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Dewi Gayatri
Basic Science And Fundamental Nursing Department, Faculty Of Nursing, Universitas Indonesia, Depok, Indonesia
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Efektifitas terapi refleksi dalam menurunkan fatigue pada pasien kanker: Systematic review Rahman, Ahmad Fadhlur; Gayatri, Dewi; Hargiana, Giur
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 5 No 2 (2025): May Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v5i2.963

Abstract

Background: Fatigue is one of the most common and disturbing symptoms experienced by cancer patients during and after treatment. Reflexology as a complementary intervention is increasingly being studied for its ability to improve the quality of life of patients, including reducing fatigue. Purpose: To systematically review the effectiveness of reflexology therapy in reducing fatigue levels in cancer patients based on the latest scientific evidence. Methods: A systematic literature search was conducted in PubMed, ScienceDirect, and Google Scholar databases using the keywords “reflexology”, “cancer”, and “fatigue”. Included articles were quantitative studies published in 2015–2024 using reflexology interventions in cancer patients, and measuring fatigue as one of the main variables. Article selection followed the PRISMA guidelines, and the final eight studies were analyzed qualitatively. Results: Eight articles were analyzed, seven of which showed significant results that reflexology therapy can significantly reduce fatigue. The types of cancer studied varied, ranging from breast, lung, colorectal, to gynecological cancer. Reflexology therapy was carried out with a frequency of between two and five times per week for two to six weeks. Although there was one study that did not show significant results, overall reflexology therapy was considered effective and safe as a complementary approach. Conclusion: Reflexology therapy has been shown to be generally effective in reducing fatigue in cancer patients. This intervention can be part of a holistic approach to cancer care.   Keywords: Cancer; Complementary Therapy; Fatigue; Reflection Therapy.   Pendahuluan: Fatigue merupakan salah satu gejala paling umum dan mengganggu yang dialami pasien kanker selama dan setelah menjalani pengobatan. Terapi refleksi sebagai intervensi komplementer semakin banyak diteliti karena kemampuannya dalam meningkatkan kualitas hidup pasien, termasuk dalam mengurangi kelelahan. Tujuan: Untuk mengkaji secara sistematik efektivitas terapi refleksi dalam menurunkan tingkat fatigue pada pasien kanker berdasarkan bukti-bukti ilmiah terbaru. Metode: Penelusuran literatur dilakukan secara sistematis pada database PubMed, ScienceDirect, dan Google Scholar menggunakan kata kunci “reflexology”, “cancer”, dan “fatigue”. Artikel yang dimasukkan adalah studi kuantitatif yang dipublikasikan tahun 2015–2024 dengan menggunakan intervensi refleksi pada pasien kanker, dan mengukur fatigue sebagai salah satu variabel utama. Seleksi artikel mengikuti pedoman PRISMA, dan delapan studi akhir dianalisis secara kualitatif. Hasil: Delapan artikel yang dianalisis, tujuh di antaranya menunjukkan hasil signifikan bahwa terapi refleksi dapat menurunkan fatigue secara bermakna. Jenis kanker yang diteliti bervariasi, mulai dari kanker payudara, paru, kolorektal, hingga ginekologi. Terapi refleksi dilakukan dengan frekuensi antara dua hingga lima kali per minggu selama dua hingga enam minggu. Meskipun terdapat satu studi yang tidak menunjukkan hasil signifikan, secara keseluruhan terapi refleksi dinilai efektif dan aman sebagai pendekatan komplementer. Simpulan: Terapi refleksi terbukti secara umum efektif dalam menurunkan kelelahan pada pasien kanker. Intervensi ini dapat menjadi bagian dari pendekatan holistik dalam perawatan kanker.   Kata Kunci: Fatigue; Kanker; Kelelahan; Terapi Komplementer; Terapi Refleksi.
Determinan Perilaku Perawat dalam Pemberian Edukasi Pasien pada Rumah Sakit di Jakarta Selatan Yetti, Krisna; Pratiwi, Laras Adythia; Gayatri, Dewi
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 8 No 3 (2020): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine and Health Science, Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (234.561 KB)

Abstract

Nurse behavior has a strong influence on the need and trust of patient education which identifiesdeterminants of nurse behavior in presenting patient education with a cross sectional design. The studyused total sampling with 210 samples according to the inclusion criteria. The instrument used was amodification of various literature reviews which tested its validity and reliability. The majority of nurseshave the following characteristics: female, <35 years old, not attending D3 Nursing, having totalexperience <10 years, civil servant status, having attended training (in the last three years), but lackingknowledge related to providing patient education . There is a relationship between age, policies, policies,working conditions, supervision, social support, and the planning function of the head of the room with thebehavior of nurses in providing patient education (p = 0.001-0.037), the most dominant variable affectingthe behavior of nurses in providing patient education is support. social (OR = 5,186). Nursing managersand the ranks of the hospital need to create a support program to offer patient education, complete allexisting facilities and infrastructure, as well as prepare competent resources.
Fast tract: Pengaruh Dukungan Sosial dan Dukungan Psikologis Terhadap Peningkatan Kualitas Hidup Pasien Kanker Darmajayanti, Febry; Nuraini, Tuti; Waluyo, Agung; Gayatri, Dewi
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 16, No 2 (2025): April-Juni 2025 (up coming)
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v16i2.6088

Abstract

ABSTRACT Introduction: Cancer is one of the most challenging and high-risk diseases, which not only affects the physical health of patients but also their mental and emotional health. Objective: to explore the effect of social support and psychological support on improving the quality of life of cancer patients. Method: This Article used a systematic review method compiled based on the Preferred Referring Items for Systematic Reviews and Meta-Analyzes (PRISMA). The databases used include ProQuest, Jstor, Science Direct, Pubmed. Results: 11 articles that met the inclusion criteria were then analyzed and critiqued using the CASP instrument. Conclusion: social support and psychological support have a significant impact on improving the quality of life of cancer patients. Consistent social support from the surrounding environment plays an important role in providing a sense of security and reducing feelings of isolation and improving emotional well-being. In addition, psychological support through professional interventions not only reduces symptoms of anxiety and depression but also increases life expectancy and mental resilience of patients. Therefore, the integration of these two types of support in cancer patient care is highly recommended to maximize the quality of life of patients. Further research is needed to identify more specific and effective intervention methods in diverse contexts.Keywords: social support, psychological support, cancer, quality of life
RELATIONSHIP BETWEEN SELF-EFFICACY AND FEAR OF CANCER RECURRENCE IN CERVIX CANCER PATIENTS Isran, Isran; Nuraini, Tuti; Afiyanti, Yati; Gayatri, Dewi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 9, No 1 (2024): March 2024
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v9i1.2602

Abstract

Fear of cancer recurrence (FCR) makes cancer patients physically and psychologically disturbed. FCR is caused by cancer patients' lack of ability or competence to exercise self-control (self-efficacy) while undergoing cancer treatment. This study aims to determine the relationship between self-efficacy and fear of recurrence in cervix cancer patients. The method used was cross-sectional, and it was carried out on 169 cervix cancer patients using the CBI (Cancer Behaviour Inventory) instrument to measure self-efficacy and the FCRI (Fear of Cancer Recurrence) instrument to measure fear of recurrence. The results showed that low self-efficacy 90 patients (52,3%) and high fear of cancer recurrence 89 patients (55%). The domain of coping with medication and side effects had the lowest Self-efficacy with 96 patients (56.8%) and the domain of functional impairment was the highest FCR domain with 84 patients (49.7%). However, that a significant relationship between self-efficacy and FCR in cervix cancer patients (p=0,012) with an OR 2,290. Self-efficacy is needed by cancer patients to overcome their fear of cancer recurrence. Therefore, help from health workers is needed to increase the self-efficacy of cancer patients.
Spiritual Experience of Productive Age Hypertensive Patients Conducting Therapy Programs at Aisyiyah Hospital of Kudus Sukarmin, Sukarmin; Nurachmah, Elly; Gayatri, Dewi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 3: September 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v8i3.2221

Abstract

Hypertension is a chronic disease with a prevalence that is still quite high in the world. Spirituality becomes an important element in increasing confidence in the success of hypertension therapy. This study aims to explore the spiritual experience of hypertensive patients conducting the therapy program. This study is a phenomenological qualitative research involving 6 participants of hypertensive patients at Aisyiyah Hospital of Kudus who met the criteria. The results of the study found 6 (six) themes, namely:  1) Belief in improving body condition and mildening of disease symptoms through worship, (2) Belief in worship as a means of self-improvement from bad habits and increasing goodness, (3) Belief in pain is understood as a means for self-introspection and improvement of worship, (4) Belief in synchronizing worship and effort as a means of healing, (5) Belief in doing relaxation therapy through worship,  (6) Belief in disease symptoms hinders worship. These results show that spirituality plays an important role for hypertensive patients to increase the success of therapy.
GUIDED IMAGERY WITH DIGITAL THERAPY VIRTUAL REALITY AS PAIN SCORE AMONG BREAST CANCER PATIENTS: A RANDOMIZED CONTROLLED TRIAL Primayanthi, Anak Agung Ayu Emi; Gayatri, Dewi; Abd Rahman, La Ode; Nuraini, Tuti; Waluyo, Agung
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 9, No 1 (2024): March 2024
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v9i1.2671

Abstract

Breast cancer is the most common cancer worldwide. Breast cancer has the highest rate around 42.1 per 100,000 in Indonesian. The most common problems experienced are physical problems such as pain. Pain is related to the patient's quality of life. Digital-based guided imagery with virtual reality in pain management are still rarely used. This study aims to determine the effectiveness of guided imagery using digital therapy virtual reality in breast cancer patients. The method uses RCT with a parallel design. 60 respondents who were randomized using block randomization into 30 in both control and intervention groups. Conducted at Dharmais Cancer Hospital using virtual reality for 10-15 minutes in intervention group and digital leaflets to control group. Measurements using the NRS were carried out every day for 7 days. The results showed that guided imagery with virtual reality was able to reduce the pain scale in breast cancer patients compared to the control group with P = 0.000 (? 0.05). The use of virtual reality can be used as a reference for oncology nurses in providing non-pharmacological therapy to reduce pain and stress in patients especially breast cancer patients.
Identification of Affective Learning, Affective Aspect, and Measuring Tools Used in Nursing Education: a Systematic Review Haryani, Ani; Gayatri, Dewi; Novieastari, Enie; Nuraini, Tuti; Sulistyowati, Dita
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 9, No 2 (2024): September
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v9i2.2662

Abstract

Attitude is one of the domains in the competence of nurses. Attitudes are formed through internalizing learning experiences related to how students feel when they learn. Affective Learning refers to learning that enriches emotions, belief systems, and professional values. In nursing education, the attitude aspect is often the goal of learning but is not followed by learning strategies and evaluations to achieve these learning goals. The research aims to identify effective learning strategies and measure tools used to identify changes from the affective skills or affective aspect studied. A systematic review using electronic literature databases published from year 2012 until 2022. Scopus Search, Clinical Key Nursing, ProQuest, Ebscohost, SAGE Journals, and Science Direct. The research design criteria are randomized control trials and quasi-experimental studies. Eligibility assessment by conducting a critical appraisal using tools from the Joanna Briggs Institute critical appraisal. 15 articles met the criteria, consisting of five Randomized Control Trial research articles, and 10 Quasi-experimental articles. The results of a systematic review show that Simulations using standardized patients and reflective practice are learning methods that are often used. Empathy is the most researched affective aspect followed by communication, self-efficacy, and self-confidence. Empathy as the most affective aspect studied was measured using The Jefferson Empathy Scale. Learning interventions aimed to improve an affective aspect of nursing students are not single, but integrate various learning methods. This is also influenced by the affective aspect developed in learning, which is not a single aspect, and uses several measuring tools to assess its development.
Effectiveness of Music Therapy on Anxiety Levels and Sleep Quality in Cancer Patients: A Systematic Review Sitorus, Kristiani; Novieastari, Enie; Gayatri, Dewi; Nuraini, Tuti
Indonesian Journal of Global Health Research Vol 6 No 4 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i4.3227

Abstract

Cancer is a major global cause of death Cancer patients have a great sense of anxiety about their illness, which has an impact on their sleep quality. Music therapy intervention is one of the non-pharmacological therapies that can be given to cancer patients. It is important to identify the effectiveness of music therapy in reducing anxiety and improving sleep quality in cancer patients. Method: Journals and articles were searched using five databases ProQuest, EBSCOHost, Pubmed, ScienceDirect, and Sage Journal. The author selected several relevant journals and articles from 2010 to 2023. The results of the search of 11 articles found that music therapy interventions proved effective in reducing the stress levels of cancer patients. Music therapy can also improve the sleep quality of cancer patients. Music therapy is effective in reducing anxiety and improving the quality of sleep of cancer patients.
The Effectiveness of Distraction Play Intervention on Reducing Anxiety Levels in Children Undergoing Chemotherapy Sistina, Norma; Allenidekania, Allenidekania; Gayatri, Dewi
Indonesian Journal of Global Health Research Vol 6 No 4 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i4.3281

Abstract

In addition to the unpleasant symptoms of the disease, invasive procedures, pain, and anxiety resulting from prolonged treatment and hospitalization n pediatic cancer. These can affect a child's physical, emotional and psychosocial functioning. Play is an important part of childhood and a basic need. Play therapy, through the playful nature of games, will create distraction from the pain, help children express emotions and adapt to the hospital environment. Objective: Therefore, it is necessary to identify non-pharmacological interventions to reduce anxiety in children undergoing chemotherapy.. Methodology: the literature Articles were searched using four databases: Pubmed, Scopus, Science Direct, and Sage journal which were published in 2018-2023. From 4 databases, 9317 articles were obtained and totaled final result are found 8 articles. They were reviewed and all were randomized controlled trial (RCT) studies which were assessed for risk of bias by using the Center for Evidence-Based Medicine (CEBM). Result: Distraction play interventions that can reduce anxiety levels in children undergoing chemotherapy include Art Therapy, Music Therapy, Virtual Reality, Muscle Relaxation, and Play Therapy. Conclusion: distraction play intervention can be applied in daily nursing practice to reduce anxiety in children undergoing chemotherapy treatment.
Modified Mindfulness-Based Stress Reduction (MBSR) Therapy to Reduce Psychological Distress in Chronic Kidney Disease (CKD) Patients on Haemodialysis (HD) Arsyi, Dila Nurul; Natashia, Dhea; Gayatri, Dewi; Irawati, Diana; Jumaiyah, Wati; Nuraini, Tuti
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3694

Abstract

Chronic Kidney Disease (CKD), is a disease with high mortality and mortality, so it requires lifelong hemodialysis (HD) management, this will trigger psychological distress which increases the risk of worsening in CKD. So, it is necessary to give non-pharmacological therapies, one of which is a modification of Mindfulness-Based Stress Reduction (MBSR) Therapy. Objective: The purpose of this study was to determine the effect of MBSR therapy modification on psychological distress in CKD patients. Method: Quasi-experiment with pretest-posttest control group approach. A population of 44 respondents with a sample of 29 respondents using a simple random sampling technique. Measurement of psychological distress variables using the Kessler Pshycological Distress Scale-10 (K-10). MBSR modification therapy intervention has 4 sessions in one treatment, applied 7 days with a total duration of 30 minutes. Data analysis using paired t-test and independent t-test. Results: The results showed that the mean scores of Psychological Distress intervention group (21.7 (pre-test); 17.1 (post-test)), control group (18.8 (pre-test); 18.5 (post-test)). There were differences in mean psychological distress scores between the intervention and control groups (MD=4.38, t=5.92 (95%CI, 2.81; 5.95), p < 0.001, d=2.22). Conclusions: MBSR modification therapy can be used to reduce psychological distress in patients.
Co-Authors Abd Rahman, La Ode Abd. Kodir Jailani Achir Yani S. Hamid Afriyanti, Yati Agung Waluyo Agustina Rifa Ahmad Asyrofi, Ahmad Ahmad Fadhlur Rahman Ahmad Syaripudin Alfhy Septiana Ningsih Allenidekania , Allenidekania Allenidekania Allenidekania Allenidekania Allenidekania Allenidekania, Allenidekania Alpan Habibi Alvian Harisandy Amalia Nur Aqmarini Ambo Sakka Anak Agung Ayu Emi Primayanthi Andrian Waluya Adi Andriani, Zilya Andriyani, Yulia Ani Haryani, Ani Anisah Ardiana Aprianto Guntur Irawan Aria Wahyuni Arif Rahman Arruum, Diah Arza Rufli Arza Rufli Asep Kuswandi Asriadi Asriadi Astuti Giantini Astuti Yuni Nursasi Ati Surya Mediawat Ati Surya Meidiawati Ayu Ramadhana Basuki Supartono Bayu Aji Sismanto Bejo Utomo Bergita Olivia Hali Samon Besral . Betty Luinta Saragih Budi Anna Keliat Cahyaningrum, Devy Novita Cicilia Ika Wulandari Cynthia Tri Wardhani Dadan Erwandi Dahlia, Debie - Darmajayanti, Febry Dede Kurniati Desnita Fitri Devy Novita Cahyaningrum dewi adnan Dhea Natasha Dhea Natashia Dhea Natashia Dian Novita Kurniasih Dian Novita Kurniasih Diana Irawati Dila Nurul Arsyi Dina Lestari Dita Sulistyowati Dumilah Ayuningtyas Dwi Suryani Ede Surya Darmawan Edi Purnomo Edian Fitriana Edy Soesanto Ella Nurlaella Hadi Elly Nurachmah Elly Nurrachmah Eni Hidayati Enie Novieastari Ermi Rabiuliya Erni Saraswati Fani Hestiana Sari Fatma Lestari Febrianti Asbaningsih, Febrianti Febrianty, Indida Leli Indah Feri Atmajaya Fitri Alfisah Fitriyan Rayasari Fitriyanti, Dwi Gorean, Grace Irma Hadi, Muhammad Hanny Handiyani Hargiana, Giur Harmilah Harmilah Hasan Fuadi Hassan, Hamidah Hening Pujasari Heri Kristianto Hilman Syarif I Ketut Suada Ida Yanti Iin Inayah Ikeu Nurhidayah Ikeu Nurhidayah Imam Ghozali Imami Nur Rachmawati Indah Susilowati Indah Susilowati Irawati, Diana Irman Irman Isran, Isran Janno Sinaga Jathu Dwi Wahyuni Jathu Dwi Wahyuni Jumaiyah, Wati Jumaiyah, Wati Junaiti Sahar Khaier, Nurhayati Kimin, Amelia Krisna Yetti Krisna Yetti Krisna Yetti Krisna Yetti Malawat Kuntarti Kustiyuwati Kustiyuwati La Ode Abd Rahman Lakoro, Danny Des Kartyko Laras Adythia Pratiwi Lasiyani, Ni Luh Lasut, Margareth Latif, Yusep Abdul Legu, Ermelinda Toyo Lina Herida Pinem Liya Arista Malau, Mahda Chresginova Maria Evarista Sugo Maria Yulianti Maria, Riri Maria, Riri Martiningsih Martiningsih, Martiningsih Masfuri - Mataputun, Donny Richard Mediawati, Ati Surya Meidiawati, Ati Surya Meilati Suryani Meilati Suryani Misbahul Munif Muhammad Adam Muhammad Reza Rizki Mustafidz, Mustafidz Nana Rochana, Nana Nani Nurhaeni Natashia, Dhea Ni Nyoman Budi Indrayanti Ni Nyoman Budi Indrayanti Nugraha, Rudi Nuiva, Uun Nuniek Nizmah Fajriyah Nur Miladiyah Nuraini, Tuti Nuraini, Tuti Nuraini Nurbaeti, Reidha Fitri Nurfitriani, Putri Nurlelasari Harahap Nurmalasari Nurmalasari Osty Histry Kapahang Pertiwi, Christina Airyunda Poppy Fitriyani Pradana Soewondo Prakartini, Entin Pratiwi, Laras Adythia Primayanthi, Anak Agung Ayu Emi Purba, Venbora Putri, Arcellia Farosyah Putri, Tissa Aulia Raden Mohamad Herdian Bhakti Raden Siti Maryam, Raden Siti Rahma Jumila Rahman, Ahmad Fadhlur Rahmatia Amelia Kaaba Ratna Aryani Ratna Aryani Ratna Sitorus Ratna Sitorus Raudhatul Firdausiah Rayasari, Fitrian Renie Kumalasari Resty, Dian Eka Retno Setiowati Ria Andjarwati Ria Mariatul Isnaani Ria Utami Riadinni Alita Rikumahu, Marisco Riski Oktafia Rita Erlina Rizany, Ichsan Rohman Azzam Ros Endah Happy Patriyani Rr Tutik Sri Hariyati Rr. Tutik Sri Hariyati Rr. Tutik Sri Hariyati Rr. Tutik Sri Hariyati S., Chiyar Edison Saharuddin Sali Rahadi Asih Sapriyanti Sapriyanti Sari, Mulat Septi Kurniasari Setiasih, Diana Tri Budi Setiyadi, Agus Setyowati Setyowati Setyowati, Setyowati Shanti Farida Rachmi Sidik Awaludin Sigalingging, Astika Irmawaty Sigit Mulyono Sistina, Norma Sitorus, Kristiani Sri Hendrawati Sri Murtiasih Sri Yona Sukarmin SUKARMIN Sukarmin Sukarmin Sukarmin Sukarmin Sukma Wicaturatmashudi Sulisnadewi, Ni Luh Kompyang Susanti, Epi Susi Hartati Susiladewi, Ida Ayu Md Vera Syafrina Arbaani Djuria Syarif Rahman Hasibuan Tantri Widyarti Utami Teresa Teresa Titiek Muhaeriwati Titin Sutini Tommy Indra Tri Cahyo Sepdianto Tulangow, Indri Winny Tuti Afriani Tuti Herawati Tuti Herawati Tuti Nuraini Tuti Nuraini Tuti Nuraini Tuti Nuraini Tuti Nuraini Untung Sujianto Vivi Yosafianti Pohan Waluyo, Agung Waluyo, Agung Wati Jumaiyah Widyatuti Wildani, Andi Amalia Winda Yuniarsih Winda Yuniarsih Yari, Yarwin Yati Afianti Yati Afiyanti Yeni Rustina Yesi Ariani Yiyin Qamariah Takaredas Yodang Yodang Yulis Andri Nuryani Yushlihah Rofiati Yusuf Yuzia Melantika Zulfa Zulfa