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Kesiapsiagaan puskesmas dalam menghadapi perubahan iklim yang berdampak pada kesehatan: A systematic review Susanti, Epi; Yetti, Krisna; Pujasari, Hening; Gayatri, Dewi
Holistik Jurnal Kesehatan Vol. 18 No. 11 (2025): Volume 18 Nomor 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v18i11.509

Abstract

Background: Climate change has the potential to significantly impact public health. Primary health facilities must be prepared to provide effective health services to address the health impacts of climate change. Purpose: To determine the preparedness of community health centers in facing climate change that has an impact on health. Method: The approach used is Preferred Reporting Items for Systematic Review and Meta-analyses (PRISMA). The search format using Patient, Intervention, Comparison, Outcome (PICO) was formulated to facilitate the process of searching literature from databases. The databases used are ScienceDirect, Sage Journal and Scopus from 2020-2024. Researchers use the Mendeley application to detect duplication. Results: The final search results obtained 10 articles, from these articles were obtained preparedness efforts that can be carried out by health centers through routine training, building knowledge, attitudes, and practices of health workers, and building positive perceptions about preparedness. Health centers can respond to the impacts of climate change more effectively with the support of a structured framework. Conclusion: Increasingly extreme climate change has a significant impact on public health, thus requiring better preparedness from health facilities such as community health centers.   Keywords: Climate Change; Health Centers; Preparedness.   Pendahuluan: Perubahan iklim berpotensi m.emberi dampak besar bagi kesehatan masyarakat. Fasilitas kesehatan primer dituntut memiliki kesiapsiagaan untuk memberi pelayanan kesehatan yang efektif dalam merespon dampak kesehatan akibat perubahan iklim. Tujuan: Untuk mengetahui kesiapsiagaan puskesmas dalam menghadapi perubahan iklim yang berdampak pada kesehatan. Metode: Pendekatan yang digunakan adalah Preferred Reporting Items for Systematic Review and Meta-analyses (PRISMA). Format pencarian dengan menggunakan Patient, Intervention, Comparison, Outcome (PICO) dirumuskan untuk memudahkan dalam proses pencarian literatur dari database. Database yang digunakan adalah ScienceDirect, Sage Journal dan Scopus dari tahun 2020-2024.  Peneliti menggunakan aplikasi Mendeley untuk mendeteksi Duplikasi. Hasil: Hasil akhir pencarian didapatkan 10 artikel, dari artikel tersebut didapatkan upaya kesiapsiagaan yang dapat dilakukan oleh puskesmas melalui pelatihan rutin, membangun pengetahuan, sikap, dan praktik tenaga kesehatan, serta membangun persepsi positif tentang kesiapsiagaan. Puskesmas dapat merespons dampak perubahan iklim secara lebih efektif dengan dukungan kerangka kerja yang terstruktur. Simpulan: Perubahan iklim yang semakin ekstrem menimbulkan dampak signifikan terhadap kesehatan masyarakat, sehingga menuntut kesiapsiagaan yang lebih baik dari fasilitas kesehatan seperti puskesmas.   Kata Kunci: Kesiapsiagaan; Perubahan Iklim; Puskesmas.
Penurunan Distres Psikologi Remaja dengan Penyakit Kronis melalui Peer Group Support: Scoping Review Cahyaningrum, Devy Novita; Nurachmah, Elly; Gayatri, Dewi
Faletehan Health Journal Vol 12 No 01 (2025): Faletehan Health Journal, Maret 2025
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v12i01.791

Abstract

Adolescents with chronic illnesses are at high risk of psychological distress such as stress, anxiety and depression that can affect their overall quality of life. One of effective approaches to reduce these impacts is peer group support. This study was to examine the effects of peer group support intervention in reducing psychological distress in adolescents with chronic illness through scoping review. The articles were obtained from SpringerLink, Science Direct, Taylor & Francis, Proquest, Scopus, BMC, and PubMed databases. Article selection was done by the PRISMA-ScR method. Searches of 7 databases obtained 1,578 articles. Based on the inclusion criteria, 291 articles were eligible. Further screening based on title, abstract, and full text selected 10 articles for analysis. Furthermore, the quality of the article was assessed using Jonna Briggs Institute (JBI). The results showed that peer group support reduced stress, anxiety, depression, and increased social support and emotional well-being. Interventions that emphasized active communication among adolescents have a positive impact on psychological disorders. Peer group support can reduce psychological distress in adolescents with chronic illness. This approach also strengthens positive social relationships among adolescents. Further research is needed to explore the factors that influence the success of this intervention and develop more adaptive support models.
Effectiveness of Implementing Modified Mindfulness Based Stress Reduction (MBSR) on Stress and Fatigue in Hemodialysis Patients Irawan, Aprianto Guntur; Natashia, Dhea; Gayatri, Dewi; Jumaiyah, Wati; Yuniarsih, Winda
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.43554

Abstract

Stress and fatigue are common complaints among hemodialysis patients, significantly affecting their quality of life during long-term therapy. This study aimed to evaluate the effectiveness of a modified Mindfulness-Based Stress Reduction (MBSR) intervention on stress and fatigue in patients undergoing hemodialysis. The study adopted a quasi-experimental pretest-posttest control group design and employed simple random sampling. A total of 32 respondents participated, with 16 in each group. Stress was measured using the Perceived Stress Scale (PSS-10) and fatigue using the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F 40). The modified MBSR intervention was conducted for 30 minutes per session. Data were analyzed using paired t-tests and independent t-tests. The results showed significant differences in stress (MD = -13.12, t = -4.748, p < 0.001) and fatigue levels (MD = 7.34, t = -3.865, p = 0.001) between the intervention and control groups. These findings indicate that the modified MBSR therapy was effective in reducing stress and fatigue, with a p-value < 0.05 indicating statistical significance. Therefore, this modified MBSR therapy is a promising non-pharmacological nursing intervention that can be integrated into nursing care for chronic kidney failure patients experiencing stress and fatigue during hemodialysis.
Pengaruh Intervensi Perawatan Spiritual Terhadap Kesejahteraan Spiritual Pasien Kanker Ni Nyoman Budi Indrayanti; Agung Waluyo; Dewi Gayatri; Allenidekania Allenidekania
Jurnal Penelitian Kesehatan SUARA FORIKES 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf13nk304

Abstract

 Cancer affects all aspects of a patient's life, not only the physical aspect, but also the psychological, social and spiritual aspects. Without spiritual well-being, the other dimensions of health (biopsychosocial) cannot function properly. So a study is needed that aims to find out whether spiritual care interventions can improve spiritual well-being. This study is a literature review using the PRISMA method. A literature search was conducted through the ProQuest, Science Direct, Scopus, EBSCO, and Clinical Key databases. From the initial search, 2389 articles were obtained from all databases combined. After eliminating multiple articles, screening titles and abstracts, 233 potential articles were obtained. After reading the full text, 220 articles were excluded and finally only 8 articles met the criteria. Seven out of eight articles mentioned that spiritual care interventions can improve the spiritual well-being of cancer patients. It was further concluded that spiritual care can be used as an intervention that can be applied clinically to improve spiritual well-being in cancer patients.Keywords: spiritual care intervention; spiritual well-being; cancer patient ABSTRAK Kanker mempengaruhi semua aspek kehidupan pasien, tah hanya aspek fisik, tetapi juga aspek psikologis, sosial, dan spiritual. Tanpa kesejahteraan spiritual, dimensi lain dari kesehatan (biopsikososial) tidak akan dapat berfungsi dengan baik. Maka diperlukan studi yang bertujuan untuk mengetahui apakah intervensi perawatan spiritual dapat meningkatkan kesejahteraan spiritual. Studi ini merupakan literature review dengan menggunakan metode PRISMA. Pencarian literatur dilakukan melalui database ProQuest, Science Direct, Scopus, EBSCO, dan Clinical Key. Dari pencarian awal didapatkan 2389 artikel dari semua database yang digabungkan. Setelah penghapusan artikel ganda, skrining judul dan abstrak, diperoleh 233 artikel yang berpotensi. Setelah membaca teks lengkap, 220 artikel dikeluarkan dan akhirnya hanya 8 artikel yang memenuhi kriteria. Tujuh dari delapan artikel menyebutkan bahwa intervensi perawatan spiritual dapat meningkatkan kesejahteraan spiritual pasien kanker. Selanjutnya disimpulkan bahwa perawatan spiritual dapat digunakan sebagai intervensi yang dapat diterapkan secara klinis untuk meningkatkan kesejahteraan spiritual pada pasien kanker.Kata kunci: intervensi spiritual care; kesejahteraan spiritual; pasien kanker
Thariqah-Based Neck Exercise Program Reduces Headache Intensity Among Indonesian College Students Sukarmin, Sukarmin; Nurachmah, Elly; Yona, Sri; Gayatri, Dewi; Rochana, Nana
Nurse Media Journal of Nursing Vol 14, No 3 (2024): (December 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i3.65016

Abstract

Background: Headaches are common among students due to academic stress and poor sleep habits. One way to reduce headaches is through neck exercises using Thariqah movements. Previous studies have focused only on physical neck exercises, yet a more holistic approach by combining dzikr (Laa ilaha ilallah) recited Thariqah movements with the exercises has never been studied.Purpose: This study aimed to determine the impact of Thariqah-based neck exercises on headache intensity experienced by college students.Methods: The study used a two-arm parallel randomized controlled trial design. College nursing students were recruited through purposive sampling and then sequentially randomized, with 64 respondents in each group. Participants in the intervention group performed Thariqah-based neck exercises during dzikr three times per week for three weeks, while those in the control group received educational leaflets on headache management. Headache intensity was measured using the Numeric Pain Scale (0-10 scale). Data were analyzed using the Wilcoxon and Mann-Whitney tests.Results: The results showed that Thariqah-based neck exercises performed during dzikr had a significant effect on reducing headache intensity among students (p= 0.000). The differences in headache intensity before and after the intervention were also significant between the intervention and control groups (p=0.000).Conclusion: Neck exercises based on Thariqah movements accompanied by dzikr recitation may serve as a practical option for self-therapy or complementary therapy in managing mild to moderate headache complaints. The integration of physical and spiritual elements offers potential benefits for both physical relief and emotional well-being.   
Effectiveness of Sexual Counseling on Sexuality of Cancer Patients: A Systematic Review Nugraha, Rudi; Afiyanti, Yati; Pujasari, Hening; Gayatri, Dewi
Babali Nursing Research Vol. 6 No. 2 (2025): April
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.62475

Abstract

Introduction: Cancer patient care is a complex and ongoing process. The impact of cancer diagnosis and treatment on sexual quality is an important issue in cancer quality of life. Sexual counselling is one of the interventions chosen in handling sexual problems in cancer patients. This review aims to examine the effectiveness of sexual counselling on the sexuality of cancer patients. Methods: Literature searches were conducted through several databases, including PubMed, Scopus, ProQuest, Science Direct, Oxford, ClinicalKey Nursing, EBSCOhost, Springer Link, Taylor & Francis, using predetermined inclusion and exclusion criteria. The selected articles were analyzed based on the intervention method. A total of 15 14,287 articles were extracted and synthesized. Results: 15 intervention articles were obtained showing that sexual counselling effectively affects the sexuality of cancer patients and can be carried out for patients and their partners face-to-face, by telephone, by internet, or via WhatsApp. Conclusion: Sexual counselling programs for cancer patients are effective interventions for sexual problems in cancer patients.
Effectiveness of Cancer Patient Navigator Program to Reduce Caregiver Burden: A Systematic Review Rikumahu, Marisco; Allenidekania, Allenidekania; Pujasari, Hening; Gayatri, Dewi
Jurnal Kesehatan Vokasional Vol 10, No 2 (2025): May
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.105240

Abstract

Background: Cancer is a major disease that significantly affects global public health. In Indonesia, the number of cancer patients continues to increase, requiring innovative approaches in the cancer care system.Objective: This study aims to evaluate the effectiveness of cancer patient navigator programs in reducing caregiver burden, particularly among cancer patients.Methods: This systematic review followed the PRISMA guidelines and used inclusion criteria that included full-text articles published in English and quantitative studies. Literature searches were conducted in various academic databases using relevant keywords.Results: Out of 3,583 records retrieved, 6 studies met the criteria for further analysis. The results also showed that patient navigator programs can significantly reduce caregiver burden through improved education, emotional support, and access to healthcare services.Conclusion: The implementation of cancer patient navigator programs in Indonesia has the potential to reduce caregiver burden and improve the quality of cancer patient care. Recommendations for further research and health policy are also included.
The Effectiveness of Digital Virtual Reality-Based Therapy in Reducing Anxiety Among Patients Undergoing Gastrointestinal Endoscopy Sismanto, Bayu Aji; Gayatri, Dewi; Natashia, Dhea; Jumaiyah, Wati; Yuniarsih, Winda
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.45021

Abstract

Psychological responses such as anxiety often arise from negative perceptions in situations perceived as threatening, even when they should not induce fear. These anxiety-induced responses can lead to increased hemodynamic parameters such as elevated blood pressure, heart rate, and respiratory rate—particularly prior to medical procedures. This study aimed to evaluate the effectiveness of a digital virtual reality (VR)-based therapeutic intervention in reducing patient anxiety before undergoing gastrointestinal endoscopy. A quasi-experimental design was employed, involving both an experimental group and a control group using a pretest-posttest control group approach. Anxiety levels were measured using the State-Trait Anxiety Inventory (STAI). The intervention consisted of a 6-minute immersive VR video featuring calming mountain and beach scenery. A total of 50 respondents participated, with 25 in each group. Data were analyzed using paired and independent t-tests. Results showed no statistically significant difference in mean anxiety scores between the intervention and control groups (MD = 0.23, df = 48, t = 0.59, 95% CI: -0.56 to 1.03, p > 0.001). These findings suggest that the digital VR-based therapy was not statistically effective in reducing pre-endoscopy anxiety. Future interventions may require more immersive and interactive VR experiences—such as 360-degree simulations of endoscopic procedures—to achieve more substantial effects.
Early Mobilization with Digital-Based Isometric Exercise Intervention: Impact on Pain and Muscle Strength Post-ORIF Upper Extremity Febryandy, Valentino; Gayatri, Dewi; Natashia, Dhea; Jumaiyah, Wati; Yuniarsih, Winda
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.47270

Abstract

Background Fracture is a condition of partial or complete bone discontinuity. Upper extremity fractures can be caused by direct trauma (such as accidents) or indirect trauma (such as excessive pressure). Fracture management is performed through surgery such as Open Reduction Internal Fixation (ORIF), which can cause pain and muscle stiffness. Early mobilization with isometric exercises is needed to prevent these problems. Objective This study aims to determine the effect of digital-based Isometric Exercise on pain levels and muscle strength in patients post-ORIF upper extremity fracture. Methods The study used a Quasi-Experimental design with a Pretest-Posttest Control Group approach, involving 34 respondents divided into two groups. Muscle strength was measured using a Hand Grip Dynamometer, while pain was measured using the Brief Pain Inventory Short Form (BPI-SF). Isometric exercise intervention was performed 24 hours after surgery, twice daily with a duration of 35 minutes per intervention. Results The study showed a more significant increase in muscle strength in the intervention group compared to the control group with a Mean difference increasing to 4.23 (95% CI: 3.28-5.18), t=9.062, df=32, p=0.000. Pain levels also decreased more in the intervention group with a Mean difference of 1.81 (SD=0.866), 95% CI: 1.51-2.11, t=12.2, df=33, p=0.000. Conclusion: Isometric exercise is effective as early mobilization to reduce pain and increase muscle strength in ORIF upper extremity fracture patients. Keywords: Digital Intervention, Upper Extremity Fracture, Isometric Exercise, Muscle Strength, Pain
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.
Co-Authors Abd Rahman, La Ode Achir Yani S. Hamid Agung Waluyo Agus Setiawan Agustina Rifa Ahmad Asyrofi, Ahmad Ahmad Syaripudin Alfhy Septiana Ningsih Allenidekania Allenidekania Allenidekania Allenidekania Allenidekania, Allenidekania Alvian Harisandy Amalia Nur Aqmarini Anak Agung Ayu Emi Primayanthi Andrian Waluya Adi Andriani, Zilya Andriyani, Yulia Ani Haryani, Ani Anisah Ardiana Antaroza, Wiwik Aria Wahyuni Arif Rahman Arruum, Diah Asep Kuswandi Ashar Prima Asriadi Asriadi Astuti Giantini Astuti Yuni Nursasi Ati Surya Mediawat Ati Surya Mediawati Atmajaya, Feri Ayu Ramadhana Bayu Aji Sismanto Bejo Utomo Besral . Betty Luinta Saragih Budi Anna Keliat Cahyaningrum, Devy Novita Christantie Effendy Cicilia Ika Wulandari Cynthia Tri Wardhani Dadan Erwandi Dahlia, Debie - Darmajayanti, Febry Dede Kurniati dewi adnan Dhea Natasha Dhea Natashia Dian Novita Kurniasih Dian Novita Kurniasih Dila Nurul Arsyi Dina Lestari Dita Sulistyowati Djuria, Syafrina Arbaani Dwi Suryani Edi Purnomo Edian Fitriana Edy Soesanto Ella Nurlaella Hadi Elly Nurachmah Elly Nurrachmah Eni Hidayati Enie Novieastari Ermi Rabiuliya Erni Saraswati Febrianti Asbaningsih, Febrianti Febrianty, Indida Leli Indah Febryandy, Valentino Feriadianto, Feriadianto 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 Irawan, Aprianto Guntur Irawati, Diana Irman Irman Isran, Isran Janno Sinaga Jathu Dwi Wahyuni Jumaiyah, Wati Jumaiyah, Wati Junaiti Sahar 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 Yulianti, Maria Martiningsih Martiningsih, Martiningsih Masfuri - Mataputun, Donny Richard Meidiawati, Ati Surya Meilati Suryani Muhammad Adam Mustafidz, Mustafidz Nana Rochana, Nana Nani Nurhaeni Natashia, Dhea Ni Luh Kompyang Sulisnadewi 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 Nuryani, Yulis Andri Osty Histry Kapahang Poppy Fitriyani Pradana Soewondo Prakartini, Entin Pratiwi, Laras Adythia Primayanthi, Anak Agung Ayu Emi Purba, Venbora Putri, Tissa Aulia Raden Mohamad Herdian Bhakti Raden Siti Maryam Rahma Jumila Rahman, Ahmad Fadhlur Ratna Aryani Ratna Aryani Ratna Sitorus Ratna Sitorus Rayasari, Fitrian Renie Kumalasari Resty, Dian Eka 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 Rufli, Arza S., Chiyar Edison Saharuddin Sali Rahadi Asih Samon, Bergita Olivia Hali Sapriyanti Sapriyanti Sari, Fani Hestiana 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 Sukma Wicaturatmashudi Susanti, Epi Susi Hartati Susiladewi, Ida Ayu Md Vera 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 Vivi Yosafianti Pohan Waluyo, Agung Waluyo, Agung Widyatuti Wildani, Andi Amalia Yari, Yarwin Yati Afianti, Yati Yati Afiyanti Yeni Rustina Yesi Ariani Yiyin Qamariah Takaredas Yodang Yodang Yuniarsih, Winda Yushlihah Rofiati Yusuf Zulfa Zulfa