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Analisis Asuhan Keperawatan pada Pasien Terpasang Canul Trakeostomi dengan Masalah Keperawatan Bersihan Jalan Napas Tidak Efektif dengan Intervensi Fisioterapi Dada di Ruang Mawar RSD dr. Soebandi Jember: Studi Kasus Tanwirotul Afidah; Murtaqib Murtaqib; Suheriyono Suheriyono
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 7, No 2 (2023)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.82213

Abstract

Background: Maxillofacial fracture is a fracture that refers to the facial skeletal, dentoalveolar bone and related parts within the head and neck area due to external trauma. Severe fractures in the facial bones hinder client’s airway. Tracheostomy is one of the procedures for persistent airway obstruction.Objective: To analyze nursing care for clients with tracheostomy for indications of maxillofacial fracture with nursing problems in ineffective airway clearance using chest clapping physiotherapy interventions in the Mawar Room, RSD dr. Soebandi Jember.Case report: The client was admitted to the Hospital due to motorcycle accident. During the assessment the client complained of coughing, tightness, and sleeplessness. After a canul tracheostomy was attached to the client, there were several symptoms, ie.: the client coughed quite frequently, unable to cough effectively, there was a dry ronchi, had difficulty in speaking, and the client's breathing pattern changed. In conclusion, the main nursing problem was ineffective airway clearance.Outcome: The results of the analysis after chest physiotherapy 3 times for 3 days showed the expected result of chest physiotherapy action, which was the sputum was removed and cleared from the airway. Therefore, oxygen diffusion was optimal, the client's oxygen saturation increased within the normal range, coughing decreased, and insomnia complaints were reduced. Conclusion: Chest physiotherapy can help remove the client's sputum, thus reduces sputum and ronchi sound, tightness marked with respiration rate (RR) within the normal range, and coughing in clients with nursing problem ineffective airway clearance attached canul tracheostomy.ABSTRAKLatar belakang: Fraktur maksilofasial merupakan fraktur yang mengacu pada skeletal wajah, tulang dentoalveolar dan bagian-bagian yang terkait dalam daerah kepala dan leher karena trauma eksternal. Fraktur pada tulang wajah yang parah menyebabkan pasien tidak dapat mempertahankan jalan napasnya. Trakeostomi merupakan salah satu prosedur untuk obstruksi jalan napas persisten.Tujuan: Untuk menganalisis asuhan keperawatan pada pasien yang terpasang trakeostomi atas indikasi fraktur maksilofasial dengan masalah keperawatan bersihan jalan napas tidak efektif menggunakan intervensi fisioterapi dada clapping di Ruang Mawar RSD dr. Soebandi Jember.Laporan kasus: Pasien masuk ke Rumah Sakit karena kecelakaan sepeda motor. Saat dilakukan pengkajian, pasien mengeluh batuk, sesak napas, dan tidak bisa tidur. Terdapat beberapa gejala pada pasien setelah terpasang canul trakeostomi, antara lain batuk cukup sering, tidak mampu melakukan batuk efektif, terdapat ronchi kering, sulit berbicara, dan pola napas pasien berubah, sehingga memiliki masalah keperawatan utama bersihan jalan napas tidak efektif. Hasil: Hasil analisis setelah dilakukan fisioterapi dada 3 kali selama 3 hari, menunjukkan pencapaian tindakan fisioterapi dada, yaitu dapat mengeluarkan dan membersihkan sputum dari saluran napas, sehingga difusi oksigen optimal, saturasi oksigen pasien meningkat dalam rentang normal, batuk berkurang, dan keluhan susah tidur berkurang. Simpulan: Fisioterapi dada dapat membantu mengeluarkan sputum pasien, sehingga sputum dan suara ronchi dapat berkurang, sesak napas berkurang ditandai dengan respiration rate (RR) dalam rentang normal, dan batuk dapat berkurang pada pasien dengan masalah keperawatan bersihan jalan napas tidak efektif yang terpasang canul trakeostomi. 
The Relationship Between Religiosity and Self-Compassion in Breast Cancer Patients Post Mastectomy Surgery Nisa Nabila Sandy; Mulia Hakam; Murtaqib Murtaqib
NurseLine Journal Vol 8 No 2 (2023): November 2023
Publisher : Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v8i2.42398

Abstract

In Indonesia, the prevalence of breast cancer is quite high, from report data (Riskesdas, 2018) stating that breast cancer reaches 42.1% with an average death rate of around 17%. The type of treatment that is often used by breast cancer patients is a mastectomy. Masectomy raises physical and psychological impact. The current phenomenon is that many women experience some level of psychosocial pressure during their cancer journey, which can have an impact on issues of faith or religiosity, self-compassion, and quality of life (Hewit et al, 2019). The research design conducted by researchers is observational analytic with a cross sectional approach. The population in this study were breast cancer patients after mastectomy surgery at Dr. Soebandi Jember and the sample of this study were 38 respondents. The religiosity analysis in this study found that the religiosity study of patients who experienced breast cancer post-masectomy surgery obtained that the median value of the religiosity variable was 60.00 with the lowest value being 23 and the highest being 64. Meanwhile, the self-compassion analysis found that self-compassion research on patients who experienced breast cancer after mastectomy surgery found that the median value of the self-compassion variable was 94.50 with the lowest value being 65 and the highest being 98. Analysis using Pearson Product moment obtained a p-value of 0.000 less than 0.05 so that the Ha hypothesis is accepted or it can be said that there is a relationship between religiosity and self-compassion in post-massectomy breast cancer patients at Dr. Soebandi Jember.
Aplikasi Terapi Guided Imagery Untuk Mengurangi Nyeri Akut Pada Ny. S Dengan Ca Mammae: Studi Kasus Rr. Reza Fitri Dwi Milenia; Murtaqib Murtaqib; Ana Nistiandani; Sulis Setyowati
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 7, No 3 (2023)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.87315

Abstract

Background: Breast cancer is the second leading cause of death in women after cervical cancer. One of the most feared symptoms by cancer patients is pain. Cancer patients have used guided imagery relaxation techniques for several years, and it has been proven that they can help reduce the side effects of chemotherapy, such as nausea, vomiting, pain, anxiety, and depression.Objective: To analyze the application of guided imagery therapy to reduce acute pain in Mrs.S with Ca Mammae in the Upper Melati Room, RSD dr. Soebandi.Case report: Mrs. S, 46 years old, is being treated in the Melati Room at RSD dr. Soebandi Jember with a medical diagnosis of Ca Mammae. When he came to RSD dr. Soebandi Jember patient complained of pain with a scale of 5 with a dull ache in the left breast. Patients were given the main intervention of Guided Imagery therapy for 3 days of treatment to reduce pain.Outcome: The patient said that on the first day of the intervention, the pain felt intermittent and it was difficult to sleep. Then after being given guided imagery therapy, the pain felt reduced.Conclusion: Guided imagery therapy can be applied to breast cancer patients where it can help reduce pain due to breast cancer felt by patients so that it will help in patient health care
SOSIALISASI POKDARWIS DALAM MENDORONG PARTISIPASI MASYARAKAT UNTUK MEWUJUDKAN DESA WISATA DI DESA BINAKAL KABUPATEN BONDOWOSO Diana Permata Nur Mifdatun Jannah; Zaidan Rizqullah Luqianto; M. Daffa Rakhamsyah Yaafi; Liandra Alifia; Safa Adista Sekar Sakanti; Nabila Uswatun Hasannah; Annisa Zerlina Cindy Gayatri; M. Khatam Ramadhan; M. Erick Lucky Hafifi; Luluk Ulfah; Murtaqib
GANESHA: Jurnal Pengabdian Masyarakat Vol. 4 No. 2 (2024): Juli 2024
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat Universitas Tunas Pembangunan Surakarta (UTP)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36728/ganesha.v4i2.3360

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Indonesia is a country that has natural wealth, art and culture with great potential to become a tourism attraction. The development of tourism villages has a great opportunity as the foundation of the regional economy. A village that has the potential to become a tourist village is Binakal Village from Binakal District, Bondowoso Regency, East Java, which has natural beauty, art and culture that has the potential to be introduced to a wide audience. Tourism in the village needs to empower the community by involving community organizations such as the Tourism Awareness Group (Pokdarwis). Binakal Village previously had a Pokdarwis, but it was inactive so it needed to be reactivated by educating the importance of Pokdarwis in supporting the formation of a tourist village. The method of service of KKN students is by conducting Pokdarwis socialization together with the Bondowoso Regency Tourism, Culture, Youth and Sports Office. The result of the socialization was an increased understanding of tourism villages and Pokdarwis and a growing motivation to realize tourism villages. Keywords: Tourisme Villages, Socialization, Pokdarwis
CASE STUDY : ASUHAN KEPERAWATAN PADA PASIEN STROKE NON HEMORAGIK DENGAN VENTILATOR TERHADAP RISIKO DEKUBITUS DI RUANG ICU (INTENSIVE CARE UNIT) Kurniasari, Reni Hesti; A'la, Muhamad Zulfatul; Murtaqib, Murtaqib; Gunarto, Sugito Tri
Edu Dharma Journal :Jurnal penelitian dan pengabdian masyarakat Vol 8, No 1 (2024): Edu Dharma Journal: Jurnal Penelitian Dan Pengabdian Masyarakat
Publisher : Sekolah Tinggi Ilmu Kesehatan Widya Dharma Husada Tangerang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52031/edj.v8i1.737

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ABSTRACTBackground: Non-Hemorrhagic Stroke causes dysphagia, physical weakness, impaired physical mobility, and lack of self-care. Physical weakness in stroke patients occurs due to prolonged bed rest or immobilization, which can increase the risk of decubitus ulcers. Management of right and left oblique mobilization is one of the treatment measures that can prevent the development of decubitus ulcers. The aim of this study was to analyze the effectiveness of changing the right and left tilt position in non-hemorrhagic stroke patients with a ventilator on the risk of decubitus in the ICU. Method: This research utilized a case study method. The samples in this case study were one adult patients in the ICU with ventilators, according to the inclusion and exclusion criteria. This research was carried out for 5 days started from 2 October to 6 October 2023 in one of hospital in Bali Island  Results: Evaluation of the implementation criteria showed that on day 1 to day 5 the patient did not show signs and symptoms of pressure ulcers. Implementation of changes in right and left tilt positions can reduce the incidence of pressure ulcers in non-hemorrhagic stroke patients in the intensive care unit (ICU). Conclusion: Based on the results of the study, after changing the position of the right tilt and left tilt on the first to the last day, there was redness at the location of the body that was under pressure but it did not get worse after applying the right tilt and left tilt. Further studies related factor influence in pressure ulcer can be developed.ABSTRAKABSTRAKLatar Belakang : Stroke Non Hemoragik mengakibatkan disfagia, kelemahan fisik, gangguan mobilitas fisik, Kurangnya perawatan diri. Kelemahan fisik pada pasien stroke terjadi akibat tirah baring dalam waktu lama atau imobilisasi sehingga dapat meningkatkan risiko terjadinya ulkus dekubitus. Penatalaksanaan mobilisasi miring kanan dan kiri merupakan salah satu tindakan pengobatan yang dapat mencegah berkembangnya ulkus dekubitus. Tujuan studi kasus ini untuk menganalisis keefektifan perubahan posisi miring kanan dan kiri pada pasien stroke non hemoragik dengan ventilator terhadap risiko dekubitus di ruang ICU. Metode : Penelitian ini menggunakan rancangan penelitian studi kasus. Sampel pada studi kasus ini adalah satu pasien dewasa di ruang ICU dengan ventilator, sesuai dengan kriteria inklusi dan eksklusi. Studi kasus ini dilakukan selama 5 hari pada tanggal 2-6 Oktober 2023 di salah satu rumah sakit di Bali. Hasil : Evaluasi kriteria hasil pelaksanaan implementasi didapatkan bahwa pada hari ke-1 hingga hari ke- 5 pasien tidak menunjukkan tanda dan gejala mengalami dekubitus. Implementasi perubahan posisi miring kanan dan kiri dapat memberikan dapat penurunan kejadian dekubitus pada pasien stroke non hemoragik di ruang instalasi pelayanan intensif (ICU). Kesimpulan : Berdasarkan hasil studi kasus, setelah dilakukan pemberian perubahan posisi miring kanan dan miring kiri pada hari pertama hingga hari terakhir didapatkan data bahwa terdapat kemerahan pada lokasi tubuh yang mendapatkan tekanan namun tidak semakin parah setelah dilakukannya implementasi miring kanan dan miring kiri. Penelitian selanjutnya terkait faktor yang mempengaruhi risiko luka tekan dapat dilakukan.
The Effect of Distraction Therapy on Pain Levels in Patients with Multiple Lumbar Fractures and Nerve Root Injuries in the Seruni Room at Dr Soebandi Hospital, Jember Mintarum, Azhar; Murtaqib, Murtaqib; Widayati, Nur; Candra, Eka Yufi Septiana
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 3 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i3.671

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Aims : Lumbar fractures increased from 46.8% to 56.0% between 2009 and 2019, causing severe pain and discomfort, a critical nursing issue requiring attention to enhance patient care quality. Methods : the study was conducted in the Seruni Surgical Room, RSUD dr. Soebandi Jember, focusing on a patient with multiple lumbar fractures and nerve root injury. The patient was selected based on inclusion criteria and pain complaints. The researchers provided a distraction technique, involving listening to classical music and imagining positive things to alleviate pain. Results : the research results showed that there was a difference between the pain scale from the first day to the third day. This distraction technique is given according to the patient's needs when the pain felt by the patient appears. Conclusions : Acute pain is a major nursing issue in patients with multiple fractures and nerve injuries, requiring pain management interventions like music distraction therapy to address physical, psychological, cognitive, and social needs. Researchers hope that nurses can apply therapy independently to patients who have pain.
Gambaran Stres Keluarga dalam Merawat Anggota Keluarga yang Menjalani Kemoterapi di Rumah Sakit Tingkat III Baladhika Husada Jember Harianto, Dwi; Murtaqib, Murtaqib; Kushariyadi, Kushariyadi
Jurnal Ilmiah Ners Indonesia Vol 2 No 1 (2021): May 2021
Publisher : Program Studi Keperawatan Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (418.531 KB) | DOI: 10.22437/jini.v2i1.10093

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The family role changes occur in families who care for chemotherapy patients can cause an increasing stress levels in the family. It has a major influence on improving the health of patients who are undergoing chemotherapy, because the family's ability to provide care to patients cannot be given optimally. The study aims to analyze how the description of family stress in caring for family members undergoing chemotherapy at Baladika Husada Level III Hospital Jember. The study uses a quantitative descriptive design, the sample of this study was collected by purposive sampling technique involving as many as 192 families. The respondents in this study are nuclear or main families who treat patients undergoing chemotherapy. The average age of respondents in this study was 42.40 years old. The data collected using the DASS 42 questionnaire to measure the level of stress that occurs in families. . The data analysis was carried out by observing the frequency table. The results of the study stated that 50.5% of families experience severe stress, 23.4% of families experience moderate stress, 16.1% of families experience very severe stress, 9.4% of families experience mild stress and 0.5% of families are under normal stress . The conclusions obtained from the results of the study show that families who care for patients undergoing chemotherapy experience severe stress. The results of this study are expected to be one of the reference to nurses  for not only focus on patients, but also provide counseling to families who care for patients undergoing chemotherapy.
Analysis of Nursing Care for Patients with Impaired Skin Integrity by Providing Back Massage in Intracerebral Hemorrage Cases Zahro, Siti Fatimatus; Murtaqib, Murtaqib; Sutawardana, Jon Hafan; Mustakim, Mustakim
Pustaka Kesehatan Vol 12 No 1 (2024): Volume 12 No.1, 2024
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/pk.v12i1.38037

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Intracerebral Hemorrhage (ICH) occurs due to the presence of cerebral hemorrhage as a result of rupture of blood vessels in the brain tissue. Clinically Intracerebral Hemorrhage can be characterized by the presence of a decrease in consciousness. So that bed rest is one of a person's efforts in restoring his condition by lying in bed for a long time. It is at risk for experiencing impaired skin integrity. One of the skin integrity disorders that occurs in clients with bed rest is a decubitus ulcer. Skin care is one of the efforts to improve pressure sores by providing back massage therapy. This study aimed to analyze the nursing care of Skin Integrity Disorder patients by giving back massage in ICH cases in the Jasmine room of Dr. Soebandi Jember Hospital. The design of this study is descriptive in the form of a case study in patient who experienced redness of the skin of his back due to prolonged bed rest. After being given a back massage for 2 x 24 hours for 3 days, the patient experienced a change in skin integrity as evidenced by reduced redness of the skin. The administration of back massage therapy is effective in reducing the problem of skin integrity disorders in intracerebral hemorrhage patients who are lying down
Hubungan Tingkat Nyeri dengan Kualitas Tidur pada Pasien Post Operasi di Rumah Sakit Baladhika Husada Jember Kazharo, Antik; Hakam, Mulia; Murtaqib, Murtaqib
Pustaka Kesehatan Vol 12 No 2 (2024): Volume 10 No.2, 2024
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/pk.v12i2.19901

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One of the complaints experienced by patients after surgery is postoperative pain. The impact of postoperative pain that is increasingly severe and uncontrolled can disrupt a person's sleep so that it can affect the quality of sleep. The purpose of this study was to determine the relationship between pain level and sleep quality in postoperative patients at the Baladhika Husada Hospital, Jember. The independent variable of this study is the level of pain and the dependent variable is the quality of sleep. This research is a correlational study with a cross sectional approach. Sampling using consecutive sampling technique with 63 respondents. Data collection used NRS and PSQI questionnaire. Data analysis used spearman test with p value <0.05. The results of this study showed that the most pain levels were moderate and the quality of sleep was poor. There is a relationship between pain level and sleep quality in postoperative patients at Baladhika Husada Hospital, Jember (p value = 0.004, r = 0.358). The results showed that the higher the pain level, the higher the quality of sleep. Therefore the role of nurses is very important by providing pharmacological and non-pharmacological therapeutic interventions to overcome and control patient pain so that the sleep disturbance felt by postoperative patients is reduced
Peningkatan Kesiapsiagaan Bencana pada Masyarakat Melalui Video Edukasi Rawan Bencana Tanah Longsor dan Pemetaan Daerah Rawan Bencana Tanah Longsor di Desa Kemuning Lor Haristiani, Ruris; Siswoyo, Siswoyo; Murtaqib, Murtaqib; Kusumaningtyas, Prasita; Maskuro, Indah Sofiatul
Jurnal Pengabdian Masyarakat Saga Komunitas Vol. 3 No. 1 (2023): Jurnal Pengabdian Masyarakat Saga Komunitas
Publisher : Sagamedia Indo Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53801/jpmsk.v3i1.173

Abstract

Latar Belakang: Bencana merupakan peristiwa yang tidak dapat diprediksi dan dapat membahayakan nyawa manusia. Bencana dapat berupa banjir, tanah longsor, dan kekeringan. Kabupaten Jember merupakan daerah yang rawan terjadi tanah longsor dan banjir. Indeks risiko bencana tanah longsor di Jember yaitu 123.65 dan termasuk dalam kategori sedang. Pemberian edukasi mengenai bencana tanah longsor melalui video dan pemetaan daerah rawan bencana merupakan salah satu tindakan yang dapat dilakukan dalam rangka penanggulangan bencana dengan mitigasi dan peningkatan kemampuan masyarakat dalam menghadapi ancaman bencana. Tujuan: Untuk meningkatkan kesiapsiagaan bencana pada masyarakat  di daerah rawan bencana tanah longsor di desa Kemuning Lor. Metode: Metode yang digunakan dalam pelaksanaan kegiatan ini yaitu pembuatan dan penyebaran video edukasi, pembuatan peta rawan bencana tanah longsor, dan penyebaran kuesioner kesiapsiagaan bencana. Sasaran dalam kegiatan ini yaitu masyarakat desa Kemuning Lor terutama peragkat desa, bidan dan perawat desa, karang taruna, kelompok tani dan juga di sekolah-sekolah desa Kemuning Lor, Kecamatan Arjasa, Kabupaten Jember. Hasil: Hasil uji Wilcoxon dari pre-test dan post-test kuesioner kesiapsiagaan bencana memiliki hasil 0,000 < 0,05 yang berarti terdapat perbedaan pengetahuan masyarakat mengenai  kesiapsiagaan bencana  sebelum dan sesudah dilakukan penyebaran video edukasi dan pemetaan daerah rawan bencana tanah longsor. Kesimpulan: Terdapat perbedaan pengetahuan masyarakat sebelum dan sesudah dilakukan penyuluhan video dan pemetaan daerah rawan bencana tanah longsor. Kegiatan tersebut perlu diadakan secara rutin untuk meningkatkan pengetahuan serta dapat mengevaluasi pemahaman mengenai kesiapsiagaan masyarakat terhadap bencana tanah longsor.
Co-Authors Ahmad Rizki Nur Hakiki Akhmad Naufal Su'ud Akhmad Zainur Ridla Alfianza Febriany Astini Ananta Erfrandau Annisa Zerlina Cindy Gayatri Baskoro Setioputro Caecilia Yudistika Pristahayuningtyas Candra, Eka Yufi Septiana Christina Novarin Cristina Esria Valentin Tambunan Devy Meylina Christy Diana Permata Nur Mifdatun Jannah Dini Kurniawati Dwi Ayu Sari Enggal Hadi Kurniyawan Fahruddin Kurdi Fitrio Deviantony Gunarto, Sugito Tri Hafan Sutawardana, Jon HARIANTO, DWI Kazharo, Antik Kurniasari, Reni Hesti Kushariyadi Kushariyadi Kushariyadi Kushariyadi Kushariyadi Kushariyadic Kusumaningtyas, Prasita Lantin Sulistiyorini, Lantin Liandra Alifia Lilis Susanti Luluk Ulfah M. Daffa Rakhamsyah Yaafi M. Erick Lucky Hafifi M. Khatam Ramadhan Mahda Febriyanti Eka Pertiwi Putri Maskuro, Indah Sofiatul Maulidiyah, Dewi Diniyatul Mintarum, Azhar Muhamad Alfian Adyatma Muhamad Zulfatul A’la Mulia Hakam Mustakim Mustakim Mustakim Mustakim Mustakim Mustakim Nabila Uswatun Hasannah Nailul Aizza Rizqiyyah Ninik Wakhidaturrohmah Nisa Nabila Sandy Nistiandani, Ana Novi Putri Cahyanti Nur Rofi'ah, Siti Nur Rohmawati Nur Widayati Pangestu, Adinda Widia Popi Dyah Putri Kartika Putri, Nicky Septiana Qurrata A'yunnin Fitra Nurfajri Rahmawati, Iis Ramayana Lestari Dewi Rega Estu Kusumawati Restanto, Didik Pudji Rismawan Adi Yunanto Rondhianto Rondhianto Rr. Reza Fitri Dwi Milenia Ruris Haristiani Safa Adista Sekar Sakanti Santi Dwi Pangestuti Silvia Deres Siswoyo Siswoyo Siswoyo Siswoyo Siswoyo Siswoyo Siswoyo Siswoyo Siti Nur Rofi'ah Suheriyono Suheriyono Sulis Setyowati Susanto, Arnis Budi Tanwirotul Afidah Tri Buana Ratna Sari Wantiyah Wantiyah Yeni Fitria Yonda, Nila Nabila Yosep Filiandri Yustika Dian Pawesti Zahro, Siti Fatimatus Zaidan Rizqullah Luqianto