povidone iodine). Hasil penelitian menunjukkan tidak ada perbedaan bermakna pada rerata skor perkembangan proses penyembuhan luka antara sebelum dan sesudah intervensi perawatan luka dengan madu (P = 0.076) dan dengan normal salin-povidone iodine (P = 0,057). Rerata skor perkembangan penyembuhan luka terbuka setelah intervensi tidak berbeda secara signifikan (P = 0,797) antara kelompok intervensi dengan madu dengan kelompok kontrol. Namun, penurunan skor perkembangan proses penyembuhan luka pada balutan madu (11,52%) lebih besar 6,67% dibandingkan balutan normal salin-povidone iodine (4,85%). Perawatan luka dengan madu membuat responden tidak merasa nyeri, tidak terjadi perlengketan serta perdarahan saat membuka balutan ketika dibersihkan, sedangkan dengan normal salin-povidone iodine, responden merasakan sebaliknya. Hasil penelitian ini merekomendasikan penggunaan balutan madu untuk pasien dengan luka terbuka. AbstractThe aim of this study was to compare the effectiveness of honey dressing and normal salin-povidone iodine dressing in the open wound healing process at a hospital in Bukittinggi. This was a non-equivalent control group quasi experimental study with pre & post test. The samples of this study were 6 respondents (3 respondents in each intervention and control group). The finding from this study showed that there was no significant difference on the mean score of wound healing process before and after wound care intervention using honey dressing (P = 0.076), and normal saline-povidone iodine dressing (P = 0.057). There was also no significant difference on the mean score of wound healing process on traumatic open wound patient after intervention on the control group using normal saline-povidone iodine dressing and intervention group using honey dressing (P = 0,797) However, the wound healing score on the honey intervention group was 6,67% higher (11,52%) than on the wound using normal saline-povidone iodine dressing (4,85%). Unlike patients in the control group, patients using honey dressing were not complaining about pain and bleeding when change dressing. Therefore, the study recommended the honey application for open wound.
How nurse express their caring behavior to patients with special needs (Research Report) Elly Nurachmah
Jurnal Keperawatan Indonesia Vol 5 No 1 (2001): Maret
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v5i1.101

Abstract

The purpose of the research was to explore how nurses who work in the specific nursing care facilities express their caring behavior to patients with special needs. A descriptive explorative research design was conducted, and a thirty item questions was administered to nurses who work in ICU, CCU, Casualty/Emergency, Stroke unit, and hemodialysis units in hospitals in Jakarta Metropolitan. The questions were derived from ten carrative factors of Watson’s theory of Caring (Watson, 1994). One hundred sixty five questions was distributed during a month of data collection period, and only 102 questionnaires fulfilled the criteria. Among the findings showed that more than 75% of respondents appreciated clients as persons who have privascy and dignity. The recommendations were directed to nursing authority in the area of education that caring spirit should be grown since the early years of nursing education. In addition, the nursing managers should pay more attention to create conducive environment for nurses to build more cohesive – trust relationship with clients and families. Further research needs to be conducted to cover large subjects, different area of nursing practice, and in a longitudinal observation involving additional sub variables.
Peningkatan Ekspresi Transforming Growth Factor Beta 1 (TGF β1) Pada Luka Diabetes Melitus Melalui Balutan Modern Heri Kristianto; Elly Nurachmah; Dewi Gayatri
Jurnal Keperawatan Indonesia Vol 13 No 1 (2010): Maret
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v13i1.226

Abstract

AbstrakEkspresi transforming growth factor beta 1 pada luka diabetes melitus mengalami penurunan yang berdampak terhadap proses penyembuhan luka. Penelitian ini bertujuan untuk membandingkan perawatan luka modern dressing dengan metode konvensional terhadap ekspresi transforming growth factor beta 1 pada luka kaki diabetes melitus. Penelitian menggunakan quasi experimental pretest-posttest design dengan metode pengumpulan sampel secara consecutive sampling. Pengukuran ekspresi transforming growth factor beta 1 dilakukan pada hari ke-0 (pretest) dan ke-4 (posttest). Hasil penelitian didapatkan data pada kelompok modern terjadi peningkatan ekspresi transforming growth factor beta 1, sedangkan pada kelompok konvensional terjadi penurunan ekspresi transforming growth factor beta 1. Disimpulkan bahwa teknik perawatan luka secara modern mampu meningkatkan ekspresi transforming growth factor beta 1dibandingkan teknik konvensional pada luka kaki diabetes melitus. AbstractReduction of expression of transforming growth factor beta 1 in diabetic ulcers affects overall wound healing. This study tried to draw a comparison of transforming growth factor beta 1 level between modern dressing and conventional dressing in diabetic foot ulcer. This study applied a quasi-experimental pretest-posttest design and a consecutive sampling method of data collection. Immunohistochemical analysis of transforming growth factor beta 1 level was measured on the day 0 (pretest) and the day 4 (posttest). In this study, the modern dressing application improves transforming growth factor beta 1 level. Meanwhile, the conventional dressing application decreases transforming growth factor beta 1 level. Thus, it can be concluded that the modern dressing application can increase transforming growth factor beta 1 level.
Progran Evaluasi Model Praktek Keperawatan Profesional Elly Nurachmah
Jurnal Keperawatan Indonesia Vol 2 No 5 (1998): Oktober
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v2i5.305

Abstract

Model praktek keperawatan professional merupakan suatu model yang memberikan kesempatan bagi perawat untuk menunjukkan otonomi dan akuntabilitas dalam memberikan asuhan keperawatan kepada klien. Suatu program evaluasi bagi model praktek keperawatan professional diperlukan untuk mengkaji sejauh mana keefektifan model keperawatan ini terhadap peningkatan pelayanan keperawatan di ruang model ini. Evaluasi dapat diarahkan kepada aspek struktur dimana komitmen organisasi pelayanan keperawatan akan dikaji, aspek proses dimana factor pelibatan dan partisipasi dari seluruh komponen yang terlibat dalam pemberian asuhan keperawatan dinilai, serta aspek hasil dimana kepuasaan klien dapat diukur. Program evaluasi ini seyogyanya dapat dilaksanakan minimal dua kali dalam tiga tahun, dimana evaluasi pertama merupakan informasi dasar bagi evaluasi selanjutnya. AbstractA professional nursing practice model is an approach that enables nurses to demonstrate their autonomy and accountability in delivering their care to patients. An evaluation program for a professional nursing practice model is required to assess the effectiveness of this model toward an improvement of nursing service in this model unit. The evaluation plan is involved in three aspects: structure, process, and outcome. The aspect of structure is evaluated to assess a commitment of the nursing service organization. The aspect of process is directed to evaluate an involvement and participation of all components in a nursing care delivery system. And finally, the aspect of outcome is assessed to determine the satisfaction of patients and the staff. A program of evaluation is best to be conducted twice for a period of three years during which the first evaluation is used as a baseline data for an incoming evaluation.Keywords: A professional nursing practice model, a program evaluation, structure, process, outcome.
Independence Functions of Stroke Patients with "Gait" Exercise Marlina Marlina; Elly Nurachmah
Jurnal Ners Vol. 8 No. 1 (2013): April 2013
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (233.947 KB) | DOI: 10.20473/jn.v8i1.3878

Abstract

Introduction: Stroke is a cerebro vascular disease which has clinical manifestation based on the location and the damaged lesion. The disorder of oxygen flow to the brain results clinical manifestation called hemipharese or the de fi ciency of some parts of extremities which is indicated by the muscle deficiency. Effect of exercise gait program in needed in order to recover the strength functional self care of which is indicated by the improve strength extremitas. The aimed of this study was to analyze the effect of exercise gait to the improvement of functionalself care of the patients at Sigli General Hospital in Kabupaten Pidie Nanggroe Aceh Darussalam.Methods: A quasi experimental with pretest-postest group design was used in this study. Thirty four patients were selected by using non probability sampling (consecutive sampling tehnigue) as the sample of the study. Fourteen days of exercise gait program were given to the patient. An evaluation to the result of the program was conducted after fourteen days by measuring functional self care of the subjects.Result: The statistical analysis showed that the average of the stroke patiens functional self care is significantly after the treatment (p=0.000). There was a relationship between patients age and the functional selfcare (p=0.000) and there was no relationship between sex and the functional self care (p=0.148). There was also no relationship between risk factor the functional self care (p=0.13).Conclusion: This study recommended the use of exercise gait to improve functional self care of stroke patients in order to improve their ability to do daily living activities.
Collaborative Model of Teachers, Students, and Families to Improve Parents Knowledge and Skills on Food Safety of Elementary School Students Sigit Mulyono; Elly Nurachmah; Junaiti Sahar; Sabarinah Prasetyo
Jurnal Ners Vol. 13 No. 1 (2018): April 2018
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (818.557 KB) | DOI: 10.20473/jn.v13i1.6061

Abstract

Introduction: School-age children in Indonesia are at risk of health problems due to food insecurity. Parents have a very important role in preparing safe food, both at home and for lunch at school. The aim of this study was to determine the effect of a collaboration model of teachers, students, and their families (KOGUSIGA) towards the parents’ knowledge and skills on the food safety of elementary school students.Methods: This study applied a quasi-experiment design pre- and post-test with a control group. The subject sample used was the total sampling method, involving 206 parents. The study was conducted for over 10 weeks, supported with modules for nurses and parents, textbooks for the students and their families, and a student workbook.Results: The results showed that the KOGUSIGA model is associated significantly with greater knowledge (p-value = 0.000; with a mean difference of 20.23) and the parent’s skills (p-value = 0.000; with a mean difference of 12.3) to do with food insecurity.Conclusions: The KOGUSIGA model tends to improve the knowledge and skills parents significantly, in relation to the food safety of the students. It is expected that the KOGUSIGA model will be applied under the community health nursing/school health nurses’ supervision.
Active Cycle Of Breathing Technique Terhadap Fungsi Paru pada Pasien Paska Operasi Bedah Jantung Fakrul Ardiansyah; Elly Nurachmah; Muhamad Adam
Ners Jurnal Keperawatan Vol 17, No 1 (2021)
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.17.1.42-46.2021

Abstract

The pulmonary complications after cardiac surgery is estimated to be 2-4%.  These complication increase the length of hospital stay and increase cost. Postoperative cardiac surgery care focuses on pulmonary function with active cycle of breathing technique (ACBT). This study aimed to identify the effectiveness of ACBT in recovery pulmonary function in postoperative cardiac surgery. This study used pra experiment method involving 30 respondents  with purposive sampling technique in adult surgery intensive care unit and Surgical ward. This group applies ACBT for 4 days: 2x/day, duration 15 minutes/session on 1st and 2nd  day after surgery; 1x/day, duration 15 minutes/session on 3rd and 4th day after surgery. The Peak Expiratory Flow Rate is evaluated with Peak flow meter tools. The pre test data were obtainedd on the pre operation and the post test data were obtained on the 3rd day after surgery.  This data analyzies with distribution mean and wilcoxon. The result distribution mean of Peak Expiratory Flow (PEF) pre test is 420,33 l/minute and the post test is 432,33 l/minute. The result of wilcoxon test is p=0,001< α=0,05,  it is show that significant effect in  PEF (Peak Expiratory Flow) pre, 3rd day PEF. ACBT consists of deep breathing and hold breathing, so the air flow easier  and the discharge mucous, on the last step is the huffing technique. It is not require stretgh to discharge mucous and reduce pain. ACBT can be used as a nursing intervention for airway management to recovery pulmonary function in postoperative cardiac surgery.  Keywords: active cycle of breathing technique, postoperative cardiac surgery, and pulmonary function
FAKTOR PENENTU KUALITAS KOMPRESI RESUSITASI JANTUNG PARU OLEH PERAWAT Fakrul Ardiansyah; Elly Nurachmah; Muhamad Adam
Jurnal 'Aisyiyah Medika Vol 3: Februari 2019 Jurnal 'Aisyiyah Medika
Publisher : stikes 'aisyiyah palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (19.009 KB) | DOI: 10.36729/jam.v3i2.167

Abstract

Latar belakang: Henti jantung sering terjadi di instalasi gawat darurat dan Return of spontaneuscirculation (ROSC) masih rendah. ROSC dipengaruhi oleh kualitas kompresi RJP oleh perawat.Tujuan: Penelitian ini bertujuan mengidentifikasi faktor penentu kualitas kompresi RJP. Metode:Penelitian ini menggunakan metode Crossectional yang melibatkan 72 responden dengan teknikStratified Sampling di ruang IGD, Kamar Bedah, ICU, HCU, HCU paru, dan CVCU. Variabelindependen usia, jenis kelamin, indeks massa tubuh (IMT), kelelahan, frekuensi pelatihan,pengetahuan, dan kesadaran diri dianalisis hubungannya variabel dependent variabel dependentkualitas kompresi RJP. Hasil: Hasil analisis uji chi-square dan uji regresi logistik menunjukkanhubungan signifikan antara usia, jenis kelamin, IMT, kelelahan, frekuensi pelatihan, pengetahuan,kesadaran diri dengan kualitas kompresi pada resusitasi jantung paru (p<0,05), serta faktor yangpaling dominan yaitu jenis kelamin (p<0,05;OR=0,01;CI=8,644-1144,269). Saran: Rekrutmenperawat di unit kritis harus mempertimbangkan faktor usia, jenis kelamin, IMT, frekuensi pelatihan,pengetahuan dan kesadaran diri yang berpeluang tinggi peningkatan angka harapan hidup pasien hentijantung.Kata Kunci: Kualitas, RJP, Faktor, dan Perawat
FAKTOR YANG BERKONTRIBUSI TERHADAP MOTIVASI MENJALANI PEMERIKSAAN PAP SMEAR PASIEN KANKER SERVIKS DI POLI KANDUNGAN Latifah Latifah; Elly Nurachmah; Hiryadi Hiryadi
JURNAL KEPERAWATAN SUAKA INSAN (JKSI) Vol 5 No 1 (2020): Jurnal Keperawatan Suaka Insan (JKSI)
Publisher : STIKES Suaka Insan Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51143/jksi.v5i1.192

Abstract

Latar Belakang: Kanker serviks adalah penyakit keganasan leher rahim dimana setiap harinya ada 40 orang terdiagnosa kanker serviks di Indonesia dan 20 orang diantaranya meninggal dunia. Kalimantan Selatan tahun 2018 tercatat ada 53 orang penderita baru dan 1.877 orang penderita lama. Sekitar 70% penderita baru datang berobat dalam stadium > IIB. Pemeriksaan pap smear adalah cara deteksi dini yang dapat mengurangi angka kejadian dan kematian akibat kanker serviks. Penelitian ini bertujuan untuk mengidentifikasi faktor yang berkontribusi terhadap motivasi menjalani pemeriksaan pap smear pada pasien kanker serviks. Metode: Penelitian ini menggunakan desain kuantitatif dengan pendekatan cross sectional, Sampel yang digunakan sebanyak 43 orang dengan teknik purposive sampling. Instrumen yang digunakan adalah kuesioner. Hasil: Faktor pengetahuan, sikap, dukungan suami dan dukungan petugas kesehatan berkontribusi terhadap motivasi menjalani pemeriksaan pap smear pada pasien kanker serviks. Faktor yang paling berkontribusi terhadap motivasi menjalani pemeriksaan pap smear pada pasien kanker serviks. Lebih meningkatkan motivasi pasien kanker serviks dalam menjalani pemeriksaan pap smear. Kesimpulan: Promosi kesehatan dalam pemberdayaan masyarakat khususnya tentang pemeriksaan dini untuk meningkatkan motivasi pasien kanker serviks perlu ditingkatkan kembali. Pelayanan kesehatan juga diharapkan dapat mengoptimalkan kegiatan seperti memberikan penyuluhan tentang pemeriksaan dini terhadap wanita usia subur, memberikan informasi tentang penyebab dan pencegahan kanker serviks, serta meningkatkan motivasi pasien kanker serviks dalam melakukan pemeriksaan pap smear. Kata Kunci : Pengetahuan, Sikap, Dukungan Suami, Dukungan Petugas Kesehatan, Motivasi Pemeriksaan Pap Smear
Co-Authors Achmad Rif&#039;at Adam, Muhamad Adang Bachtiar Agung Waluyo Agus Susanto Ahmad Asyrofi, Ahmad Ai Cahyati Alfhy Septiana Ningsih Allenidekania Allenidekania Amanah, Dinny Atin Anggri Noorana Zahra Ani Widiastuti Anjarwati, Nurul Apriyanti, Efa Aris Setiawan Ariyanti Saleh Arman Harahap Arum Atmawikarta Aryani, Denissa Faradita Astuti Yuni Nursasi Azhari Baedlawi Azidin, Yustan Bahua, Jamal Bawa, Ngakan Nyoman Rai Bengu Ndona, Maria Fulgensia Bertiana, Bertiana Besral . Bietris Warisyu Budiharto . Budiharto ., Budiharto Budiharto Budiharto Budiharto Budiharto Budiman Budiman Budiyarti, Yuliani Cahyaningrum, Devy Novita Chatib Warsa, Usman Cholis, Eko Prastyo Cut Sarida Pompey Dahlia, Debie - Dandi Oka Subantara Desmalayati, Desmalayati Deswita Devi Susanti Devi Susanti Devie Dian Wahyuni Devie Dian Wahyuni Dewi Gayatri Dewi, Sasmita Dikha Ayu Kurnia Dudut Tanjung Dwi Novitasari Dwi Novitasari Dwi Novitasari Dwitanta, Sucipto Eddy Rosfiati Elfrida Ratnawati Elsye Maria Rosa Elsye Maria Rosa Era Dorihi Kale Ermeisi Er Unja Ernalinda Rosya Erwin Erwin Eryando, Tries Evi Martha Fahmi, Ismail Fakrul Ardiansyah Fakrul Ardiansyah Fakrul Ardiansyah Fitri Wulandari Gde Yasa Antarika Gipta Galih Widodo Gitalia Putri Medea Gupta, Prateek Hanny Handiyani Harmilah Harmilah Hening Pujasari Herawati Azies Heri Kristianto Hilman Syarif Hiryadi Hiryadi Hiryadi, Hiryadi I Made Kariasa I Nengah Adiana Ifana Yunike Pristya Ihsanidar, Yuniyas Imami Nur Rachmawati Indra Budi Ismail Fahmi Ismail Fahmi Janno Sinaga Jaya, Irvantri Aji JOKO NUGROHO Josua Edison Mangole, Josua Edison Junaiti Sahar Kadek Ayu Erika Kemal N. Siregar Latifah Latifah Liya Arista Luciana Kabang Mansyur4, Muchtarudin Maria, Riri Maria, Riri Marlina, Marlina, Masfuri - Mediawati, Ati Surya Meisa Ndari, Arni Budi Muchtaruddin Mansyur Muhamad Adam Muhamad Adam Muhamad Adam Muhamad Adam Muhamad Adam Muhammad Adam Muhammad Adam Muhammad Judha Muhammad Mulyadi Muhammad Syafwani Muhsinin Muhsinin, Muhsinin Murni, Elita Murtiwi Murtiwi Mustikasari Mustikasari Mutarobin Mutarobin Nafi'ah, Rizka Hayyu Nana Rochana, Nana Nandang A. Waluya Neli Mariani Nita Aprilia Noor Diani Noor, M. Fakhruddin Nova, Prima Agustia Nuniek Nizmah Fajriyah Nurhasty, Srie Wulan Oktovin Oktovin Prasestiyo, Hamudi Prima Agustia Nova Prima Agustia Nova Pristya, Ifana Yunike Rabikun, Rahmansyah Rai Bawa, Ngakan Nyoman Ramoo, Vimala Rany Novia Wardin Revani Hardika Ridho Kunto Prabowo Ristonilassius Ristonilassius Rita Sekarsari Rita Sekarsari Rita Sekarsari Roma Tao Toba MR Rosakawati Rosakawati Rr Tutik Sri Hariyati Ryandini, Felicia S Notoatmojo S., Chiyar Edison Sabarinah Prasetyo Saharuddin Santi Apriyani Sari Mulyati Septi Kurniasari Sidik Awaludin Sidik Awaludin Sidik Awaludin Sigit Mulyono Sitti Syabariyah Sitti Syabariyah Soemardjo, Soetrisno Solly Aryza Sri Yona Sri Yona St Khadijah Hamid Sukarmin Sukarmin Sukarmin Sukarmin Sukarmin Sukarmin Sukarmin Sungkono Surayani As'ad Susilawati Susilawati Sutanto Priyo Hastono Syafwani Syafwani Tori Rihiantoro Tri Cahyo Sepdianto Tris Eryando Tuti Herawati Tuti Herawati Tuti Nuraini Tuti Nuraini Veny Hadju Wahadi Wahadi, Wahadi Wayunah Wayunah Widaningsih, Widaningsih Wiratmo, Puji Astuti Yanti Cahyati Yeni Agustin Yeni Rustina Yulia Yulia Yuningsih Yuningsih Yuniyas Ihsanidar Yustina, Ina Yuyun Tafwidhah Zulfa Zulfa