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All Journal Husada Mahakam: Jurnal Kesehatan Bali Medika Jurnal Jurnal Keperawatan Malang (JKM) Jurnal Keperawatan Dirgahayu (JKD) Buletin Poltanesa Dinamika Kesehatan: Jurnal Kebidanan dan Keperawatan Mahakam Nursing Journal (MNJ)
Hurai, Rufina
STIKES Dirgahayu Samarinda
Agriculture, Biological Sciences & Forestry Computer Science & IT Education Health Professions Medicine & Pharmacology Nursing Public Health

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Efektifitas Massage Effleurage untuk menurunkan fatigue pada pasien kanker yang menjalani kemoterapi Rufina Hurai
Jurnal Keperawatan Dirgahayu (JKD) Vol 1 No 2 (2019): October
Publisher : Unit Penelitian dan Pengabdian Kepada Masyarakat, STIKES Dirgahayu Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52841/jkd.v1i2.88

Abstract

Latar Belakang: Kanker merupakan kumpulan pertumbuhan sel tidak teratur, penyebaran sel tidak terkontrol dapat menyebabkan berbagai keluhan dan mengancam jiwa. Pasien kanker menjalani kemoterapi dapat mengalami keluhan fatigue (kelelahan), kelemahan, rambut rontok, mual, muntah, mulut kering, cemas, stress dan depresi. Tujuan: Penelitian ini bertujuan untuk menganalisis efektivitas massage effleurage terhadap fatigue pasien kanker Di RSUD Abdul Wahab Sjahranie Samarinda. Metode: Penelitian ini merupakan penelitian menggunakan quasi eksperimental design dengan randomized pretest-posttest control group design untuk mengetahui efektivitas massage effleurage terhadap fatigue pada pasien kanker yang menjalani kemoterapi. Sebelum dilakukan perlakuan, kelompok intervensi dan kelompok kontrol dilakukan pengukuran fatigue menggunakan kuesioner Brief Fatigue Inventory sebanyak 14 pertanyaan. Setelah dilakukan pengukuran fatigue, kelompok intervensi diberikan latihan 3 kali seminggu dalam waktu 10 menit selama 2 minggu. Setelah itu dilakukan lagi pengukuran fatigue. Sedangkan kelompok kontrol diberikan intervensi keperawatan rutin. Hasil uji beda Wilcoxon signifikan ada perubahan fatigue sebelum dan sesudah intervensi (pvalue 0.00;<0.05). Intervensi massage effleurage secara simultan berpengaruh terhadap penurunan fatigue sebesar 73.4 %. Disimpulkan massage effleurage merupakan teknik memanipulasi rangsangan, ekonomis dan terbukti efektif menurunkan fatigue pada pasien kanker yang menjalani kemoterapi. Peneliti merekomendasikan protap massage effleurage sebagai tindakan mandiri perawat dalam memberikan asuhan pada pasien kanker yang menjalani kemoterapi dan penelitian lebih lanjut mengkombinasikan massage effleurage dan muscle relaksasi untuk mengatasi fatigue pada pasien kanker yang menjalani kemoterapi serta pada penderita kanker sejenis.
Validasi "PING" Pre Menstrual Syndrome Scale Maria Floriana Ping; Elfina Natalia; Rufina Hurai; Tommy Pangemanan
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 11, No 1 (2020): Dinamika Kesehatan Jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (180.277 KB) | DOI: 10.33859/dksm.v11i1.542

Abstract

Latar Belakang: Menstruasi merupakan fenomena fisiologis dalam kehidupan reproduksi wanita. Masalah menstruasi adalah salah satu masalah yang paling sering dialami oleh remaja putri (Zegeye, Megabiaw Mulu, 2009; Mandal, Sarkar Goral, 2015). Gangguan siklus yang umumnya terjadi pada wanita usia muda dan pertengahan selama masa luteal pada siklus menstruasi di sebut Sindrom Pra-Menstruasi (Saryono, 2009; Ilmi Utari, 2018).Tujuan: Penelitian ini bertujuan  untuk menguji validitas dan reliabilitas dari kuesioner yang disusun peneliti berdasarkan sumber pustaka ataupun penelitian sebelumnya dan diterjemahkan dalam bahasa Indonesia.Metode: penelitian ini menggunakan metode Teknik korelasi Product Moment digunakan sebagai uji validitas , jika r tabel (0,138) lebih kecil () dari r hitung maka butir pertanyaan tersebut dinyatakan valid. dan Cronbach Alfa digunakan sebagai uji reliabilitas. nilai Alpha 0,60 menyatakan bahwa suatu kuisioner reliabelHasil: Hasil uji validitas menunjukkan bahwa r hitung semua pertanyaan lebih besar dari r tabel (0,138), hasil uji reliabilitas menunjukkan bahwa nilai Alpha setiap pertanyaan lebih dari 0,60, sehingga semua pertanyaan dinyatakan valid dan reliabel.Simpulan: Berdasrkan Hasil diketahui bahwa kuesioner dapat digunakan sebagai alat ukur skala sindrom pra menstruasi para remaja putri yang akan disusun dalam bentuk aplikasi android dengan nama “PING” Premenstrual Syndrome Scale yang memudahkan untuk diakses dimana dan kapan saja.Kata Kunci: “PING” pre menstruasl syndrome scale ,sindrom pra menstruasi validitas dan reliabilitas, AbstractBackground: Menstruation is a physiological phenomenon in women's reproductive life. Menstrual problems are one of the most common problems experienced by young women (Zegeye, Megabiaw Mulu, 2009; Mandal, Sarkar Goral, 2015). Cyclical disorders that generally occur in young and middle age women during the luteal period of the menstrual cycle are called Pre-Menstrual Syndrome (Saryono, 2009; Ilmi Utari, 2018).Purpose: This study is aimed at testing the validity and reliability of the questionnaire prepared by researchers based on literature sources or previous research and translated into Indonesian.Methods: in this study using the Product Moment correlation technique method used as a validity test, if r table (0.138) is smaller () than r count then the question item is declared valid. and Cronbach Alfa was used as a reliability test. Alpha value 0.60 states that a questionnaire is reliableResults: The results of the validity test showed that r count of all questions was greater than r table (0.138), the reliability test results showed that the Alpha value of each question was more than 0.60, so that all questions were declared valid and reliable.Conclusion: Based on the results, it is known that the questionnaire can be used as a measuring tool for the pre-menstrual syndrome scale for young women which will be compiled in the form of an android application called the “PING” Premenstrual Syndrome Scale which makes it easy to access anywhere and anytime.Keywords: "PING" pre menstrual syndrome scale, premenstrual syndrome validity and reliability
HUBUNGAN JENIS KANKER DENGAN FATIGUE PADA PASIEN KEMOTERAPI DI RSUD. ABDUL WAHAB SJAHRANIE SAMARINDA Bonifasius Hat; Rufina Hurai
Jurnal Keperawatan Dirgahayu (JKD) Vol 2 No 1 (2020): March
Publisher : Unit Penelitian dan Pengabdian Kepada Masyarakat, STIKES Dirgahayu Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52841/jkd.v2i1.266

Abstract

Kanker dikarakteristikkan dengan pertumbuhan sel tidak teratur, penyebaran sel tidak terkontrol dan menyebabkan berbagai keluhan hingga mengancam jiwa. Pasien kanker menjalani kemoterapi dapat mengalami keluhan fatigue (kelelahan), kelemahan, rambut rontok, mual, muntah, mulut kering, cemas, stress dan depresi. Penelitian ini bertujuan menganalisis gambaran fatigue pasien kanker yang menjalani kemoterapi di RSUD Abdul Wahab Sjahranie Samarinda. Desain penelitian ini secara deskriptif analitik, sampel terdiri dari 95 responden dipilih secara purposive sampling. Hasil penelitian: mayoritas responden berada pada rentang (1) usia 41-60 tahun (dewasa madya) sejumlah 61 orang (64,2%); (2) mayoritas responden yaitu perempuan sesuai dengan jumlah diagnosis kanker payudara menduduki urutan teratas jenis kanker yang diderita oleh perempuan sedangkan kanker nasofaring menempati urutan pertama pada responden yang berjenis kelamin laki-laki (3) mayoritas responden memiliki tingkat pendidikan dasar sebanyak 65 orang (68,4%); (4) lama terdiagnosis kanker mayoritas responden pada tahun pertama sebanyak 63 orang (66, 3%). Mayoritas responden mengalami fatigue ringan sebanyak 73 responden (76%) sedangkan responden mengalami fatigue berat sebanyak 6 responden (7%). Uji Chi-Square dengan P value > α (0,750 >0,05. Jadi artinya bahwa terdapat hubungan positif antara Jenis kanker dengan fatigue namun tidak signifikan. Kesimpulan pada penelitian ini adalah fatigue dialami oleh seluruh responden yang menjalani kemoterapi terutama responden yang terdiagnosis kanker pada tahun pertama.
Validasi "PING" Pre Menstrual Syndrome Scale Maria Floriana Ping; Elfina Natalia; Rufina Hurai; Tommy Pangemanan
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 11, No 1 (2020): Dinamika Kesehatan Jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/dksm.v11i1.542

Abstract

Latar Belakang: Menstruasi merupakan fenomena fisiologis dalam kehidupan reproduksi wanita. Masalah menstruasi adalah salah satu masalah yang paling sering dialami oleh remaja putri (Zegeye, Megabiaw Mulu, 2009; Mandal, Sarkar Goral, 2015). Gangguan siklus yang umumnya terjadi pada wanita usia muda dan pertengahan selama masa luteal pada siklus menstruasi di sebut Sindrom Pra-Menstruasi (Saryono, 2009; Ilmi Utari, 2018).Tujuan: Penelitian ini bertujuan  untuk menguji validitas dan reliabilitas dari kuesioner yang disusun peneliti berdasarkan sumber pustaka ataupun penelitian sebelumnya dan diterjemahkan dalam bahasa Indonesia.Metode: penelitian ini menggunakan metode Teknik korelasi Product Moment digunakan sebagai uji validitas , jika r tabel (0,138) lebih kecil () dari r hitung maka butir pertanyaan tersebut dinyatakan valid. dan Cronbach Alfa digunakan sebagai uji reliabilitas. nilai Alpha 0,60 menyatakan bahwa suatu kuisioner reliabelHasil: Hasil uji validitas menunjukkan bahwa r hitung semua pertanyaan lebih besar dari r tabel (0,138), hasil uji reliabilitas menunjukkan bahwa nilai Alpha setiap pertanyaan lebih dari 0,60, sehingga semua pertanyaan dinyatakan valid dan reliabel.Simpulan: Berdasrkan Hasil diketahui bahwa kuesioner dapat digunakan sebagai alat ukur skala sindrom pra menstruasi para remaja putri yang akan disusun dalam bentuk aplikasi android dengan nama “PING” Premenstrual Syndrome Scale yang memudahkan untuk diakses dimana dan kapan saja.Kata Kunci: “PING” pre menstruasl syndrome scale ,sindrom pra menstruasi validitas dan reliabilitas, AbstractBackground: Menstruation is a physiological phenomenon in women's reproductive life. Menstrual problems are one of the most common problems experienced by young women (Zegeye, Megabiaw Mulu, 2009; Mandal, Sarkar Goral, 2015). Cyclical disorders that generally occur in young and middle age women during the luteal period of the menstrual cycle are called Pre-Menstrual Syndrome (Saryono, 2009; Ilmi Utari, 2018).Purpose: This study is aimed at testing the validity and reliability of the questionnaire prepared by researchers based on literature sources or previous research and translated into Indonesian.Methods: in this study using the Product Moment correlation technique method used as a validity test, if r table (0.138) is smaller () than r count then the question item is declared valid. and Cronbach Alfa was used as a reliability test. Alpha value 0.60 states that a questionnaire is reliableResults: The results of the validity test showed that r count of all questions was greater than r table (0.138), the reliability test results showed that the Alpha value of each question was more than 0.60, so that all questions were declared valid and reliable.Conclusion: Based on the results, it is known that the questionnaire can be used as a measuring tool for the pre-menstrual syndrome scale for young women which will be compiled in the form of an android application called the “PING” Premenstrual Syndrome Scale which makes it easy to access anywhere and anytime.Keywords: "PING" pre menstrual syndrome scale, premenstrual syndrome validity and reliability
EFEKTIVITAS GUIDED IMAGERY AND MUSIC (GIM) TERHADAP FATIGUE PADA PASIEN KANKER DI RSUD A. W. SJAHRANIE SAMARINDA Rufina Hurai
MNJ (Mahakam Nursing Journal) Vol 2 No 3 (2018): Mei 2018
Publisher : Poltekkes Kemenkes Kalimantan Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (327.44 KB) | DOI: 10.35963/mnj.v2i3.107

Abstract

Abstract Cancer is a syndrom of diseases characterized by irregular cell growth. If the spread of uncontrolled cells can cause a variety of complaints and life-threatening. Patients undergoing chemotherapy may experience fatigue complaints (fatigue), weakness, hair loss, nausea, vomiting, dry mouth, anxiety, stress and depression. Relaxation with guided imagery and music is expected to reduce fatigue. This study aims to analyze the effectiveness of guided imagery and music on fatigue cancer patients who underwent chemotherapy at RSUD A.W Sjahranie Samarinda East Kalimantan. The quasi experimental research design, a sample of 95 respondents (71 intervention groups and 24 control groups) was chosen by purposive sampling. Wilcoxon test results have significant changes in fatigue before and after intervention (pvalue 0.00; <0.05). Mann-Whitney test results significantly there is a change of intervention group fatigue with control (pvalue 0.00; <0.05). The probability of event value of guided imagery and music intervention effectively decreased fatigue 0.039 times in the intervention group compared to the control group. Guided imagery and music intervention simultaneously had an effect on fatigue reduction of 73.4%. It is concluded that guided imagery and music is a simple, economical and proven relaxation technique that is effective in reducing fatigue in cancer patients undergoing chemotherapy. Researchers recommend the need for further research to combine guided imagery and music and self-management education on fatigue in cancer patients undergoing chemotherapy and people with similar cancer. Key word: Fatigue, Guided Imagery and Music, Kanker.
KESIAPSIAGAAN MASYARAKAT BUDAYA SUNGAI BAWANG DALAM MENURUNKAN KETERLAMBATAN PENANGANAN HENTI JANTUNG DI ERA NEW NORMAL Rufina Hurai; Imelda Feneranda Seravia Tambi
Husada Mahakam Vol 11 No 2 (2021): Nopember 2021
Publisher : Poltekkes Kemenkes Kalimantan Timur (URL: http://poltekkes-kaltim.ac.id/)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35963/hmjk.v11i2.276

Abstract

Cardiac arrest is a condition when heart suddenly did not work and lost of the function to pump blood. Cardiopulmonary resuscitation is not only carried out by medical personnel, but people who have been trained are able to provide assistance until medical personnel arrive at the location of the cardiac arrest victim. Objective to determine the effect of basic life support training on the level of preparedness of the Sungai Bawang Cultural Community to reduce delays in handling cardiac arrest. This study was a quasi-experimental design study using one group pretest-posttest. The sample in this study consisted of 21 responden of the standby village and youth organization. The Wilcoxon test was used as analysis data. The statistical tests before and after showed that basic life support training greatly affects community preparedness knowledge to reduce delays in handling cardiac arrest with results before training, the analysis showed that the less category 57.1% and enough 42.9% after BLS training given to the community, researcher found that participant’s knowledge increased by quite 61, 9% and good 38.1%. There is an effect of basic life support training on the preparedness of the Sungai Bawang cultural community p = 0.000 (p <0.05), so this study can be adding to the community's knowledge in dealing with cardiac arrest victims. Keywords: Cardiac arrest, Emergency, Knowledge
Aplikasi Musik Instrumental Dalam Menurunkan Ansietas Pada Pasien Prioritas 4 di Ruang Unit Gawat Darurat Imelda Feneranda Tambi; Rufina Hurai; Theresia Tutik Ismiati
Jurnal Keperawatan Malang Vol 8 No 1 (2023): Jurnal Keperawatan Malang (JKM)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat STIKes Panti Waluya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36916/jkm.v8i1.190

Abstract

Background: Emergency departments have a busy, noisy environment and can cause anxiety to patients. Patients who come to the emergency room have increased anxiety due to the unfamiliar environment, crowds, and actions that are carried out quickly. The increasing level of anxiety can have an effect on the pain experienced by the patient. Priority 4 patients usually suffer from an acute incident with a stable condition and often have a long waiting time. Management of anxiety and pain in patients is not only done by using medical and invasive therapy. Independent nursing interventions can also be carried out by nurses. Interventions to deal with anxiety in the emergency room are very important. The actions taken should be able to help the patient to adjust to the emergency room environment and the various actions taken. Purpose: Knowing the implementation of music therapy to reduce anxiety in priority 4 patients in the emergency room. Methods: This research method is a quasi-experimental Result: There is an effect of the application of instrumental music in reducing anxiety in priority 4 patients in the emergency room with a significance value of 0.017, and there is a difference between the control and treatment groups with a significance value of 0.006. Conclusion: The Use of Instrumental Music Can Reduce Anxiety in Priority 4 Patients in the Emergency Room Music therapy can be given as an independent intervention by nurses to priority 4 patients in the emergency room. Music therapy can reduce the patient's anxiety level about noise and actions performed in the emergency room
Aplikasi Musik Instrumental Dalam Menurunkan Ansietas Pada Pasien Prioritas 4 di Ruang Unit Gawat Darurat Tambi, Imelda Feneranda; Hurai, Rufina; Ismiati, Theresia Tutik
Jurnal Keperawatan Malang Vol 8 No 1 (2023): Jurnal Keperawatan Malang (JKM)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat STIKes Panti Waluya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36916/jkm.v8i1.190

Abstract

Background: The Emergency departments have a busy, noisy environment and can cause anxiety to patients. Patients who come to the emergency room have increased anxiety due to the unfamiliar environment, crowds, and actions that are carried out quickly. The increasing level of anxiety can have an effect on the pain experienced by the patient. Priority 4 patients usually suffer from an acute incident with a stable condition and often have a long waiting time. Management of anxiety and pain in patients is not only done by using medical and invasive therapy. Independent nursing interventions can also be carried out by nurses. Interventions to deal with anxiety in the emergency room are very important. The actions taken should be able to help the patient to adjust to the emergency room environment and the various actions taken. Purpose: To determine the effect of music therapy to reduce anxiety in priority 4 patients in the emergency department. Methods:This research method was quasi-experimental, the sampling technique used is purposive sampling. The population in this study was priority 4 patients in the Emergency Room. The instrument used to measure anxiety was the State Anxiety Scale. This study consisted of a control group and a treatment group of 45 respondents. Data analysis used the Wilcoxon test and used SPSS 23 software. Result:There is an influence of Instrumental Music Application in Reducing Anxiety in Priority 4 Patients in the Emergency Room with a significance value of 0.013 Conclusion: The Use of Instrumental Music Can Reduce Anxiety in Priority 4 Patients in the Emergency Room Music therapy can be given as a nurse's independent intervention to prioritize 4 patients in emergency departments. Music therapy canreduce the patient's anxiety level about noise and the actions taken in the emergency room Keywords: Anxiety, Emergency Departements, Music Intervention
Partisipasi mahasiswa terhadap pencegahan penyebaran covid 19 berbasis theory of reasoned action: Student participation in preventing the spread of covid 19 based on theory of reasoned action Tambi, Imelda Feneranda Seravia; Hurai, Rufina
Bali Medika Jurnal Vol 9 No 2 (2022): Special Issue Bali Medika Jurnal Vol 9 No 2 Oktober 2022
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v9i2.310

Abstract

COVID-19 mempengaruhi seluruh sistem kesehatan melalui efek langsungnya sebagai penyakit menular, serta kemampuannya untuk mengubah angka kematian dan beban penyakit secara keseluruhan melalui dampak pada penyakit tidak menular. Salah satu upaya untuk menganalisis kesiapan niat mahasiswa dalam berpartisipasi dalam pencegahan covid 19, adalah dengan memanfaatkan penggunaan Theory of Reasoned Action. tujuan penelitian adalah menerapkan Theory of Reasoned Action untuk memprediksi niat mahasiswa dalam berpartisipasi aktif dalam pencegahan penularan covid 19. Teknik pengambilan sampel menggunakan simple random sampling. Uji analisis jalur digunakan untuk melihat pengaruh koefisien sikap, norma subjektif pada intensi dan pengaruh intensi pada perilaku. Hasil menunjukkan bahwa Theory of Reasoned Action dapat memprediksi niat mahasiswa dalam berpartisipasi aktif dalam pencegahan penularan covid 19. Norma Subyektif memiliki kontribusi terbesar dan signifikan dalam mempengaruhi niat, dan niat memiliki pengaruh besar dan signifikan terhadap perilaku mahasiswa dalam pencegahan penularan covid 19.   COVID-19 affects entire health systems through its direct effects as a communicable disease, as well as its ability to alter mortality rates and overall disease burden through impacts on non-communicable diseases. One of the efforts to analyze the readiness of students' intentions to participate in the prevention of covid 19, is to utilize the Theory of Reasoned Action. the purpose of the study was to apply the theory of planned behavior to predict student intentions to actively participate in preventing the transmission of covid 19. The sampling technique used was simple random sampling. Path analysis test was used to see the effect of attitude coefficient, subjective norm on intention and the effect of intention on behavior. The results show that the Theory of Reasoned Action can predict students' intentions to actively participate in preventing the transmission of covid 19. Subjective norms have the largest and significant contribution in influencing intentions, and intentions have a large and significant influence on student behavior in preventing the transmission of covid 19.
Improving Digital and Health Literacy: The "E-Sehati" Program for the Family Welfare Empowerment Group of Sempaja Selatan Abdul Hamid Kurniawan; Musdalifah Maulita; Rufina Hurai; Syafei Karim; Nurhasanah
Poltanesa Vol 26 No 2 (2025): December 2025
Publisher : P3KM Politeknik Pertanian Negeri Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51967/tanesa.v26i2.3520

Abstract

The Family Welfare Empowerment (PKK) organization in Sempaja Selatan encounters several challenges, including gaps in digital access and suboptimal health conditions, where recurring floods often worsen public health issues. To overcome these problems, the E-Sehati program short for Business, Healthy Living, and Digital was introduced as an initiative to educate communities on digital technology use and to encourage clean and healthy living behaviors, especially among vulnerable populations. This research aims to design and assess the effectiveness of the E-Sehati program in enhancing digital literacy, particularly in relation to health behavior, and ultimately improving the community’s quality of life. The development of the E-Sehati program adopted the Waterfall model, which progresses through stages from analysis to evaluation. It focuses on educating participants about ten essential household health practices, including childbirth assisted by health professionals, exclusive breastfeeding, regular weighing of infants and toddlers, the use of clean water, proper handwashing, adequate sanitation, mosquito larvae control, daily exercise, balanced nutrition, and maintaining a smoke-free home environment. Data gathered through beta testing indicated that the program substantially enhanced participants’ digital literacy and encouraged healthier lifestyle habits. Overall, this study highlights the potential of multimedia-based health education and deepens understanding of how digital literacy and information technology can contribute to better household health outcomes.
Co-Authors Abdul Hamid Kurniawan Bonifasius Hat Elfina Natalia Imelda Feneranda Seravia Tambi Imelda Feneranda Tambi Ismiati, Theresia Tutik Musdalifah Maulita Nurhasanah Ping, Maria Floriana Syafei Karim Tambi, Imelda Feneranda Tambi, Imelda Feneranda Seravia Theresia Tutik Ismiati Tommy Pangemanan