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All Journal NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan PROSIDING SEMINAR NASIONAL Jurnal NERS IJNP (Indonesian Journal of Nursing Practices) Jurnal Ilmu Kesehatan Immanuel Media Keperawatan Indonesia JAST : Jurnal Aplikasi Sains dan Teknologi Journal of Islamic Nursing International Journal of Community Service Learning Jurnal Endurance: Kajian Ilmiah Problema Kesehatan Journal of Nursing Care Indonesian Journal of Community Services Medica Hospitalia Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Jurnal Ners Community Empowerment Journal of Nursing and Health (JNH) Akper Yakpermas Banyumas Jurnal Gema Keperawatan Bima Nursing Journal Community Services and Social Work Bulletin Termometer: Jurnal Ilmiah Ilmu Kesehatan Dan Kedokteran Jurnal Ilmiah Sultan Agung Jurnal Mahasiswa Ilmu Kesehatan Jurnal An-Najat: Jurnal Ilmu Farmasi dan Kesehatan Jurnal Anestesi: Jurnal Ilmu Kesehatan dan Kedokteran Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan Prosiding Seminar Nasional Unimus Protein: Jurnal Ilmu Keperawatan dan Kebidanan Jurnal Siti Rufaidah JIKI
Nopi Nur Khasanah
Sultan Agung Islamic University
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Efektivitas Relaksasi Benson dalam Menurunkan Tingkat Kecemasan Pre Operatif: Telaah Literatur Jupandri , Fegit; Suyanto, Suyanto; Khasanah, Nopi Nur
Jurnal Ners Vol. 9 No. 3 (2025): JULI
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.45338

Abstract

Latar Belakang: Kecemasan sebelum dilakukan tindakan operasi adalah perasaan tidak nyaman yang dialami pasien yang akan menjalani prosedur anestesi, rawat inap, dan operasi. Relaksasi Benson adalah terapi yang bertujuan untuk menenangkan pikiran dan tubuh dengan cara menjauhkan diri dari rangsangan luar, sehingga membantu pasien untuk mencapai ketenangan batin. Teknik ini melibatkan metode seperti hipnotis, meditasi yoga, dan Latihan mental. Telaah literatur ini bertujuan untuk menganalisis efektivitas relaksasi Benson dalam menurunkan tingkat kecemasan pada pasien pra operasi. Metode: Penelitian ini menggunakan desain telaah literatur dengan pencarian artikel melalui Google Scholar dengan menggunakan kata kunci dan Boolean Operator. Hasil: Berdasarkan analisis dari 10 artikel, relaksasi Benson terbukti efektif menurunkan tingkat kecemasan pada pasien pre-operatif dibandingkan dengan Teknik distraksi lain atau menggunakan perawatan standar. Kesimpulan: Relaksasi Benson diharapkan dapat diadopsi oleh institusi Kesehatan sebagai intervensi non farmakologis untuk mengurangi kecemasan pre-operatif.
Inovasi dalam Permainan: Kunci Mengembangkan Potensi Sosioemosional dan Motorik Anak secara Optimal Munawaroh, UNISSULA; Susanto, Herry; Khasanah, Nopi Nur; Wahyuni, Sri
Jurnal Ners Vol. 9 No. 3 (2025): JULI
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.45479

Abstract

Abstrak Latar Belakang: Perkembangan anak usia dini merupakan fondasi utama bagi kesehatan fisik, kognitif, sosial, dan emosional di masa depan. Inovasi permainan sebagai sarana alami pembelajaran anak terbukti efektif mendukung tumbuh kembang yang optimal. Tujuan: Artikel ini mereview terkait pengaruh modifikasi permainan terhadap perkembangan anak usia dini hingga usia sekolah dasar. Metode: Artikel diakses melalui database PubMed, ScienceDirect, dan Google Scholar, dengan kriteria inklusi antara tahun 2019–2024, dan membahas intervensi permainan pada anak usia 0–12 tahun. Hasil: Modifikasi permainan secara konsisten meningkatkan perkembangan motorik, sosial, bahasa, dan emosional anak, serta efektif untuk anak berkebutuhan khusus seperti ADHD. Kesimpulan: Terapi bermain yang disesuaikan dengan usia, kondisi anak, dan budaya lokal terbukti sebagai pendekatan yang fleksibel dan efektif untuk mengoptimalkan berbagai aspek perkembangan anak. Inovasi dalam permainan perlu terus dikembangkan untuk mendukung tumbuh kembang anak secara menyeluruh. Kata Kunci: perkembangan anak, terapi bermain, modifikasi permainan, anak usia dini, intervensi perkembangan. Abstract Background: Early childhood development serves as the primary foundation for future physical, cognitive, social, and emotional health. Innovative play as a natural learning medium for children has proven effective in supporting optimal growth and development. Objective: This article reviews the impact of modified play on the development of children from early childhood to primary school age. Methods: Articles were accessed through databases such as PubMed, ScienceDirect, and Google Scholar, with inclusion criteria spanning from 2019 to 2024, and discussing play-based interventions for children aged 0–12 years. Results: Modified play consistently enhances children's motor, social, language, and emotional development, and is also effective for children with special needs, such as those with ADHD. Conclusion: Play therapy tailored to a child’s age, condition, and local culture has been shown to be a flexible and effective approach to optimizing various aspects of child development. Continuous innovation in play is needed to comprehensively support children's growth and development. Keywords: child development, play therapy, play modification, early childhood, developmental intervention
Optimalisasi Saturasi Oksigen Pada Bayi Prematur: Literatur Review Aprilyanto, Rizky; Khasanah, Nopi Nur; Wahyuni, Sri; Susanto, Herry
Jurnal Ners Vol. 9 No. 3 (2025): JULI
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.47287

Abstract

Abstrak Pendahuluan: Saturasi oksigen menjadi indikator penting dalam menilai kecukupan suplai oksigen, terutama pada bayi. Bayi prematur, yang memiliki organ pernapasan belum matang, sangat rentan mengalami gangguan oksigenasi, yang dapat berdampak serius pada pertumbuhan dan perkembangan organ vital. Tujuan: Penelitian ini bertujuan untuk mengkaji berbagai intervensi non-farmakologis yang dapat digunakan untuk mengoptimalkan saturasi oksigen pada bayi prematur melalui pendekatan literatur review. Metode: Metode yang digunakan adalah tinjauan sistematis terhadap 10 artikel dari database PubMed dan Google Scholar yang diterbitkan dalam lima tahun terakhir (2019–2024), dengan fokus pada intervensi peningkatan saturasi oksigen bayi prematur. Penelusuran artikel dilakukan secara sistematis dengan menggunakan kata kunci yang disusun berdasarkan Medical Subject Headings (MeSH), yaitu: “Oxygen saturation” OR “Oxygen therapy” OR “SpO₂” AND “Preterm infants” OR “Premature babies” AND “Non-pharmacological therapy” OR “Positioning” OR “Kangaroo mother care” OR “Prone position” OR “Music therapy” OR “Nesting” OR “Massage therapy” AND “Respiratory distress” OR “Respiratory support” OR “Neonatal intensive care”. Hasil: Hasil telaah menunjukkan bahwa sebagian besar intervensi seperti pengaturan posisi tubuh (quarter prone, prone, propped), terapi musik, stimulasi taktil kinestetik, delayed cord clamping, dan teknologi automated oxygen control secara konsisten meningkatkan saturasi oksigen bayi secara signifikan. Pendekatan postural, stimulasi sensorik, dan teknologi monitoring oksigen terbukti efektif dan dapat diterapkan secara praktis dalam konteks perawatan neonatal intensif. Kesimpulan: Kesimpulannya, intervensi non-farmakologis berbasis bukti dapat menjadi pilihan strategis dalam praktik keperawatan untuk mendukung kestabilan pernapasan dan menurunkan risiko komplikasi pada bayi prematur. Kata kunci: saturasi oksigen, bayi prematur, distres respirasi.
Hubungan Usia, Tingkat Pendidikan dan Status Pekerjaan dengan Tingkat Kecemasan Ibu Hamil Primigravida dalam Menghadapi Persalinan Nafisah, Durratun; Susanto, Herry; Wahyuni, Sri; Khasanah, Nopi Nur
Jurnal Gema Keperawatan Vol 18, No 1 (2025): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v18i1.4077

Abstract

Anxiety before childbirth is a common psychological condition experienced by pregnant women, especially those in their first pregnancy (primigravida), due to a lack of experience, limited knowledge, and insufficient emotional support. If left unaddressed, anxiety can negatively affect both maternal and fetal health, including increased risks of preterm birth and developmental issues. This study aims to determine the prevalence of anxiety and its associated demographic factors among primigravida women. This research uses a correlational study design with a cross-sectional approach. A total of 93 third-trimester primigravida women were selected using a total sampling technique. Data were collected using the Perinatal Anxiety Screening Scale (PASS) questionnaire and analyzed descriptively and inferentially using the chi-square test. The results showed that 32,3% of respondents experienced mild anxiety, 48,4% moderate anxiety, and 19,3% severe anxiety. The study found a significant relationship between education level (p=0.009) and employment status (p=0,009) with anxiety levels, while age did not show a significant association (p=0,143). These findings highlight the importance of integrating psychological screening into antenatal care services and developing community-based educational interventions to reduce maternal anxiety early in pregnancy.
Hubungan Pengetahuan Ibu Dan Dukungan Keluarga Dengan Pemberian Asi Eksklusif Sari, Putri Dwi Novita; Khasanah, Nopi Nur; Wijayanti, Kurnia
Community Services and Social Work Bulletin Vol 4, No 2 (2024): Community Services and Social Work Bulletin Volume 4 No. 2 2024
Publisher : Universitas Muhammadiyah Tangerang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31000/cswb.v4i2.13679

Abstract

Exclusive breastfeeding is very important for babies aged 0-6 months, because it provides various benefits for both babies and mothers. For babies, breast milk increases immunity, meets nutritional needs, and has the potential to increase intelligence (IQ) and emotional intelligence (EQ). Meanwhile, for mothers, breast milk can reduce the risk of anemia, cancer, and postpartum hemorrhage. In addition, exclusive breastfeeding is also more economical, practical, and saves time. Various factors can influence the success of exclusive breastfeeding, including the level of maternal knowledge and family support. Therefore, the purpose of this study was to determine the relationship between maternal knowledge and family support with exclusive breastfeeding. Method: This study was quantitative research with a cross-sectional approach, and data collection was carried out through a questionnaire. The number of respondents in this study was 66 people, using the total sampling technique. The collected data were tested using Fisher's exact test. Results: Based on the analysis, it was found that out of 66 respondents, the majority had a high school education background, which was 59.1%, and most worked as housewives (IRT), totaling 90.9%. The research results also revealed that 93.3% of respondents had good knowledge, 77.3% received support from their families, and 92.4% provided exclusive breastfeeding to their babies. Conclusion: There is a significant relationship between maternal knowledge and exclusive breastfeeding, obtained a p value of 0.001 and there is a relationship between family support and exclusive breastfeeding, obtained a p value of 0.008.
Brain Gym sebagai Upaya Prompt Treatment Demensia pada Lansia di Panti Werdha Pucang Gading Semarang Luthfa, Iskim; Khasanah, Nopi Nur
Indonesian Journal of Community Services Vol 7, No 1 (2025): May 2025
Publisher : LPPM Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/ijocs.7.1.45-51

Abstract

Panti Werdha Pucang Gading Semarang, di bawah naungan dari dinas sosial merupakan tempat pelayanan bagi lanjut usia yang terlantar. Panti ini dihuni oleh sekitar 100 Lansia yang berasal dari berbagai daerah di Jawa Tengah. Berdasarkan hasil pengkajian terhadap 30 Lansia yang ada di Bangsal Cempaka dengan menggunakan lembar kuesioner SPMSQ (Short Portable Status Mental Questionnaire) didapatkan hasil sebanyak 12 Lansia mengalami gangguan fungsi kognitif dengan kriteria ringan, 10 Lansia mengalami gangguan fungsi kognitif sedang dan 8 Lansia mengalami gangguan fungsi kognitif berat. Gangguan fungsi kognitif merupakan awal gejala demensia. Meskipun demensia tidak bisa disembuhkan namun dengan menjaga otak tetap aktif dapat menunda atau mengurangi efek awal demensia dan memperpanjang kemandirian. Solusi yang ditawarkan yaitu dengan melakukan brain gym sebagai upaya prompt treatment. Hasil kegiatan PKM menunjukkan setelah dilakukan brain gym pada kategori kerusakan ringan mengalami peningkatan dari 12 Lansia menjadi 17 Lansia (meningkat sebanyak 3%). Pada kategori kerusakan sedang dan berat mengalami penurunan, dari 10 Lansia menjadi 8 Lansia (menurun 9%), dan dari 8 Lansia menjadi 5 Lansia (menurun 8%). Kesimpulannya brain gym dinilai efektif sebagai upaya prompt treatment untuk meningkatkan fungsi kognitif pada Lansia yang mengalami demensia.Pucang Gading Semarang Nursing Home, under the auspices of the social service, is a service center for neglected elderly people. This nursing home is inhabited by around 100 elderly people from various regions in Central Java. Based on the results of a study of 30 elderly people in the Cempaka Ward using the SPMSQ (Short Portable Status Mental Questionnaire) questionnaire, it was found that 12 elderly people experienced mild cognitive dysfunction, 10 elderly people experienced moderate cognitive dysfunction, and 8 elderly people experienced severe cognitive dysfunction. Cognitive dysfunction is an early symptom of dementia. Although dementia cannot be cured, keeping the brain active can delay or reduce the early effects of dementia and prolong independence. The solution offered is to conduct brain gym as a prompt treatment effort. The results of this activity showed an increase in cognitive function in the elderly after brain gym was conducted. In conclusion, brain gym is considered effective as a prompt treatment effort to improve cognitive function in the elderly with dementia.
RESILIENCE AND QUALITY OF LIFE OF HEMODIALYSIS PATIENTS: LITERATURE STUDY Moh Saefudin; Dwi Retno Sulistyaningsih; Ahmad Ikhlasul Amal; Nopi Nur Khasanah
Journal of Islamic Nursing Vol 10 No 1 (2025): Journal of Islamic Nursing
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/join.v10i1.55581

Abstract

  Resilience is a significant factor closely associated with the quality of life and well-being of patients undergoing haemodialysis. Resilience serves as a protective factor that can enhance patients' adaptive capabilities and their skills in implementing positive coping strategies. Research on the relationship between resilience and quality of life in haemodialysis patients is still limited and has not been extensively studied. This study aims to explore the interconnection between resilience and quality of life in haemodialysis patients. A search for article data sources was conducted by applying inclusion and exclusion criteria in accordance with the PRISMA format through various databases such as Emerald, PubMED, and ProQuest, as well as e-resources from the National Library. Additionally, searches were performed on article sites such as ResearchGate, Science Direct, and Google Scholar for the period 2019-2024. The keywords utilised included: “Resilience” or “Resiliency” or “Resilient” and “quality of life” and “Haemodialysis”. Data were extracted by documenting the author's name, year, country, objective, respondents, design, findings, and implications. The study design included literature reviews in the form of abstracts or full texts from research journals. The quality of the research was evaluated using the PRISMA literature search diagram. From 13 reviewed journals, the analysis indicated that 9 articles suggested a relationship between resilience and the quality of life of haemodialysis patients, whereas 1 article reported no relationship, and 3 other articles highlighted additional factors related to resilience in haemodialysis patients. Enhancing resilience should be a focus in the care of haemodialysis patients to support the achievement of better quality of life. Indicators related to resilience are factors that influence the quality of life of haemodialysis patients. The role of resilience on an individual level requires further investigation within the context of quality of life variables in haemodialysis patients.  Keywords: Factors related, hemodialysis, quality of life, resilience
POLA ASUH ORANG TUA DENGAN KEMANDIRIAN DIRI PERSONAL HYGIENE ANAK USIA 3 – 5 TAHUN Putri, Dewi; Wijayanti, Kurnia; Khasanah, Nopi Nur
Journal of Nursing and Health Vol. 10 No. 2 (2025): Journal of Nursing and Health
Publisher : Yakpermas Press

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Abstract

Latar Belakang: Penelitian ini bertujuan untuk menganalisis hubungan antara pola asuh orang tua dan kemandirian anak dalam menjaga kebersihan diri (personal hygiene) pada usia 3 – 5 tahun. Latar belakang penelitian ini menekankan peran krusial pola asuh orang tua dan membentuk kemandirian anak, khususnya dalam hal kebersihan diri. Hal ini terutama penting bagi anak usia prasekolah, yang lebih rentan terhadap penyakit jika kemandirian dalam menjaga kebersihan diri tidak diajarkan dan diterapkan dengan baik. Metode: pendekatan dalam penelitian ini menggunakan metode kuantitatif dengan Desain pendekatan cross sectional. Data dalam peneliatian ini merupakan kategorik sehingga analisis data dalam penelitian menggunakan uji rank spearman. Sampel penelitian melibatkan 60 responden yang dipilih melalui teknik total sampling di TK Dharma Wanita Pati. Data dikumpulkan menggunakan kuesioner pola asuh orang tua dan kuesioner kemandirian personal hygiene anak. Hasil: hasil penelitian menunjukkan adanya korelasi signifikan antara pola asuh orang tua dengan kemandirian diri personal hygiene anak (p value = 0,000; r = 0,617). Sebagian besar responden (66,6%) menerapkan pola asuh demokratis, dengan cukup mandiri 25 (41,7%) dan mandiri 14 (23,2%). Hubungan dalam penelitian ini menegaskan bahwa semakin tepat pola asuh orang tua yang diterapkan kepada anak, akan menjadikan anak semakin mandiri dalam melakukan personal hygiene. Kesimpulan: Penelitian ini menyatakan bahwa untuk menjadikan anak mandiri dalam perilaku personal hygiene dibutuhkan peranan orang tua terutama dalam pola asuh pada anak yang memiliki usia prasekolah, demi mendukung tumbuh kembang anak. Kata Kunci: Pola Asuh, Kemandirian Personal Hygiene, Anak Prasekolah.
PENGARUH PEMBERIAN TERAPI CAIRAN ORAL TERHADAP SUHU TUBUH PADA PASIEN ANAK DENGAN FEBRIS AKIBAT DHF Rahmawati, Mita; Astuti, Indra Tri; Khasanah, Nopi Nur
Jurnal Ilmiah Penelitian Mahasiswa Vol 4, No 3 (2025): SEPTEMBER 2025
Publisher : Jurnal Ilmiah Sultan Agung

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Abstract

Penelitian ini mengkaji pengaruh pemberian terapi cairan oral terhadap suhu tubuh pada pasien anak dengan febris akibat Demam Berdarah Dengue (DHF) di RSU Comal Baru Pemalang, mengingat DHF merupakan penyakit endemis dengan risiko komplikasi serius akibat dehidrasi dan kebocoran plasma. Desain penelitian quasi-experimental pretest–posttest with control group melibatkan 30 responden (15 intervensi dan 15 kontrol) yang dipilih melalui consecutive sampling sesuai kriteria inklusi dan eksklusi. Data suhu tubuh diukur menggunakan termometer sebelum dan sesudah intervensi, lalu dianalisis dengan uji Wilcoxon Signed Rank Test, Paired t-test, Independent t-test, dan Mann–Whitney U Test dengan taraf signifikansi p<0,05. Hasil menunjukkan suhu awal kedua kelompok sebanding (38,08°C intervensi; 38,13°C kontrol; p=0,739), namun setelah terapi cairan oral suhu kelompok intervensi turun signifikan menjadi 36,39°C dibandingkan kontrol yang hanya turun menjadi 37,56°C, dengan uji statistik menunjukkan perbedaan bermakna (p<0,001). Penelitian ini menyimpulkan bahwa terapi cairan oral efektif menurunkan suhu tubuh pasien anak dengan DHF, sehingga dapat direkomendasikan sebagai bagian dari tatalaksana keperawatan suportif.Kata kunci: Demam Berdarah Dengue, terapi cairan oral, suhu tubuh, anak
Pengaruh Tindakan Alih Baring terhadap Nilai Saturasi Oksigen dan Heartrate Pasien Neonatus di Ruang Peristi RSI Sultan Agung Semarang Nurisa Banowati; Indra Tri Astuti; Nopi Nur Khasanah
Jurnal Mahasiswa Ilmu Kesehatan Vol. 3 No. 4 (2025): Jurnal Mahasiswa Ilmu Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/jumkes.v3i4.3325

Abstract

Monitoring hemodynamic conditions, particularly oxygen saturation (SpO₂) and heart rate, is a crucial aspect of neonatal care, especially in critical conditions. In addition to therapeutic interventions, supportive measures such as repositioning (postural change) can help optimize ventilation distribution and lung function, which directly affect hemodynamic stability. This study aimed to examine the effect of repositioning on oxygen saturation and heart rate levels in neonates in the Peristi Room at RSI Sultan Agung Semarang. This research employed a one-group pretest-posttest design with 27 neonatal respondents. The procedure involved alternating the neonates’ positions to supine, right lateral, and left lateral for two hours in each position, followed by measurement of SpO₂ and heart rate before and after repositioning. Data analysis was conducted using the Wilcoxon signed-rank test, as some data were not normally distributed. The results showed a significant difference in heart rate after the right lateral position (p=0.027), while the change in SpO₂ was not significant (p=0.125). The left lateral and supine positions showed no significant changes in either heart rate or SpO₂ (p>0.05). It can be concluded that repositioning, particularly in the right lateral position, positively influences hemodynamic stability in neonates. Future studies are recommended to include a larger sample size for more comprehensive findings.
Co-Authors Abdillah, Ajid Abdurrouf, Muh. Ahmad Ikhlasul Amal Anggreyani, Rainatha Annisa Syafa Nursabilla Apriliani Yulianti Wuriningsih Apriliani Yulianti Wuriningsih APRILIANI YULIANTI WURININGSIH, APRILIANI YULIANTI Aprilyanto, Rizky Aulia Zulfa Umi Arifah Azizun Hakimah, Nurul Dewi otavia sari Dewi Putri Dhea Evita Sari Distinarista, Hernandia Dita Adelina, Dita Adelina Dwi Retno Sulistyaningsih Dyah Wiji Puspita Sari Dyah Wiji Puspita Sari, Dyah Wiji Dyah Wiji Puspita Sari, Dyah Wiji Puspita Dyah Wiji Puspitasari Griyaningsih, Wahyu Herry Susanto Herry Susanto Indra Astuti Iriani Iriani Iskim Luthfa Issroviatiningrum, Retno Jannah, Ghina Muhibbatul Jupandri , Fegit Kholidah Kholidah, Kholidah Kurnia Wijayanti Kurnia Wijayanti Laeli, Muhibatul Laila Nuraini Listianah, Liya Maya Maya Dwi Yustini MITA RAHMAWATI Moh Saefudin Muliatun Naili Syahadah Munawaroh, UNISSULA Nafisah, Durratun Nazil Wilda Quthrunnada Nengsi, Tyas Anggari Nuria, Lita Nurisa Banowati Nutrisia Nu’im Haiya Rahayu, Weny Feftiana RISKA WAHYUNI Rizqi Khalaliyah Sari, Putri Dwi Novita Satriyo, Panji Setyawan, Muhamad Andri Silviani, Vicky Nurul Siti Mar&#039;atul Fatmala Sri Wahyuni Sri Wahyuni Suyanto Suyanto Tri Wahyuti Tutik Rahayu Umayah, Nafisatul Weny Feftiana Rahayu Yeni Rustina Yeni Rutina