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Kadek Eka Swedarma
Program Studi Ilmu Keperawatan Fak.Kedokteran Universitas Udayana
Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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KEPATUHAN MINUM OBAT PADA ORANG DENGAN GANGGUAN JIWA MELALUI KUNJUNGAN RUMAH OLEH KADER KESEHATAN JIWA DI DENPASAR TIMUR Ni Made Dian Sulistiowati; Ni Made Listya Dewi; Kadek Eka Swedarma
Coping: Community of Publishing in Nursing Vol 4 No 3 (2016): Desember 2016
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Abstract

The recurrence rate of patients with mental disorder are still high and mostly caused by drug withdrawal. One strategy that can be done to overcome this is to do a home visit by a cadre of mental health. During a visit home, cadres to carry out the functions and role as the person who oversees the taking medication. This study aims to analyze the influence of home visits by a cadre of mental health on medication adherence People With Mental Disorder in the home. This study was a comparative study with quantitative approach. This study was quasi experiment with pre and post test design. There were 33 samples that collected by porposive sampling technique. The results of this study based on statistic test were obtained value of z = -3.873, with p value = 0,000, (p<? (0,05)). Based on the above findings, it can be concluded that there are significant impact of home visit on medication adherence People With Mental Disorder in the home. Keywords: cadre of mental health, home visits, medication adherence, people with mental disorders.
GAMBARAN KEPUASAN PASIEN RAWAT JALAN DALAM MENERIMA PELAYANAN BPJS KESEHATAN DI PUSKESMAS BLAHBATUH I GIANYAR I Gede Abdi Sarya Permana; Komang Menik Sri Krisnawati; Kadek Eka Swedarma
Coping: Community of Publishing in Nursing Vol 8 No 3 (2020): Oktober 2020
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (168.5 KB) | DOI: 10.24843/coping.2020.v08.i03.p13

Abstract

Health is a basic human need to be able to live worthy and productive, so it needed to provide health services, namely health social services agency which is aligned with the goal to access quality health services. Each person will do the various ways to get a good treatment, included health services such as hospitals and health center to provide the quality of health service so it will lead to the patients satisfaction. Research Objective to know the patients satisfaction of health social services agency participants of outpatient service in health center of Blahbatuh I Gianyar. This research was kind of deskriptif with cross sectional approach. Sample taken by purposive sampling as many 84 respondents. Research instrument was questioner. The results of the tangible dimension study were 20 patients (20%) in the very satisfying category, 71 patients (71%) in the satisfying category, and 9 patients (9%) in the unsatisfactory category. The reliability dimension was very satisfying because of 27 patients (27%) and as many as 73 patients (73%). The dimensions of patient responsiveness were very satisfying as many as 27 patients (27%), satisfying 67 patients (67%), and satisfying 6 patients (6%). The assurance dimension is very satisfying as many as 20 patients (20%) and satisfies as many as 80 patients (80%). The empathy dimension is very satisfying as many as 21 patients (21%) and satisfying as many as 79 patients (79%). It can be concluded that the dominant respondents in the satisfying category are dimensions of tangible, reliability, responsiveness, assurance, and empathy.
HUBUNGAN CITRA TUBUH DENGAN GANGGUAN PERILAKU MAKAN PADA REMAJA PUTRI PENGGUNA INSTAGRAM Ni Kadek Novi Ariani; Kadek Eka Swedarma; I Kadek Saputra
Coping: Community of Publishing in Nursing Vol 9 No 5 (2021): Oktober 2021
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (277.795 KB) | DOI: 10.24843/coping.2021.v09.i05.p09

Abstract

The use of Instagram as a social media can have an indirect negative impact on adolescents. Obsession with Instagram celebrities that have an ideal body shape can lead to adolescent dissatisfaction with their body image. This can trigger eating behavior disorders in adolescents. This study aimed to identify the relationship between body image and eating behavior disorders in adolescent girls using Instagram at SMA (Senior High School) ??Saraswati 1 Denpasar. This research used the descriptive correlation design with a cross-sectional approach. The amount of the sample is 150 young women in grade X and XI majoring in MIA and IIS which were selected using disproportionate stratified random sampling technique. Body image was measured using the MBSRQ-AS 34, and eating disorders were measured using the EAT-26 questionnaire. The results of this study showed most of the respondents have moderate body image (51.3%) and the majority have a risk of eating disorder (54.7%). Based on spearman rank analysis showed the p value is 0.000 (p 0.05) with a correlation coefficient of 0.620. Instagram can be a platform that causes dissatisfaction with body image leading to eating behavior disorders so that young women need to evaluate and have good information regarding their body image so as not to cause eating behavior disorders.
HUBUNGAN PENGGUNAAN MEDIA SOSIAL DENGAN GEJALA DEPRESI PADA REMAJA DI SMAN 3 DENPASAR Gusti Ayu Sabila Prajaniti; Kadek Eka Swedarma; Meril Valentine Manangkot
Coping: Community of Publishing in Nursing Vol 10 No 1 (2022): Februari 2022
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (300.477 KB) | DOI: 10.24843/coping.2022.v10.i01.p08

Abstract

Teenagers now use social media on a daily basis. However, excessive social media use can have a negative impact on adolescent mental health, including depression. The purpose of this study is to determine the relationship between social media use and depression symptoms in adolescents at SMAN 3 Denpasar. This study employs a descriptive correlative research design with a cross-sectional approach. Respondents in this study were 188 teenagers from class XI who majored in science and social studies and were chosen using a proportional random sampling technique. The Bergen Social Media Addiction Scale (BSMAS) questionnaire was used to collect data on social media use, and the Beck Depression Inventory (BDI) questionnaire was used to collect data on depression symptoms. According to the findings of the univariate analysis, the majority of the adolescents experienced normal stages of social media use (94 adolescents (50.0 percent)) as well as normal depressive symptoms (96 adolescents) (51.1 percent). The Spearman Rank test was used for bivariate analysis, which revealed a significant but weak relationship between social media use and depression symptoms (p value = 0.001; r = 0.235). The findings of this study point to a positive relationship, implying that the more adolescents use social media, the more symptoms of depression they experience. This study is expected to provide adolescents with information about the impact of social media use on adolescent mental health, so that adolescents can pay attention to their use of social media as needed.
GAMBARAN TINGKAT STRES ORANG TUA SISWA SEKOLAH DASAR SELAMA PEMBELAJARAN JARAK JAUH DI MASA PANDEMI COVID-19 Ni Made Sri Darmayanti; Ni Komang Ari Sawitri; Kadek Eka Swedarma
Coping: Community of Publishing in Nursing Vol 10 No 2 (2022): April 2022
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (488.816 KB) | DOI: 10.24843/coping.2022.v10.i02.p12

Abstract

Beberapa orang tua mengalami kendala selama pembelajaran jarak jauh seperti kesulitan dalam memberikan motivasi atau meningkatkan mood anak untuk belajar, kesulitan dalam mengajarkan anak, kendala kuota dan jaringan, serta kesulitan dalam mendampingi anak belajar. Penelitian ini bertujuan untuk mengetahui gambaran tingkat stres orang tua siswa SD Negeri X selama pembelajaran jarak jauh di masa pandemi Covid-19. Penelitian ini merupakan penelitian deskriptif kuantitatif melalui penyebaran kuesioner online kepada 85 orang tua siswa SD Negeri X dengan teknik proportionate stratified random sampling. Alat ukur yang digunakan yaitu kuesioner Perceived Stress Scale 10 yang telah dimodifikasi oleh peneliti. Hasil penelitian didapatkan bahwa nilai tengah usia orang tua yaitu 37 tahun dengan usia termuda yaitu 24 tahun dan usia tertua yaitu 61 tahun. Mayoritas orang tua siswa berjenis kelamin perempuan, berpendidikan terakhir SMA, status bekerja, golongan pendapatan sedang, sarana dan prasarana elektronik hanya menggunakan satu fasilitas berupa handphone, kondisi jaringan internet lancar, mendapatkan subsidi kuota, dapat menggunakan aplikasi pembelajaran secara mandiri, dan jumlah orang tua siswa terbanyak berada pada kelas II dan IV. Tingkat stres orang tua mayoritas berada pada kategori stres sedang.
PENGARUH TEKNIK RELAKSASI OTOGENIK TERHADAP TINGKAT STRES PADA LANSIA Ni Putu Ratih Febriana Dewi Lestari; I Dewa Made Ruspawan; Kadek Eka Swedarma
Coping: Community of Publishing in Nursing Vol 5 No 3 (2017): Desember 2017
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Abstract

Abstrak. Peningkatan harapan hidup penduduk lansia secara tidak langsung memiliki dampak positif dan efek negatif. Secara umum, kondisi fisik seseorang yang telah memasuki lansia menurun langkah demi langkah, oleh karena itu lansia mudah mengalami stres. Stres bukanlah penyakit, tetapi mungkin awal dari penyakit, baik secara fisik maupun mental jika diabaikan. Salah satu upaya yang dapat dilakukan untuk mengurangi stres adalah melalui penerapan teknik relaksasi autogenik. Relaksasi autogenik adalah teknik relaksasi untuk mengurangi ketegangan yang dilakukan dalam keadaan sadar. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh relaksasi autogenik terhadap tingkat stres pada lansia di Puskesmas Wilayah Kuta Badung utara. Penelitian ini adalah eksperimen semu dengan pretest dan posttest dengan kelompok kontrol. Sampel diambil dari dua tempat berbeda, yaitu di desa Canggu Banjar Permai sebagai kelompok perlakuan dan desa Tegalgundul sebagai kelompok kontrol. Teknik pengambilan sampel menggunakan purposive sampling dengan jumlah sampel pada kelompok perlakuan sebanyak 18 orang, sedangkan pada kelompok kontrol 16 orang. Teknik pengumpulan data menggunakan kuesioner Depresi, Anxiety, dan Stress Scales (DASS) dengan skala rasio. Dari uji statistik independent sample T-test menunjukkan p = 0,001 (p <0,05), yang artinya ada pengaruh relaksasi autogenik terhadap tingkat stres. Kata kunci: teknik relaksasi autogenik, stres, DASS ABSTRACT Abstract. Increased life expectancy of elderly population indirectly have a positive impact and negative effects. In general, the physical condition of a person who has entered the elderly decreased step by step, therefore elderly easy to experience stress. Stress isn’t a disease, but it may be early onset of the disease, both physically and mentally if neglected. One effort that can be done to reduce stress is through the application of autogenic relaxation techniques. Autogenic relaxation is a relaxation technique to reduce tension is done in a conscious state. The purpose of this study was to determine the effect of autogenic relaxation on the level of stress on the elderly in the Region Health Center of northern Kuta Badung. This study is a quasi experiment with pretest and posttest with control group. Samples were taken from two different places, namely at Canggu Banjar Permai village as a treatment group and Tegalgundul village as a control group. The sampling technique used purposive sampling by the number of samples in the treatment group as many as 18 people, while in the control group of 16 people. The technique of collecting data using questionnaires Depression, Anxiety, and Stress Scales (DASS) with ratio scale. From the statistical test independent sample T-test showed p = 0.001 (p <0.05), which meaning that there are influence of autogenic relaxation on level of stress. Keywords: autogenic relaxation technique, stress, DASS
Pengaruh Psikoedukasi Keluarga terhadap Tingkat Stres Keluarga Merawat Orang dengan Gangguan Jiwa (ODGJ) Dirumah Ni Made Putri Rahayu; Ni Made Dian Sulistiowati; Kadek Eka Swedarma
Coping: Community of Publishing in Nursing Vol 7 No 3 (2019): Desember 2019
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Abstract

Stres adalah perasaan lelah (kewalahan) akibat dari peristiwa-peristiwa yang tidak mampu dikendalikan dan merupakan respon fisik dan psikologis terhadap tuntutan dan tekanan. Oleh karena itu, selama memberikan perawatan keluarga harus didukung oleh tenaga kesehatan melalui pemberian pendidikan kesehatan. Salah satunya intervensi yang dapat diberikan kepada keluarga dengan masalah kesehatan jiwa adalah psikoedukasi. Berbeda dengan pendidikan kesehatan pada umumnya, psikoedukasi keluarga tidak hanya mengkaji masalah keluarga dan pemberian edukasi, tetapi juga mengajarkan cara mengatasi stres dan beban keluarga serta melakukan pemberdayaan komunitas untuk membantu keluarga sehingga akan mampu memotivasi keluarga untuk memberikan perawatan yang lebih baik. Penelitian ini bertujuan untuk mengetahui pengaruh psikoedukasi keluarga terhadap tingkat stres keluarga merawat orang dengan gangguan jiwa (ODGJ) dirumah di wilayah kerja Puskesmas II Denpasar Timur. Penelitian ini merupakan studi pre-eksperimental (One Grup Pre Post Test Design). Sampel terdiri dari 30 orang yang dipilih dengan cara purposive sampling. Dalam melihat tingkat stres keluarga sebelum dan sesudah psikoedukasi keluarga digunakan kuesioner Zarit Burden Interview (ZBI). Hasil penelitian dari 30 sampel dengan uji paired t-test, menunjukkan nilai p value=0,000 artinya psikoedukasi keluarga berpengaruh terhadap tingkat stres keluarga merawat orang dengan gangguan jiwa (ODGJ) dirumah di wilayah kerja Puskesmas II Denpasar Timur. Kata kunci: gangguan jiwa, psikoedukasi keluarga, stres ABSTRACT Stress is a feeling tired (overwhelmed) result from events which are not capable of being controlled and is a response against the physical and psychological demands and pressures. Therefore, as long as families provide care must be supported by health workers through the health education. One of these interventions can be provided to families with mental health is psychoeducation. In contrast to health education in general, family psychoeducation not only examines the problems of families and granting educational, but also teach you how to cope with stress as well as the burden of family and community empowerment to help families so as to be able to motivate families to provide better care. This research aims to know the influence of family psychoeducation against family stress levels treating people with mental disorders (ODGJ) at home in the region Puskesmas II Denpasar Timur. This research is pre-experimental study (One Group Pre Post Test Design). The sample consisted of 30 people selected by purposive sampling technique. In looking at the family stress levels before and after the family psychoeducation used the questionnaire Zarit Burden Interview (ZBI). Research results was testing with paired t-test, indicating the value of the p value = 0.000 where the family psychoeducation influence on levels of family stress caring for people with mental disorders (ODGJ) at home in the region Puskesmas II Denpasar Timur. Keywords: mental disorders, stress, family psychoeducation
Pengaruh terapi relaksasi progresif terhadap perubahan tingkat depresi pada lansia Ni Komang Ana Merliantika; I Dewa Gede Anom; Kadek Eka Swedarma
Coping: Community of Publishing in Nursing Vol 6 No 2 (2018): Agustus 2018
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Abstract

Depresi dipengaruhi oleh banyak faktor dan dapat terjadi pada semua orang, termasuk orang tua. Penatalaksanaan depresi dapat dilakukan dengan farmakologis dan nonfarmakologis. Pada nonfarmakologi dapat dilakukan dengan teknik relaksasi progresif. Teknik relaksasi progresif dapat dilakukan dengan meregangkan otot-otot di bawah tekanan pada lansia sehingga ketegangan otot yang terjadi sebelumnya akan hilang dan akan memberikan kondisi rileks otot-otot di bawah tekanan. Penelitian ini bertujuan untuk mengetahui pengaruh terapi relaksasi progresif terhadap perubahan tingkat depresi pada lansia di Banjar Mandala Sari, Desa Dangri Kelod, Dentim. Desain penelitian ini menggunakan desain Quasy Experimental dengan pre-test dan post-test dengan kelompok kontrol. Sampel yang digunakan adalah 30 lansia yang dibagi menjadi 15 kelompok perlakuan dan 15 kelompok kontrol. Sampel dalam penelitian ini menggunakan teknik purposive sampling. Pengukuran tingkat depresi menggunakan Geriatric Depression Scale (GDS). Penelitian akan dilakukan selama satu bulan. Tes statistik digunakan untuk menganalisis perbedaan dalam perubahan tingkat depresi lansia pada kelompok perlakuan dan kelompok kontrol adalah Mann Whitney U Test. Hasil yang diperoleh dari nilai p = 0,148. Nilai signifikansi nilai p> ? (0,05). Hasil signifikansi dari hasil ini adalah nilai p (0,148)> ? (0,05). Dapat disimpulkan bahwa Ho diterima dan Ha ditolak. Dapat dikatakan tidak ada perbedaan perubahan pada tingkat depresi pada kelompok perlakuan dan kelompok kontrol. Kata kunci: lansia, relaksasi progresif, tingkat depresi ABSTRACT Depression is influenced by many factors and can occur in all people, including the elderly. Management of depression can be done with pharmacological and nonpharmacological. At nonfarmakologi can be done with the progressive relaxation technique. Progressive relaxation techniques can be done by stretching the muscles under stress in the elderly so that muscle tension that happened before will be lost and will provide a relaxed condition of the muscles under stress. This study aims to investigate the influence of progressive relaxation therapy to changes in the level of depression in the elderly at Banjar Mandala Sari, Desa Dangri Kelod, Dentim. This study design using Quasy Experimental design with pre-test and post-test with control group. The samples used were 30 elderly people who were divided into 15 treatment group and 15 control group. The samples in this study using purposive sampling technique. Measurement of levels of depression using the Geriatric Depression Scale (GDS). Research will be conducted for one month. Statistical tests were used to analyze differences in changes in the level of depression of elderly in the treatment group and the control group was Mann Whitney U Test. The results obtained from p value=0.148. The significant value of p value > ? (0.05). Results of the significance of these results is the p value (0.148) > ? (0.05). It can be concluded that Ho accepted and Ha rejected. It can be said there is no difference changes in the level of depression in the treatment group and the control group. Keywords: elderly, progressive relaxation, depression levels
Pengaruh Terapi Reminiscence Terhadap Stres Lansia di Banjar Luwus Baturiti Tabanan Bali Ni Putu Nariska Rahayuni; Putu Ayu Sani Utami; Kadek Eka Swedarma
Jurnal Keperawatan Sriwijaya Vol 2, No 2 (2015)
Publisher : Universitas Sriwijaya

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Abstract

Tujuan: Stres pada lansia adalah perasaan tertekan, cemas dan tegang yang diakibatkan oleh stresor berupa perubahan fisik, mental, dan sosial lansia yang mempengaruhi status emosional dan menimbulkan penyakit. Pengelolaan stres lansia dapat dilakukan dengan terapi reminiscence yang menggunakan memori dan kenangan masa lalu untuk menjaga kesehatan mental lansia. Penelitian ini bertujuan mengetahui pengaruh terapi reminiscence terhadap stres lansia.   Metode: Desain pada penelitian ini adalah quasi-experimental yaitu nonequivalent control group design. Sampel terdiri dari 34 lansia yang dipilih secara purposive sampling, dibagi menjadi 17 lansia kelompok perlakuan dan 17 lansia kelompok kontrol dan pengumpulan data dilakukan menggunakan Stress Assessment Questionnaire (SAQ).   Hasil: Hasil analisis uji independent sample t-test dengan tingkat kemaknaan 95% menunjukkan adanya pengaruh yang signifikan terapi reminiscence terhadap stres pada lansia.   Simpulan: Kegiatan bercerita kenangan masa lalu dapat membantu lansia berinteraksi dan mengungkapkan perasaannya kepada keluarga dan teman sehingga lansia mampu beradaptasi terhadap stres.   Kata kunci: lansia, stres, terapi reminiscence
A Normative Behavior of Pre-Travel Health Consultation and the Associated Factors among Travelers I Gede Nova Ariawan; Kadek Eka Swedarma; Ni Putu Emy Darma Yanti
Jurnal Ners Vol. 16 No. 1 (2021): APRIL 2021
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v16i1.21443

Abstract

Introduction: Travelers may transmit diseases due to their behavior of travel, consequently travelers should consider preventive measurement through pre-travel health consultation seeking behavior. Pre-travel health consultation is a particular preparation ideally conducted by international travelers to obtain risk assessment and management to prevent the transmission of diseases. This study investigates the relationship of socio-demographic characteristics and itinerary on pre-travel health consultation behavior among international travelers in Badung, Bali.Methods: A descriptive-correlative design using a cross-sectional approach employed 125 participants determined by a purposive sampling technique performed in the ten tourist destinations of Badung Regency. Data collection was conducted on February 15th until March 5th, 2020. Data demography, travel plan, and anonymous questionnaires regarding pre-travel health consultation behavior are used in this research. The Gamma coefficient correlation and Kruskal-Wallis statistic tests were performed in the study for bivariate analysis.Results: The results showed that age (p<0.0001; r=-0.650) and past-travel history to Bali (p=0.004; r=-0.475) were significantly correlated with pre-travel health consultation behavior among international travelers in Badung, Bali. Meanwhile sex, nationality, last education, travel duration, and types of the destination visited were not significantly associated with pre-travel health consultation behavior among international travelers in Badung, Bali (p>0.05).Conclusion: The age and past-travel history to Bali seem to be predictors for travelers to uptake pre-travel health consultation, thus nurses should be able to promote the implementation of pre-travel health consultation by utilizing the media promotion appropriately adjusted to the age of travelers and travel experience.
Co-Authors Alit Putra Purnama Astutik, Windu Dewi, Putu Siska Diastuti, Ni Nyoman Parayoni Dwidasmara Dwidasmara Fransiska Tri Mulyani Hastuti Gusti Ayu Ary Antari Gusti Ayu Sabila Prajaniti I Dewa Gede Anom I Dewa Made Ruspawan I Gede Abdi Sarya Permana I Gede Nova Ariawan I Gede Nova Ariawan I Gusti Ayu Ngurah Feranayanti Wulansari I Kadek Saputra I Putu Arya Sedana Ida Ayu Putri Saraswati Ida Bagus Dwidasmara Kadek Cahya Utami Kadek Lia Ari Pramadewi Komang Menik Sri Krisnawati Made Sukarja Meril Valentine Manangkot Napitupulu, Rico Almando Ni Kadek Diah Widiastiti Kusumayanti Ni Kadek Novi Ariani Ni Ketut Ari Cendani Ni Komang Ana Merliantika Ni Komang Ari Sawitri Ni Komang Trisna Prihayanti Ni Luh Putu Ari Sudiani Ni Luh Putu Eva Yanti Ni Made Candra Yundarini Ni Made Dian Sulistiowati Ni Made Dian Sulistiowati Ni Made Listya Dewi Ni Made Putri Rahayu Ni Made Sri Darmayanti Ni Putu Emy Darma Yanti Ni Putu Emy Darma Yanti Ni Putu Kresnayanti Ni Putu Nariska Rahayuni Ni Putu Nariska Rahayuni Ni Putu Ratih Febriana Dewi Lestari Ni Putu Sri Fatmiwiryastini Nyoman Adi Artha Pande Putu Ayu Erismadewi Prasetya, Ni Putu Ayu Padmanila Putra, I Gede Yudiana Putu Ayu Emmy Savitri Karin Putu Ayu Sani Utami Putu Ayu Sani Utami, Putu Ayu Putu Oka Yuli Nurhesti Putu Sri Febriyanti Putu Sri Febriyanti