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Dampak kehamilan remaja terhadap kesehatan, sosial, ekonomi, dan pendidikan: A systematic review Beluan, Maria Irene Somi; Budiati, Tri; Rahmah, Hayuni; Rachmawati, Imami Nur
Holistik Jurnal Kesehatan Vol. 19 No. 2 (2025): Volume 19 Nomor 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i2.824

Abstract

Background: Teenage pregnancy is a significant and complex public health problem with wide-ranging impacts on physical, mental, socioeconomic, and educational health. Purpose: To explore the impact of teenage pregnancy on the health, social, economic and educational outcomes of teenage girls. Method: The systematic review study used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to analyze and disseminate research results found through literature searches in online databases Pubmed, ScienceDirect, ProQuest, Sage, and Taylor & Francis with the keywords teenager OR adolescent and adolescent pregnancy OR teen pregnancy and Impact on adolescent pregnancies or maternal outcomes of teenagers pregnancy. Results: 12 articles containing 63,482 adolescent pregnancies were obtained. The impacts of pregnancy on teenagers identified were mental health disorders, suicide risk, inadequate utilization of Antenatal Care (ANC) services, adverse impacts on mothers, violence, socioeconomics, and education that changed the lives of adolescents. Conclusion: Teenage pregnancy has broad impacts including physical, psychological, socioeconomic, and education. This is important to know so that it can be the basis for formulating effective policies and programs in preventing teenagers pregnancy. Suggestion: Judging from the majority of articles used retrospective research, so longitudinal studies with multidimensional variables, more varied regions, especially involving research originating from Indonesia are the author's recommendations to be carried out in further research in order to provide other, more diverse insights.   Keywords: Impact of Teenage Pregnancy; Economy; Health; Education; Social.   Pendahuluan: Kehamilan pada remaja merupakan isu kesehatan masyarakat yang signifikan dan kompleks dengan dampak yang luas terhadap kesehatan fisik, mental, sosial-ekonomi, dan pendidikan. Tujuan: Untuk mengeksplorasi dampak kehamilan remaja terhadap kesehatan, sosial, ekonomi, dan pendidikan pada remaja putri. Metode: Penelitian systematic review menggunakan panduan Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) untuk menganalisis dan mengevaluasi hasil penelitian yang ditemukan melalui pencarian literatur pada database Pubmed, ScienceDirect, ProQuest, Sage, dan Taylor & Francis online dengan kata kunci teenager OR adolescent and adolescent pregnancy OR teen pregnancy and Impact on adolescent pregnancies or maternal outcomes of adolescent pregnancy. Hasil: Diperoleh 12 artikel yang menyertakan 63.482 kehamilan remaja. Dampak kehamilan pada remaja yang teridentifikasi yakni gangguan kesehatan mental, risiko bunuh diri, pemanfaatan pelayanan Antenatal Care (ANC) yang belum memadai, hasil buruk pada maternal, kekerasan, sosial ekonomi, dan pendidikan yang mengubah kehidupan remaja. Simpulan: Kehamilan remaja menimbulkan dampak yang luas meliputi fisik, psikologis, sosial ekonomi dan pendidikan. Hal ini penting untuk diketahui agar menjadi dasar dalam merumuskan kebijakan dan program yang efektif dalam mencegah kehamilan pada remaja. Saran: Menilik dari kebanyakan artikel yang digunakan menerapkan penelitian retrospektif, sehingga studi longitudinal dengan variabel multidimensi, wilayah yang lebih bervariasi, terutama melibatkan penelitian yang berasal dari Indonesia menjadi rekomendasi penulis untuk dilakukan pada penelitian selanjutnya agar dapat memberikan wawasan lain yang lebih beragam.   Kata Kunci: Dampak Kehamilan Remaja; Ekonomi; Kesehatan; Pendidikan; Sosial.
Keterlibatan ayah dalam perawatan bayi baru lahir untuk meningkatkan kedekatan: A systematic review Dewi, Prita Ayu Kusuma; Rachmawati, Imami Nur; Ungsianik, Titin
Holistik Jurnal Kesehatan Vol. 19 No. 3 (2025): Volume 19 Nomor 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i3.921

Abstract

Background: Fathers’ involvement in newborn care is very important in influencing newborns’ behavior, psychology, and overall health. Fathers who are involved in care have more positive feelings about their interactions with their babies, understand and appreciate their babies more, and develop meaningful bonds with their babies. Purpose: To identify the influence of the father's role in early infant care to increase closeness. Method: A systematic review using the PRISMA format, obtained from 7 databases, namely Pubmed, Sage, Sciencedirect, Proquest, Scopus, Springer, Wiley and Taylor & Francis online with the keywords Father Involvement OR Father Involvement OR Involved Fathers AND Parents OR Male partners OR Fathers OR Fathers AND Attachment binding Newborn OR Father-infant bonding. OR selected infant temperament articles were screened based on a five-year period and in English. Critical appraisal analysis was performed using the JBI format. Fifteen articles containing 1,776 fathers involved in newborn care were obtained. Results: The relationship or bond becomes closer between the father and his baby. The involvement of the father in newborn care significantly increases the presence of follow-up in conducting clinical examinations on babies at health facilities and shortens the length of stay in the hospital, and increases the survival of newborns. Conclusion: Fathers who are involved in newborn care have more positive feelings about their interactions with their babies, understand and appreciate their babies more, and develop meaningful bonds with their babies.   Keywords: Closeness; Father involvement; Newborn care.   Pendahuluan: Keterlibatan ayah dalam perawatan bayi baru lahir sangat penting dalam memengaruhi perilaku, psikologis, serta kesehatan bayi baru lahir secara keseluruhan. Ayah yang terlibat dalam perawatan lebih memiliki perasaan positif tentang interaksi mereka dengan bayinya, lebih memahami, dan menghargai bayi mereka dan mengembangkan ikatan yang bermakna dengan bayinya. Tujuan: Untuk mengidentifikasi pengaruh peran ayah dalam perawatan bayi pada masa awal untuk meningkatkan kedekatan. Metode: Systematic review menggunakan format PRISMA, didapatkan dari 7 database, yaitu Pubmed, Sage, Sciencedirect, Proquest, Scopus, Springer, Wiley dan Taylor & Francis online dengan kata kunci Paternal Involvement OR Keterlibatan Ayah OR Involved Fathers AND Parents OR Male partner OR Fathers OR Ayah AND Bounding attachment Bayi baru lahir OR Ikatan antara ayah-bayi. OR infant temperament artikel yang dipilih telah diskrining berdasarkan kurun waktu lima tahun dan berbahasa Inggris. Analisis critical appraisal dilakukan dengan menggunakan format JBI. Diperoleh 15 artikel yang menyertakan 1,776 ayah yang terlibat dalam perawatan bayi baru lahir. Hasil: Hubungan atau ikatan menjadi lebih dekat/erat antara ayah dan bayinya. Keterlibatan ayah dalam perawatan bayi baru lahir secara signifikan meningkatkan kehadiran tindak lanjut dalam melakukan pemeriksaan klinis pada bayi di fasyankes serta memperpendek masa tinggal di rumah sakit, dan meningkatkan kelangsungan hidup bayi baru lahir. Simpulan: Ayah yang terlibat dalam perawatan bayi baru lahir lebih memiliki perasaan positif tentang interaksi mereka dengan bayinya, lebih memahami, dan menghargai bayi mereka dan mengembangkan ikatan yang bermakna dengan bayinya.   Kata Kunci: Keterlibatan Ayah; Perawatan Bayi Baru Lahir; Kedekatan.
Phenomenology Study: The Role of the Head Nurses in Maintaining Occupational Safety and Health Nurses Yulis, Rahma; Novieastari, Enie; Rachmawati, Imami Nur; Nugraha, M Akbar
Jurnal Berita Ilmu Keperawatan Vol. 18 No. 2 (2025): July
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v18i2.10142

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The head nurse's role in maintaining the occupational health and safety of nurses. This research aimed to gain head nurses' experience in maintaining the safety and occupational health nurses. This study used a qualitative design with a phenomenological method in one of the type A referral hospitals in Jakarta. The number of participants in this study was 7 heads nurses from different rooms selected using the purposive sampling method with the maximum variation sampling type. The data collection process was carried out using in-depth interview techniques (50-60 minutes), field notes, and recording devices. Data analysis using the Colaizzi method. This research identified seven themes: 1) Concern for the condition of the human resources of nurses. 2) Enhance nurses' awareness of the importance of maintaining personal safety and health. 3) Give aid and special treatment to injured nurses. 4) Observe the accidents and illnesses  often occurring in the room. 5) Provide a conducive working atmosphere for the management, facilities, health care team, and work climate. 6) Minimize or eliminate the risk of danger and illness occurring. 7)  Reflection of head nurses on the efforts that have been made. Conclusion: the head nurses played an important role in preventing work accidents in nurses, because the head nurses is a nursing manager who interacts directly with nurses in the room. The head nurse can improve the role and function of the head of the of leadership and management of the Head nurses, improving knowledge about occupational safety and health management, and leadership ability
Hubungan Antara Asupan Nutrisi dengan Proses Prakonsepsi pada Pasien Infertilitas Kedekatan: A Systematic Review Sibarani, Diana Wahyuni; Kurniawati, Wiwit; Ungsianik, Titin; Nur Rachmawati, Imami
Jurnal Impresi Indonesia Vol. 4 No. 7 (2025): Indonesian Impression Journal (JII)
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jii.v4i7.6847

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Infertility is an important global public health issue, affecting approximately 15% of couples of reproductive age worldwide. Increasingly, research is showing a link between diet and infertility. Choosing nutritious foods, especially during the preconception period and early pregnancy, is crucial to ensuring adequate nutrition for the mother and reducing the likelihood of complications during pregnancy. Aim: To determine the role of nutrition in minimising the risk of complications and improving reproductive outcomes. Methods: This study employed a systematic review method using several research article databases, namely: Oxford Academic, Science Direct, Clinical Key, Wiley, Springer NatureLink, and ProQuest. A total of 74,538 studies were identified. After removing duplicates, 54,593 studies were selected based on titles and abstracts. Excluded studies included non-interventional studies, articles not in English, and those not involving fertility patients. Ten full-text articles were reviewed for eligibility, and the selection process was illustrated using the PRISMA flow diagram format. The data extracted included author names, publication year, title, study design, sample size, and results. A critical appraisal analysis was conducted using the JBI format. Results: Fifteen articles were identified, involving 14,309 infertile women undergoing preconception preparation. Overall, the findings indicate that a healthy diet and nutritional interventions significantly impact female fertility, highlighting the need for increased understanding of the benefits of healthy nutrition for women planning pregnancy.
Acceptance and Commitment Therapy Intervention to Improve Psychological Symptoms in Diabetes Mellitus Patients Limanauw, Marchellino Edmond Aprico; Keliat, Budi Anna; Putri, Yossie Susanti Eka; Rachmawati, Imami Nur
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.v6i4.3207

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Psychological problems that occur in DM patients need to be a serious concern. Psychological problems that occur in DM casein can be caused by health changes that occur due to natural DM disease. The purpose of this systematic search is to determine the benefits and implementation of acceptance and commitment therapy (ACT) in improving psychological symptoms in diabetes mellitus patients. Article search using systematic review method conducted on several electronic databases such as EBSCOhost, ProQuest, PubMed, ScienceDirect, Scopus, and International Archives of Health Science. The selected article is a study that uses an intervention design with a sample of diabetes mellitus patients, measures at least 1 psychological symptom, and is published in the last 10 years. Search results showed that 12 articles met the criteria for analysis. The psychological symptoms most often measured in these articles are depression, anxiety, and distress. The results showed that ACT was effective in improving psychological symptoms in diabetes mellitus patients. The implementation of ACT consists of 6 – 10 sessions and several articles recommend including diabetes education in the initial session of giving ACT. ACT is effective for treating psychological problems such as depression, anxiety, and distress in patients with diabetes mellitus.
Maternal Outcomes in Deliveries with Placenta Accreta Spectrum: A Systematic Review Apriliani, Rizki Selly; Susanti, Suryane Sulistiana; Kurniawati, Wiwit; Rachmawati, Imami Nur
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): 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.v7i2.5867

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Postpartum hemorrhage is a leading complication, causing approximately 75% of maternal deaths. Placenta accreta spectrum (PAS) is characterized by the abnormal invasion of placental trophoblasts into the uterine myometrium, increasing the risk of severe hemorrhage. Globally, PAS incidence has risen, ranging from 0.2% to 0.9% of all pregnancies, primarily due to the increasing number of cesarean deliveries. Other maternal outcomes can also occur in mothers with PAS cases. Objective: this systematic review aims to describe maternal outcomes in deliveries involving PAS. Method: this systematic review study uses the PRISMA guidelines for literature search through databases, including ScienceDirect, ProQuest, Wiley, and Taylor and Francis, focusing on cohort and case-control studies. Thirteen articles in English published between 2019–2024 were analyzed, with 2,455 for total samples. Results: the study identified maternal outcomes, including hemorrhage, organ injury, infections, thromboembolism, vesicovaginal fistula, intensive care admission, and maternal death, with hemorrhage being the most significant complication. Recommendation: Optimal PAS management requires a combination of technology-based strategies, multidisciplinary collaboration, and well-planned interventions to reduce maternal morbidity and mortality.
Factors Influencing Healthcare Providers and Barriers in Conducting Sexual Health Care Discussions with Cancer Patients: A Systematic Review Utami, Septyani Windi; Afiyanti, Yati; Kurniawati, Wiwit; Rachmawati, Imami Nur
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): 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.v7i3.5868

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Sexuality is often overlooked in the context of cancer treatment for women. Healthcare providers in providing holistic care for cancer patients have not focused on the aspect of sexuality. Objective to identify the various factors that influence healthcare providers to discuss sexual care and the barriers they face when addressing sexuality in cancer patients. A systematic review using databases such as Science Direct, Proquest, Wiley, Springer with a time range of 2019-2024 in English, resulting in 10 articles. Factors influencing healthcare providers in discussing sexual care include internal factors such as knowledge, attitude, self-efficacy, age, years of work, and competency, as well as external factors such as the work environment and cultural norms. Barriers include limited service time, lack of training, and insufficient institutional support.
Digital Support Education on Risky Adolescent Reproductive Health Behaviors: A Systematic Review Rumdari, Rumdari; Setyowati, Setyowati; Budiati, Tri; Rachmawati, Imami Nur
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): 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.v7i2.5869

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Adolescents are a group vulnerable to reproductive health issues. One contributing factor is a lack of literacy and limited access to sexual and reproductive health services. Educational interventions supported by digital technology, such as mobile applications, websites, and social media, aim to provide information related to sexual and reproductive health. These interventions are expected to reduce risky behaviors, including preventing sexually transmitted infections, unwanted pregnancies, and making appropriate reproductive health decisions. However, the effectiveness of digital-supported educational interventions remains variable. Objective: examined the effectiveness of health education using digital support from various journal articles. Method: systematic review approach was used to analyze and evaluate several research results through literature searches with Proquest, Wiley, Science Direct and Spinger Link databases with experimental and RCT research types. Results: The results of a review of thirteen articles can be concluded that interventions with digital support can significantly ( <0.05) increase adolescents' knowledge about reproductive health, improve attitudes towards preventing adolescent health risk behaviors, improve behavior in maintaining reproductive health disease prevention, increase self-efficacy and reduce the incidence of physical violence and sexual violence. Recommendations: It is recommended that interventions involve both adolescents and their parents, as parental roles are crucial in providing support to adolescents.
Quality of Life and Symptoms Management in Cancer Patients with Financial Toxicity: A Systematic Review Sodik, Ikhsan; Afiyanti, Yati; Handiyani, Hanny; Rachmawati, Imami Nur
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): 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.v7i4.6253

Abstract

Cancer is a complex disease associated with a wide range of symptoms, declining quality of life, and financial toxicity (FT).To examine the quality of life and symptoms management in Cancer patients experiencing financial toxicity based on a review of published literature.A systematic review was conducted using five databases: Sage Journals, Science Direct, ProQuest, Clinical Key, and Oxford Academic from 2015-2025 years with keywords Quality of Life, Symptom Management and Cancer Patients. The quality of studies was assessed depending on the study design of the 1,050 articles found, only 11 were reviewed. Findings from 11 studies indicated that the quality of life in cancer patients is influenced by multiple factors. Financial toxicity showed a negative correlation with quality of life (r =0.23, p = 0.0057), indicating that higher levels of financial toxicity are associated with lower quality of life. Psychological symptoms such US anxiety and depression were positively associated with FT (r = 0.27, p = 0.0151; r = 0.18, p = 0.0336). High symptom burden, both physical and psychological, significantly reduced quality of life, while social support played a positive role in enhancing well-being (r = -0.17, p = 0.0412). Integrative therapies improved quality of life by 82%, and cost related health literacy was found to reduce financial toxicity (OR = 0.823, p= 0.039). Holistic interventions and attention to the financial challenges faced by cancer patients are essential for improving quality of life, particularly for those affected by financial toxicity. Effective symptom management involves the use of various tools (ESAS, HADS, FACT-G, SESI, EORTC QLQ-C30) and approaches such as palliative care, integrative therapies, symptom cluster management, acupuncture, financial support, social support, enhanced cost-related health literacy, improved psychological resilience, and identification of financial toxicity risks.The quality of life in Cancer patients is influenced by a complex interaction of factors, including financial condition, symptom management, social support, and multidisciplinary care. Enhancing health literacy—especially regarding financial aspects—with comprehensive, evidence-based, and accessible information such as insurance, medication coverage, and financial resources, is critically important.
Komunikasi End of Life dengan Penyusunan Dokumen Wasiat Hidup: Qualitative Evidence Synthesis Wahyuni, Jathu Dwi; Yetti, Krisna; Gayatri, Dewi; Rachmawati, Imami Nur; Meidiawati, Ati Surya
Faletehan Health Journal Vol 10 No 03 (2023): Faletehan Health Journal, November 2023
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v10i03.640

Abstract

End of Life (EoL) communication is carried out when the patient's condition is palliative and documented in an advance Directives (ADs) document which contains of patient's preferences of treatment options. ADs are highly important documents for patients, families and health worker, but have not been applied in Indonesia. This study aimed to identify the stages of preparing ADs with qualitative evidence synthesis research design. The Data sources used several data bases, namely Sage Journals, ProQuest, Scopus, Taylor & Francis, ScienceDirect, and ClinicalKey Nursing from 2003 to 2023. The article selection was based on the category of qualitative research on EoL communication and ADs drafting. The results of the study obtained 6 out of 38,185 articles. The articles contained of the stages of preparing ADs starting with the initiation of patients or health workers, providing an explanation of ADs and the course of patient's disease, discussion or EoL communication between families and health workers, reviewing the decisions in ADs according to patient's condition, and making ADs according to local regulations. The researchers concluded that ADs document as the result of EoL communication should be made by health workers and patients. ADs document is important for patients, families and health workers and can help patients become calmer to face a follow-up care and end-of-life care.
Co-Authors - Machmudah - Setyowati Achir Yani S. Hamid Achir Yani Syuhaimie Hamid Achmad Fauji Agsutini, Nur Agung Waluyo Aina Aprilma Ray Allenidekania Allenidekania Anisah Anisah Apriliani, Rizki Selly Aryanti Wardiyah Astuti Yuni Nursasi Bahrul Hayat, Bahrul Beluan, Maria Irene Somi Beti Farida Ice Budi Anna Keliat Budi Keliat Candra, Adil Chairunisa, Navira Chodidjah, Siti Christina Cahyani Delly Arfa Syukrowardi Desy Aryani Putri Aryani Putri Desy Aryani Putri Aryani Putri, Desy Aryani Putri Dewi Gayatri Dewi, Prita Ayu Kusuma Dian Sari eka rahmawati Eka Rahmawati Elfrida Silalahi Elly Nurachmah Enie Novieastari Enjelita Karujan Erfina Erfina Eriyono Budi Wijoyo Erna Puspita Sari Erni Setiyowati Erni Setiyowati Etty Rekawati Faiqa Himma Emalia Fajar Tri Waluyanti Fatmawati, Ariani Febrianty, Indida Leli Indah Fitri Fujiana Fujiasih, Asih Furi Estie Honez Giur Hargiana Hargiana Hanny Handiyani Happy Hayati Hayuni Rahmah hero, admin Ida Ruwaida, Ida Jathu Dwi Wahyuni Junaiti Sahar Khusnul Khotimah Krisna Yetti Kurniawati, Pindi kurniawati Kurniawati, Wiwit Lantu, Nurlela Limanauw, Marchellino Edmond Aprico Lina Ayu Marcelina Lina Budiyarti Luknis Sabri Mangkuayu, Cluny Martina Maria A. Wijayarini Maria Yoheni Harnila Meidiawati, Ati Surya Muaningsih Muaningsih Muhammad Judha Mulhaeriah, Mulhaeriah Munifah, Laelatul Nani Nurhaeni Nartiana, Sari Neny Utami Nikmatul Khayati Ninik Yunitr Noviyanti, Mita Novy Helena Chatarina Daulima Nugraha, M Akbar Nur Agustini Nuraidah Nuraidah Nurhalimah Nurhalimah Nurhalimah Nurhalimah Nurul Evi Nurul Miftahul Parmawati, Ika Prisca A Tahapary Puspita Palupi Rahma Fadillah Sopha Rahma Yulis Rahmawati Handayani Ratnawati, R Ratnawati Riadinni Alita Riri Amalina Rizka Ristriyani Rizka Ristriyani Rudi Abas Rumdari, Rumdari Safitriana, Safitriana Sari, Levi Anggriani Purnama Setyowati Setyowati Setyowati Setyowati Setyowati Setyowati Setyowati, S. Sibarani, Diana Wahyuni Siti Chodidjah Siti Kusnul Khatimah Siti Rahmawati Sitinjak, Eva Perawaty Sodik, Ikhsan susanti, suryane sulistiana Syamsuriati, Syamsuriati Titin Ungsianik Tri Budiarti Tri Budiarti, Tri Tri Budiati Triana Dewi Ulfia Fitriani Nafista Utami, Neny Utami, Septyani Windi Vella Yovinna Tobing Wanda , Dessie Wardatus Sholihah Widi Lestari Windi Nur Emiria Wiwit Kurniawati Wulandari, Riski Yati Afiyanti Yati Afiyanti Yati Afiyanti Yati Afiyati Yeni Rustina Yossie Susanti Eka Putri Yossie Susanti Eka Putri Yusron Nasution