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Penurunan Nyeri Pascabedah Pasien TUR Prostat Melalui Relaksasi Benson Gad Datak; Krisna Yetti; Rr. Tutik Sri Hariyati
Jurnal Keperawatan Indonesia Vol 12 No 3 (2008): November
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v12i3.218

Abstract

AbstrakRelaksasi Benson merupakan pengembangan metode respons relaksasi dengan melibatkan faktor keyakinan pasien yang dapat mengurangi nyeri pascabedah. Penelitian ini bertujuan mengetahui efektifitas relaksasi Benson dalam menurunkan nyeri pascabedah pasien TUR Prostat. Metode penelitian quasi-eksperimental dengan pre test and post test design with control group. Pengambilan sampel dengan consecutive sampling. Jumlah sampel 14 orang, masing-masing 7 orang pada kelompok intervensi yang diberikan kombinasi relaksasi Benson dan terapi analgesik serta kelompok kontrol yang hanya diberikan terapi analgesik. Relaksasi Benson dilakukan setelah pemberian analgesik dengan durasi 15 menit selama dua hari. Hasil penelitian menunjukkan kombinasi Relaksasi Benson dan terapi analgesik efektif menurunkan rasa nyeri pascabedah pada pasien TUR Prostat (p = 0,019, α = 0,05). Penelitian ini menyarankan Relaksasi Benson digunakan untuk mengurangi nyeri pasca bedah TUR Prostat elektif. AbstractBenson Relaxation is the development of relaxation response method by involving patient is belief factor to relieve postoperative pain. This research was aimed to explore the effectiveness of Benson Relaxation in relieving post-operative pain of TUR prostate. The method used in this study was quasi experimental with pre test and post test design with control group. A total of 14 consecutive samples were participated in this study by divided into the intervention and control group, 7 participants respectively. Those in intervention group received Benson Relaxation combined with analgesic therapy where as in control group took analgesic therapy alone. Benson Relaxation intervention given after analgesic was taken, for 15 minutes each day for two days. The results revealed that combination between Benson Relaxation and analgesic therapy was more effective than analgesic therapy alone (p = 0,019, α = 0,05). The Implication of this research was Benson Relaxation can be applied to relieve post-operative pain of elective TUR Prostate.
Efektifitas Metode NIHSS dan ESS Dalam Membuat Diagnosa Keperawatan Aktual Pada Pasien Stroke Berat Fase Akut Dedi Damhudi; Dewi Irawaty; Rr. Tutik Sri Hariyati
Jurnal Keperawatan Indonesia Vol 15 No 1 (2012): Maret
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v15i1.41

Abstract

Penelitian ini bertujuan mengidentifikasi efektifitas pengkajian metode NIHSS dan ESS dalam membuat diagnosa keperawatanaktual pada pasien stroke berat fase akut di RSUP X Jakarta. Penelitian ini menggunakan desain pra-eksperimen post-test onlydesign (the one shot case study) dengan purposive sampling melibatkan 18 responden. Hasil menunjukkan hubungan sangatkuat berpola positif (r= 0,904) pada nilai NIHSS dan berpola negatif (r= -0,912) pada nilai ESS (p= 1,000; α= 0,05). Tidak adaperbedaan efektifitas penggunaan metode NIHSS dan ESS terhadap pembuatan diagnosa keperawatan yang aktual pada pasienstroke berat fase akut. Sebagai seorang perawat di ruang unit stroke sangatlah penting untuk menguasai pengkajian metode inidalam rangka meningkatkan mutu asuhan keperawatan sehingga mempercepat proses penyembuhan pasien.
Faktor-Faktor Yang Berhubungan Dengan Kelengkapan Pendokumentasian Asuhan Keperawatan L. M. Harmain Siswanto; Rr Tutik Sri Hariyati; Sukihananto Sukihananto
Jurnal Keperawatan Indonesia Vol 16 No 2 (2013): Juli
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v16i2.5

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Kelengkapan pendokumentasian asuhan keperawatan merupakan bagian dari kualitas pelayanan keperawatan di rumah sakit. Pelaksanaan pendokumentasian adalah indikator kinerja perawat yang dipengaruhi oleh karakteristik dan beban kerja perawat. Penelitian ini bertujuan untuk mengidentifikasi hubungan antara karakteristik, beban kerja perawat dan kelengkapan pendokumentasian asuhan keperawatan di Ruang Umum Instalasi Rawat Inap RS. Desain penelitian ini adalah analitik observasional dengan pendekatan retrospektif yang dilakukan pada tiga ruang rawat inap. Pengukuran kelengkapan dokumentasi menggunakan instrumen A Depkes dengan sampel 95 dokumen. Pengukuran beban kerja menggunakan teknik continous observation dengan sampel 46 perawat. Hasil penelitian menunjukkan bahwa pendokumentasian rata-rata belum lengkap (71,6%), dan beban kerja perawat sebagian besar tinggi (52,2%). Faktor yang paling dominan mempengaruhi kelengkapan pendokumentasian adalah pelatihan dan beban kerja. Ada hubungan antara masa kerja, pelatihan dan beban kerja dengan kelengkapan pendokumentasian. Direkomendasikan untuk pelatihan pendokumentasian bagi perawat dan meninjau ulang jumlah perawat serta penempatan tenaga sesuai dengan beban kerja di ruangan.
Fungsi Pengarahan Kepala Ruang dan Ketua Tim Meningkatkan Kepuasan Kerja Perawat Pelaksana Achmad Sigit S; Budi Anna Keliat; Rr. Tutik Sri Hariyati
Jurnal Keperawatan Indonesia Vol 14 No 2 (2011): Juli
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v14i2.313

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AbstrakPenelitian ini bertujuan mengetahui pengaruh fungsi pengarahan kepala ruang dan ketua tim terhadap kepuasan kerja perawatpelaksana di unit rawat inap. Metode penelitian adalah quasi experiment dengan desain pre-post test design with controlgroup. Data diambil sebelum dan sesudah dilaksanakan pelatihan, bimbingan dan pendampingan fungsi pengarahan (operan,pre conference, post conference, iklim motivasi, supervisi dan delegasi) pada kepala ruang dan ketua tim. Sampel penelitiandiperoleh secara purposive sampling, terdiri dari 35 perawat pelaksana sebagai kelompok intervensi dan 40 perawat pelaksanasebagai kelompok kontrol. Instrumen untuk mengukur kepuasan kerja menggunakan Minnesota Satisfaction Questionnaireberjumlah 36 pernyataan. Hasil penelitian didapatkan kepuasan kerja perawat pelaksana yang mendapat pengarahan dari kepalaruang dan ketua tim yang sudah memperoleh pelatihan, bimbingan dan pendampingan meningkat lebih tinggi secara bermaknadibandingkan dengan kepuasan kerja perawat pelaksana yang mendapat pengarahan dari kepala ruang dan ketua tim yang tidakdilatih fungsi pengarahan (p= 0,000; = 0,005). Fungsi pengarahan bila dilaksanakan secara konsisten oleh kepala ruang danketua tim, berpeluang meningkatkan kepuasan kerja sebesar 67,40% dan diperkirakan mampu meningkatkan nilai kepuasanperawat pelaksana sebesar 16.746 poin setelah dikontrol jenis kelamin. Rumah sakit dapat mengupayakan dan meningkatkankondisi kepuasan kerja perawat pelaksana secara berkelanjutan dengan mengimplementasikan fungsi pengarahan agar dapatmemberikan asuhan keperawatan berkualitas tinggi.Kata Kunci: kepala ruang, kepuasan kerja, ketua tim, pengarahan, perawat pelaksanaAbstractThe aim of this study was to investigate the influence of directing function of nurse unit manager and team leader to the nursejob contentment among staff nurses. The research method was a quasi experiment, pre-post test with control group design.The data gathered before and after the directing function (hand over, pre conference, post conference, motivational climate,supervision and delegation) had trained and guided to the nurse unit manager and team leader. The samples were 75respondents, determined by purposive sampling. They were 35 nurse staffs (experimental group) and the others (controlgroup). The instrument was a questionnaire consisted 36 of Likert scale statements adopted from Minnesota SatisfactionQuestionnaire. The result showed that the level of nurse job satisfaction in the experimental group increased higher significantlythan the control group (p= 0.000; = 0.005). Putting the directing function into action consistently in the daily nursingpractice improved the probability of the nurse job satisfaction level about 67.40% and enhanced it around 16.746 point. Theday-to-day maintaining their job satisfaction level should be done through directing function so that they will deliver highqualitynursing care.Keywords: directing, job satisfaction, nurse team leader, nurse unit manager, staff nurse
Why We Have to Develop Instruments of Our Caring Measurement Based on an Indonesian Perspective Candra Panji Asmoro; Rr Tutik Sri Hariyati; Andri Setiya Wahyudi
Jurnal Ners Vol. 14 No. 3 (2019): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v14i3.17216

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Introduction: Caring is the core or focus in nursing as a form of professional nursing practice. The current caring instrument is an original instrument that measures the attitudes or behavior of nurses, has not paid attention to the administrative and environmental aspects of the hospital. The use of an instrument that does not yet contain certain characteristics gives rise to improper measurement results. The purpose of this study was to explain the importance of developing caring measurement instruments with an Indonesian perspective.Methods: Systematic reviews were carried out from database articles on ScienceDirect, Scopus, Google Scholar, SpringerLink, Wiley online, Proquest, and EBSCOhost. Criteria for articles were articles published in the last 10 years, national and international research locations, and in Indonesian and English. 15 references were obtained from 2100 references that met the predetermined criteria. The development of a caring behavior instrument based on an Indonesian perspective does not yet exist.Results: The results found that development on the basis of linguistics, cultural adjustment, and according to the prevalence of disease in a country because the epidemiology of the disease differs on the climate region.Conclusion: Specific caring instruments in an Indonesian perspective is expected that the research results will be more accurate. 
SWOT Analysis of Nursing Clinic Professional Career Ladder System (SJKP2K) in Military Hospital Jakarta Bela Pertiwi; Rr Tutik Sri Hariyati; Siti Anisah
International Journal of Nursing and Health Services (IJNHS) Vol. 1 No. 1 (2018): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (273.73 KB) | DOI: 10.35654/ijnhs.v1i1.11

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Nursing managers must have a strong directing function towards the Professional Clinic Nurse Career Ladder System (SJKP2K). This is to improve the quality of nursing care that will be provided by nurses to patients. The military hospital in Jakarta already has the standard of planning, guidelines and SOP regarding the SJKP2K, but based on the authors' observations for two weeks in one of the rooms in the hospital, the results show that the SJKP2K implementation is not optimal. This problem then analyzed using the SWOT Analysis followed by scoring and weighting through an Internal Factors Evaluation (IFE) and External Factors Evaluation (EFE) matrix analysis. The sum of the scores of each matrix ??then poured into the IE (Internal and External) matrix to determine the position of the SJKP2K strengths. The calculation result between IFE and EFE in IE matrix shows that SJKP2K is in area V, which means that SJKP2K is in hold and maintain stage so that market penetration and product development strategies are needed so that SJKP2K requires development both in quality and quantity.
MOBILE HEALTH APPLICATION - PREVENTING PATIENTS OF BREAST CANCER POST-TREATMENT FROM UPPER LIMB DYSFUNCTION (ULD) (Chemotherapy, Radiotherapy, and Surgery) : LITERATURE REVIEW: DOI: https://doi.org/10.35654/ijnhs.v1i2.29 hendra dwi cahyono; Rr. Tutik sri hariyati
International Journal of Nursing and Health Services (IJNHS) Vol. 1 No. 2 (2018): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (470.235 KB) | DOI: 10.35654/ijnhs.v1i2.29

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Background. Breast cancer is the most common cancer which attacks 2.1 million women annually. The high incidence of ULD is a negative impact that affects the quality of life of patients. m-Health Application is a tool that can facilitate the process of service or health care. Purpose. To know the effectiveness of m-Health Application usage in preventing Upper Limb Dysfunction (ULD) by increasing physical activity of patients after breast cancer treatment. Method. Relevant articles that were published between 2013 and 2018 were retrieved from EBSCOhost, Scopus, ScienceDirect, ProQuest, and SAGE databases, using keywords like mobile health application, breast cancer, physical activity, upper limb dysfunction. Results. This study uses 9 literatures, including 3 journals with randomised controlled trial (RCT) design, 1 quasi-experimental journal, 1 cross-sectional journal, 1 journal using a pilot study, and 1 journal using qualitative design alongside with focus group method. Almost all literatures show positive results of mobile health application in increasing physical activity of breast cancer patients. Conclusion. Mobile health application can significantly prevent the occurrence of ULD by increasing the practice of patients' physical activity through application features, such as video, games, SMS, telephone, e-mail, and the internet web. Keywords mobile health application, breast cancer, physical activity, upper limb dysfunction.
FISHBONE ANALYSIS METHOD OF COMMUNICATION HANDOVER IN THE EMERGENCY INSTALLATION IN JAKARTA ARMY HOSPITAL: DOI: https://doi.org/10.35654/ijnhs.v1i2.40 Deny Gunawan; Rr Tutik Sri Hariyati; Desnita Fitri
International Journal of Nursing and Health Services (IJNHS) Vol. 1 No. 2 (2018): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (403.057 KB) | DOI: 10.35654/ijnhs.v1i2.40

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Background: The handover and transfer of identification often experience a weakness in its implementation and become global problems at the hospital.Objective: This paper focuses on the cause of less optimal implementation of Identification Situation Background Assessment Recommendation (ISBAR) method when conducting handover of nurses among shifts at Army Hospital in Jakarta. Methods: This study employed situation study analysis with a fishbone diagram approach that includes 5M and 1E.Literature review and analysis were utilized to produce recommendation for improving the quality of the ISBAR method implementation when conducting handover of nurses among shifts. Data were obtained from the existing-secondary data, previous research data and data sources from Jakarta Military Hospitals. Results: Data were analyzed using fishbone, data obtained for the cause was not optimal ISBAR method when nursing handover between shifts. causes the problems identified can be prioritized are no tools monitoring evaluation, there is no definitive monitoring evaluation team, monitoring evaluation implementation of nurse handover within shift, hospital has not been a paperback book about ISBAR, components in the handover format not optimal, and the nurse has not been understood properly ISBAR method. Conclusion: The research result reveals six causes of the problem. They are: (1) the absence of evaluation monitoring tools, (2) the absence of definite evaluation monitoring team, (3) non optimal handover evaluation monitoring of nurses among shifts,(4) the absence of a pocket book on ISBAR delivery method, (5) non optimal components in the handover format, and (6) nurses’ inability to conduct ISBAR method correctly.Recommendation: propose the ISBAR method of monitoring and evaluating the handover of nurses between shifts, the establishment of an ISBAR method evaluation monitoring team to hand over nurses between shifts, a draft evaluation monitoring tool, making a pocket book about the ISBAR method, the ISBAR component in the nurse handover format, and provide education and roleplay of the ISBAR method when handover of nurses between shifts
Mobile Health Application in Implementation of Maternity Nursing Care: Literature Review Lina Anisa Nasution; Rr. Tutik Sri Hariyati
Journal of Nursing Care Vol 1, No 1 (2018): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v1i1.15762

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Indonesia is a developing country with relatively high maternal mortality number. One of the influencing factors for that condition is health services at antenatal, intranatal and postnatal period has not been optimized yet. The optimization effort has been done in several countries through health service based on utilization of mobile phone technology called mobile health. The literature study aimed to present information from previous studies about implementation and benefits of mobile health in the maternity nursing care. The literature sources divided into three country categories including Western, non Western and Indonesia and consist of 30 online literatures. The implementation of mobile health in maternity nursing care showed positive impact in knowledge, motivation, and health behavior of the mother. Indonesia as developing country which can be strategic country in utilizing mobile health because of mostly Indonesian is mobile phone users. Nurse in corporation with cross sectors is supposed to develop mobile health in many strategic topics specifically in the effort of reducing the Maternal Mortality Rate (MMR) in Indonesia.Keywords : Information technology, maternity, mobile-health, nursing care. Studi Literatur: tentang Implementasi Aplikasi “Mobile Health” di Pelayanan Keperawatan MaternitasAbstrakIndonesia adalah salah satu negara berkembang dengan Angka Kematian Ibu (AKI) yang relatif tinggi. Salah satu faktor yang mempengaruhi tinnginya AKI di Indonesia adalah belum optimalnya pelayanan kesehatan pada masa kehamilan, bersalin, dan postpartum. Upaya untuk meningkatkan pelayanan kesehatan dibeberapa negara dilakukan dengan menggunakan teknologi berbasis telepon genggam atau disebut dengan “mobile health”. Study literatur ini bertujuan untuk menginformasikan penelitian-penelitian yang sudah dilakukan berkaitan dengan aplikasi dan keuntungan “mobile health” dalam keperawatan maternitas. 30 penelitian berasal dari media online, dibagi menjadi tiga kategori yaitu artikel dari negara Barat, negara non-Barat, dan Indonesia. Implementasi penggunaan “mobile health” pada pelayanan keperawatan maternitas menunjukkan dampak yang positif terhadap pengetahuan, motivasi, dan perilaku kesehatan ibu. Indonesia sebagai negara berkembang sangat strategis untuk pengembangan “mobile health” dikarenakan sebagian besar penduduk Indonesia adalah pengguna telepon genggam. Perawat dapat bekerjasama dengan sektor lain untuk mengembangkan program “mobile health” dengan berbagai topik khususnya berkaitan dengan upaya untuk menurunkan AKI di Indonesia.Kata kunci: Teknologi informasi, maternitas, mobile health, pelayanan keperawatan.
PENGALAMAN PENGGUNAAN SIMPLe SEBAGAI APLIKASI MANAJEMEN DIRI UNTUK PENDERITA BIPOLAR DISORDER Nur Wulan; Rona Cahyantari Merduaty; Rr Tutik Sri Hariyati
Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal Vol. 10 No. 2 (2019): Jurnal Ilmu Kesehatan Bhakti Husada: Health Science Journal
Publisher : Lembaga Penelitian Sekolah Tinggi Ilmu Kesehatan Kuningan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34305/jikbh.v10i2.95

Abstract

Penanganan bipolar sangat memerlukan intensitas dukungan optimal di waktu yang tepat, namun jarak dan biaya terkadang menjadi kendala. Self-monitoring and psychoeducation in bipolar patients with a smart-phone application (SIMPLe) merupakan aplikasi berbasis smartphone dengan pendekatan psikoedukasi untuk untuk manajemen diri pada penderita bipolar disorder yang mudah dan hemat biaya. Kajian ini bertujuan untuk meninjau dan menganalisis mengenai efektifitas dan kepuasaan penggunaan aplikasi SIMPLe dalam pengobatan bipolar disorder. Artikel ini dirancang dengan menggunakan desain literature review dengan sumber literatur yang didapatkan dari database science direct, proquest dan scopus. Penggunaan aplikasi SIMPLe selama tiga bulan atau lebih terbukti efektif dalam menekan angka kekambuhan. Pengguna aplikasi merasa puas dengan konten yang berada di dalam aplikasi. Penambahan konten aplikasi seperti rencana krisis pribadi di kasus kekambuhan, menambah peristiwa stres pribadi dalam grafik suasana hati, variasi yang lebih besar dari pesan psikoedukasi dan label suasana hati interaktif menjadi harapan pengguna dalam pembaharuan aplikasi berikutnya.
Co-Authors Abdiansyah, Baskoro Achmad Nizar Hidayanto Achmad Sigit S Achmad Syaifudin Adang Bachtiar Afiyanti, Efi Agrina Agrina Aldri Frinaldi Alpan Habibi Amir, Haeril Andri Setiya Wahyudi Annisa Rahmi Galleryzki Asmara, Amelia Astuty, Mazly Aziz, Herawani Azizah, Yuni Bela Pertiwi Budi Anna Keliat Candra Panji Asmoro, Candra Panji Cicilia Ika Wulandari Dedi Damhudi Deny Gunawan Desnita Fitri Desyi Prana Napitupulu Dewi Gayatri Dewi Irawaty Dewi Sartika Dewi Wulandari Dewi, Laurentia Diantha Soemantri Diki Armansyah Djarang, Lilyance Djuma, Elviera Dwiantoro, Luky Dwiantoro, Luky Efi Afifah Elly Nurachmah Enie Novieastari Erwin Erwin Fadllah, Ellya - Fichara, Sitta Diani Friska Friska Gad Datak Gorean, Grace Irma Hanny Handiyani Harpendewisasmita, Harpendewisasmita Hendra Dwi Cahyono Hening Pujasari Hernawati, Lestari I Wayan Gede Saraswasta Indraswari, Anies Dewi Wirati Junaiti Sahar Keumalasari, Keumalasari Krisna Yetti Krisna Yetti Krisna Yetti Krisna Yetti Kuntarti L. M. Harmain Siswanto La Ode Abdul Rahman Lia Dwi Jayanti Lia Dwi Jayanti Made Sumarwati Masfuri - Mediati, Ati Surya Mediawati, Ati Surya Meilina, Ratna Merduati, Rona Cahyantari Merduaty, Rona Cahyantari Mery Anglelia Sirait Moh. Heri Kurniawan Muhamad Rofi’i Muhamad Rofi’i Mulia Hakam Nasri, Khairul Nasution, Lina Anisa Nilasari, Putri Novy Helena Chatarina Daulima Nugraha, Susiana Nur Wulan Nurchayati, May Nurdiana Nurdiana Nurdiana Nurdiana Nuridha Fauziyah Oktaviarini, Eva Perdana, Riska Rusfita Pratiwi, Leny Puguh Widiyanto Purwaningsih, Sri puspita, vema tiyas Putri Nilasari Putro, Prasetyo Adi Wibowo Resty, Dian Eka Retnoningtyas, Wahyu Kusumadi Rizany, Ichsan Rona Cahyantari Merduaty Rozalinda Rozalinda Rumentalia Sulistini Santi Wahyuningsih, Santi Sekarsari, Rita Setiawati, Deni Setyowati , Setyowati Setyowati Setyowati Setyowati, Setyowati Simatupang, Yesi Juniarta Siti Anisah Siti Anisah Sudaryati Sudaryati Sugihasih, Sugihasih Sukihananto Sukihananto Sukihananto, Sukihananto Susilowati, Margareta Syahrul Tuba Tori Rihiantoro Trevino A. Pakasi Tri Ilmiah Fattah Triaswati, Rusmai Tuti Afriani Tuti Nuraini Umi Fatmawati UMI FATMAWATI Verdiansyah, Rio Wahyuni, Tyas Wea, Maria Widasari Sri Gitarja, Widasari Sri Wildani, Andi Amalia Wirdani, Andi Wilda Wulandari, Rista Tri Yiyin Qamariah Takaredas Yulia Yulia Yuyun Tafwidhah Zakiyyah, Naadiyah