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All Journal PROSIDING SEMINAR NASIONAL Jurnal Keperawatan dan Kesehatan Masyarakat CENDEKIA UTAMA Jurnal Litbang: Media Informasi Penelitian, Pengembangan dan IPTEK Indonesian Journal of Nursing Research (IJNR) South East Asia Nursing Research Jurnal Keperawatan Priority Jurnal Ners Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Pengabdian Kesehatan Jurnal Pengabdian Masyarakat Asia Nusantara Hasana Journal Afeksi: Jurnal Penelitian dan Evaluasi Pendidikan Jurnal Fisioterapi dan Ilmu Kesehatan Sisthana (JUFDIKES) International Journal of Health and Pharmaceutical (IJHP) Jurnal Sehat Indonesia (JUSINDO) Prosiding University Research Colloquium IJF (Indonesia Jurnal Farmasi)
Diana Tri Lestari
Universitas Muhammadiyah Kudus
Agriculture, Biological Sciences & Forestry Arts Humanities Computer Science & IT Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Aplikasi Model Konservasi Asuhan Keperawatan Diabetes Mellitus Diana Tri Lestari; Biyanti Dwi Winarsih
Jurnal Keperawatan dan Kesehatan Masyarakat Cendekia Utama Vol 4, No 2 (2015): Edisi Oktober 2015
Publisher : STIKES Cendekia Utama Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1001.836 KB) | DOI: 10.31596/jcu.v1i4.79

Abstract

Application of Levine conservation model for nursing care patient diabetes mellitus, provide an overview that wholeness can be achieved by conservation. The purpose of this study is to overview the application of Levine conservation model for patient diabetes mellitus. Using descriptive eksploration design, a total of 30 respondents participated in this study.  The most nursing diagnosis is imbalanced nutrition : less than body requirement. Nursing intervention is terapeutik and supportif intervention. Levine conservation model can be applied as a framework of nursing care to achieve wholeness of the patient through adjusting process by maintaining energy, structural, personal and social integrity.   Penerapan model konservasi Levine pada asuhan keperawatan pasien dengan diabetes mellitus memberikan gambaran tentang keutuhan yang dicapai melalui konservasi. Penelitian ini bertujuan untuk memberikan gambaran penerapan model konservasi Levine pada pasien dengan diabetes mellitus. Penelitian menggunakan desain deskriptif eksploratif dengan jumlah responden 30 pasien. Hasil analisa menunjukan bahwa diagnosa keperawatan yang sering muncul adalah gangguan keseimbangan nutrisi: kurang dari kebutuhan. Intervensi yang diberikan berupa intervensi terapeutik dan suportif. Perawat dapat menerapkan model konservasi Levine sebagai kerangka tindakan keperawatan melalui upaya memelihara integritas energi, struktural, personal dan sosial. Keywords: diabetes mellitus, Levine Conservation Model
INISIASI INSULIN PADA PASIEN DIABETES MELLITUS TIPE 2 DI RUMAH SAKIT UMUM DAERAH KABUPATEN KUDUS Diana Tri Lestari
PROSIDING SEMINAR NASIONAL & INTERNASIONAL 2014: PROSIDING KONFERENSI NASIONAL PPNI JAWA TENGAH
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Inisiasi insulin merupakan langkah awal yang diperlukan pasien diabetes mellitus (DM) tipe 2 dalam menerima insulin untuk mengendalikan glukosa darah. Penelitian bertujuan untuk mengidentifikasi faktor – faktor yang mempengaruhi iniasiai insulin dengan menggunakan metode descriptive correlational dan desain cross sectional, melibatkan sampel110 pasien. Analisis menggunakan chi-square dan regresi logistik ganda. Hasil penelitian didapatkan bahwa karakteristik responden (usia, jenis kelamin, pendidikan, pendapatan, lama mengalami DM), keyakinan terhadap insulin tidak berhubungan dengan inisiasi insulin. Pengetahuan merupakan faktor yang paling berpengaruh dalam inisiasi insulin (p: : 0.05, OR: 9.63). Variabel lain yang memiliki hubungan signifikan dengan inisiasi insulin adalah sikap (p: : 0.05), efikasi diri (p: : 0.05), interaksi dengan petugas kesehatan (p: 0.00, : 0.05). Perawat seharusnya meningkatkan pengetahuan dan efikasi diri melalui interaksi yang baik dengan pasien guna mengubah sikap pasien dalam inisiasi insulin
Analisis Tingkat Kecemasan Satgas Siaga Covid-19 Diana Tri Lestari; Efendi Efendi
Indonesian Journal of Nursing Research (IJNR) Vol 3, No 1 (2020)
Publisher : Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijnr.v3i1.906

Abstract

The Covid-19 pandemic has a multi-sectoral impact in terms of health, education, social and economy as well as the emergence of social anxiety disorders in the community. The Covid-19 Task Force is a very high risk of exposure according to their duties and functions which must go directly to the community. This research  aims to determine the level of anxiety of the Covid-19 task force. This research is a survey research with cross sectional research design. In this study, the sampling technique is total sampling with respondent criteria is active duty as a task force for at least 2 weeks and willing to be a respondent. Used 32 respondents. The instrument used in this study was the Covid-19 Anxiety Syndrome Scale (C-19ASS). The results of this study indicate that if there is a relationship between gender and the anxiety level of the covid-19 task force with P: 0.03, there is a relationship between the level of education and the anxiety level of the covid-19 task force P: 0.02. The recommendation of this research is that it can be used by the government in overcoming anxiety in society.AnxietyCovid 19 Task Force
Analisis Tingkat Kecemasan Satgas Siaga Covid-19 Diana Tri Lestari; Efendi Efendi
Indonesian Journal of Nursing Research (IJNR) Vol. 3 No. 1 (2020)
Publisher : Program Studi S1 Keperawatan Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijnr.v3i1.906

Abstract

The Covid-19 pandemic has a multi-sectoral impact in terms of health, education, social and economy as well as the emergence of social anxiety disorders in the community. The Covid-19 Task Force is a very high risk of exposure according to their duties and functions which must go directly to the community. This research  aims to determine the level of anxiety of the Covid-19 task force. This research is a survey research with cross sectional research design. In this study, the sampling technique is total sampling with respondent criteria is active duty as a task force for at least 2 weeks and willing to be a respondent. Used 32 respondents. The instrument used in this study was the Covid-19 Anxiety Syndrome Scale (C-19ASS). The results of this study indicate that if there is a relationship between gender and the anxiety level of the covid-19 task force with P: 0.03, there is a relationship between the level of education and the anxiety level of the covid-19 task force P: 0.02. The recommendation of this research is that it can be used by the government in overcoming anxiety in society.AnxietyCovid 19 Task Force
Dementia Care Class Increases Confidence of Informal Caregivers in Community-Based Dementia Care Ashri Maulida Rahmawati; Muhamad Jauhar; Diana Tri Lestari
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 2: June 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (674.702 KB) | DOI: 10.30604/jika.v8i2.1977

Abstract

Dementia develops rapidly each year in line with the increasing number of the world's elderly population. Dementia causes dependence, reduced quality of life, and even disability. Currently, the focus of treatment is carried out by health workers. There is a need for an informal caregiver capacity-building program in community-based dementia care. This study aimed to identify the effect of community based dementia care class on self-confidence among informal caregiver. This study used a pre-experimental pre and post-test with control group design. Sample choosen with purposive sampling consisted of 24 informal caregivers for each intervention and control group. The research instrument used Self-Confidence Questionnaire about Dementia Care Skills with a reliability value of 0.947. The intervention given 4 sessions in 2 days with 45-60 minutes per session.  Data analysis used paired t-test and independent t-test. The results showed that there was an effect of dementia care class on the confidence of informal caregivers in community-based dementia care with a value of p=0.000 (p less than 0.05). These learning models and media can be integrated into elderly posyandu and elderly health programs in healthcare facilities in community-based dementia management. Abstrak: Demensia berkembang pesat setiap tahunnya seiring dengan bertambahnya jumlah penduduk lanjut usia di dunia.Demensia menyebabkan ketergantungan, penurunan kualitas hidup, bahkan kecacatan. Saat ini, fokus pengo batan dilakukan oleh tenaga kesehatan. Ada kebutuhan untuk program peningkatan kapasitas caregiver informal dalam perawatan demensia berbasis masyarakat. Penelitian ini bertujuan untuk mengidentifikasi pengaruh kelas perawatan demensia terhadap kepercayaan diri pada caregiver informal dalam perawatan demensia berbasis komunitas. Penelitian ini menggunakan pre-experimental pre and post-test with control group design. Sampel dipilih dengan purposive sampling terdiri dari 24 caregiver informal untuk masing-masing kelompok intervensi dan kontrol. Instrumen penelitian menggunakan Self-Confidence Questionnaire tentang Dementia Care Skills dengan nilai reliabilitas 0,947. Intervensi diberikan 4 sesi dalam 2 hari dengan durasi 45-60 menit per sesi. Analisis data menggunakan uji t berpasangan dan uji t independen. Hasil penelitian menunjukkan bahwa ada pengaruh kelas perawatan demensia terhadap kepercayaan diri caregiver informal dalam perawatan demensia berbasis komunitas dengan nilai p=0,000 (p kurang dari 0,05). Model dan media pembelajaran ini dapat diintegrasikan ke dalam posyandu lansia dan program kesehatan lansia di fasilitas kesehatan dalam penanganan demensia berbasis komunitas.
Dementia Care Class Meningkatkan Sikap Caregiver Informal dalam Perawatan Demensia Berbasis Masyarakat Lestari, Diana Tri; Jauhar, Muhamad; Rahmawati, Ashri Maulida
Jurnal Litbang: Media Informasi Penelitian, Pengembangan dan IPTEK Vol 19, No 2 (2023): Desember
Publisher : Badan Perencanaan Pembangunan Daerah (BAPPEDA) Kabupaten Pati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33658/jl.v19i2.344

Abstract

ENGLISHDementia develops rapidly as the number of elderly and degenerative diseases increases. Dementia makes the quality of life reduced so it needs efforts to prevent and treat dementia. Handling is carried out comprehensively, so there is a need for informal caregiver capacity building in community-based dementia care. The purpose of this study was to identify the effect of dementia care class on attitudes in community-based dementia care. The study design used pre-experiment with pre and post-test types with the control group. This research was conducted in the Kaliwungu and Dawe Health Center, Kudus Regency from October 2022 to April 2023. The study sample was 24 informal caregivers for each intervention and control group through purposive sampling techniques. The research instrument used the Alzheimer's Disease Knowledge Scale (ADKS) and the Dementia Care Attitude Scale (DCAS).  Data analysis using Mann Whitney. The results showed that there was an influence of dementia care class on informal caregiver attitudes in community-based dementia care with a value of p = 0.000 (p < 0.05). These learning models and media can be integrated into elderly posyandu and elderly health programs in health care facilities in community-based dementia management. INDONESIADemensia berkembang dengan cepat dan berat seiring meningkatnya jumlah lansia serta penyakit degeneratif. Demensia membuat kualitas hidup berkurang bahkan disabilitas sehingga perlu upaya pencegahan dan penanganan demensia. Penanganan dilakukan secara menyeluruh, sehingga perlu adanya program peningkatan kapasitas caregiver informal dalam perawatan demensia berbasis masyarakat. Tujuan penelitian ini yaitu mengidentifikasi pengaruh dementia care class terhadap sikap dalam perawatan demensia berbasis masyarakat. Desain penelitian menggunakan pre-eksperimen dengan jenis pre dan post-test with control group. Penelitian ini dilakukan di wilayah Kerja UPTD Puskesmas Kaliwungu dan Dawe Kabupaten Kudus pada bulan oktober 2022-April 2023. Sampel penelitian sebanyak 24 caregiver informal untuk masing-masing kelompok intervensi dan kontrol melalui teknik purposive sampling. Instrument penelitian menggunakan Alzheimer’s Disease Knowledge Scale (ADKS), Dementia Care Attitude Scale (DCAS), dan Kuesioner Self-Confidence about Dementia Care Skills. Analisis data menggunakan Mann Whitney. Hasil penelitian menunjukkan terdapat pengaruh dementia care class terhadap sikap caregiver informal dalam perawatan demensia berbasis masyarakat dengan nilai p=0,000 (p<0,05). Model dan media pembelajaran ini dapat diintegrasikan dalam posyandu lansia dan program kesehatan lansia di fasilitas layanan kesehatan dalam manajemen demensia berbasis masyarakat.
Frequency of walking physical exercise reduces blood sugar levels in diabetic Lestari, Diana Tri; Rahmasari, Lutfir Fitri; Karyati, Sri; Jauhar, Muhamad
South East Asia Nursing Research Vol 6, No 1 (2024)
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/seanr.6.1.2024.32-42

Abstract

Diabetes mellitus is a global public health threat characterized by increasing morbidity and mortality rates. An unhealthy lifestyle causes this and has an impact on various kinds of disease complications and even death. One of the complementary interventions that can be carried out is physical exercise on foot. The research aimed to analyze the effect of physical walking exercise on blood sugar levels. Pre and post-test quasi-experimental research design without a control group. The study was conducted in January-February 2024 in the Ngembalrejo Community Health Center Working Area, Kudus Regency. The sample was 20 clients for each of the two intervention groups. Inclusion criteria were diagnosed diabetes mellitus, age 20-59 years, following all interventions, and no complications. Intervention group 1 did physical exercise three times a week, and intervention group 2 did physical exercise walking every day. The research instrument used an observation sheet and a glucometer—data analysis using paired t-tests and independent t-tests. The study's results showed a significant effect of physical walking exercise on blood sugar levels with a value of p=0.000 (p<0.05). Physical walking exercises can be carried out regularly by Diabetics, either independently or integrated with chronic disease management programs (PROLANIS), non-communicable disease patients, and elderly patients.
Dominant Factors Barriers to Hypertension Diet Management in Hypertension Sufferers Nisdayanti, Dela Amanda; Lestari, Diana Tri; Rahmawati, Ashri Maulida
Jurnal Keperawatan Priority Vol. 8 No. 1 (2025)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v8i1.6035

Abstract

Hypertension is a serious problem because it causes high morbidity and mortality. One indicator of successful management is diet management. Diet management is often an obstacle for hypertension sufferers. This study aimed to determine the dominant factors that inhibit hypertension diet management in hypertension sufferers in the working area of the Juwana Health Center. This research method used a correlation study with a cross-sectional design. The number of samples in this study was 65 respondents, using a total sampling technique with the inclusion criteria of hypertensive patients who were routinely checked on prolongs, hypertensive patients who implemented hypertension diet management, and hypertensive patients without comorbidities. The instruments used in this research are HKT (Hypertension Knowledge Test), FFQ (Food Frequency Questionnaire), FFS (Family Support Scale), PSS (Perceived Stress Scale), and HSMBQ (Hypertension Self Management Behavior Questionnaire). Data analysis used chi-square and simple logistic regression. The results of data analysis show that hypertension diet management is affected by knowledge (p: 0.003, OR: 2.764), dietary habits (p: 0.001, OR: 7.986), income (p: 0.004, OR: 2.098), family support (p: 0.001, OR: 9.986), and stress (p: 0.001, OR: 3.874). The most dominant factors are family support (p: 0.001, OR: 9.986, 95% CI: 0.653 < OR < 23.98). Family support is the most dominant factor affecting hypertension diet management. Positive system support is necessary for the patient's success in controlling blood pressure. Conclusion: There are factors that affected diet management of the hypertension: knowledge, dietary patterns, income, family support, and stress, with the dominant factor being family support.
Optimalisasi Umkm Sehat Melalui Metode Design Thinking dan Digitalisasi Keuangan Untuk Meningkatkan Omset Penjualan UMKM Warga Muhammadiyah Juwana Kabupaten Pati Aman, Syahrial; Wijayanti, Sukma; Lestari, Diana Tri; Hindriyastuti, Sri
Jurnal Pengabdian Kesehatan Vol 8, No 1 (2025): Jurnal Pengabdian Kesehatan
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM) STIKES Cendekia Utama Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31596/jpk.v8i1.515

Abstract

Usaha Mikro Kecil dan Menengah (UMKM) berkembang dengan cepat dan terus meningkat jumlahnya setiap tahun. ]. Dalam proses perkembangan UMKM tersebut seringkali menghadapi permasalahan yang umum dialami diantaranya: terbatasnya jumlah modal, proses urusan perizinan, proses pembayaran pajak, banyaknya pelaku UMKM masih gagap teknologi serta kurangnya inovasi dalam pengembangan usaha yang tidak terelakkan Melalui program Pengabdian Masyarakat (PKM) hibah riset Muhammadiyah ini, tim PKM berfokus pada peningkatan omset penjualan Unit Usaha Mikro Kecil dan Menengah warga Muhammadiyah Juwana dengan pendekatan design Thinking  dan digitalisasi keuangan dalam rangka meningkatkan omset penjualan UMKM tersebut. Melalui Metode wawancara dan kualitatif, setelah menemukan masalah yang dihadapi oleh UMKM Muhamamdiyah Juwana, kegiatan PKM  ini terbagi dalam empat tahap yaitu tahap perencanaan, tahap pemberian materi (workshop), tahap pendampingan dan tahap pelaporan. Hasil dari kegiatan ini menunjukkan adanya peningkatan hamper seluruh UMKM (80-90%) mampu memahami segmen market sesuai dengan kebutuhan keinginan konsumen, mampu membuat produk yang inovatif dan kreatif, mampu memasarkan produk melalui digitalisasi pemasaran, mampu melayani konsumen dengan baik, serta mampu membuat pencatatan keuangan melalui aplikasi keuangan dompetku.
Hubungan Glukosa Darah dan Depresi dengan Fatigue pada Diabetesi Tipe 2 Sholahudin, Mohammad; Lestari, Diana Tri; Rahmawati, Ashri Maulida
Indonesian Journal of Nursing Research (IJNR) Vol. 8 No. 1 (2025)
Publisher : Program Studi S1 Keperawatan Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijnr.v8i1.4007

Abstract

Fatigue in people with Diabetes Mellitus (DM) is a serious problem that can affect the patient's quality of life. Poor management of blood glucose levels often contributes to the emergence of physical and psychological complications, including depression and fatique. Depression in patients with type 2 diabetes not only worsens blood glucose control, but also increases the risk of continued fatigue, thereby lowering the patient's functional ability and motivation to undergo therapy. A deep understanding of the relationship between blood glucose levels, depression, and fatique is essential in nursing practice as a cornerstone in designing comprehensive management. This study aims to analyze the relationship between blood sugar levels, depression, and fatigue in patients with type 2 diabetes at the Juwana Health Center. This study is a quantitative research with a cross-sectional design. The sample size was 65 respondents, using the Total Sampling technique with criteria, patients with type 2 DM, willing to participate in the study by signing an informed consent, active in prolific activities, not experiencing severe mental disorders, cooperative, and able to communicate well. The research instrument used the Fatigue Assessment Scale (FAS) questionnaire and the Beck Depression Inventory II (BDI II), and glucometer (GCU). Data analysis using the Pearson test. The results showed that the average blood sugar level in the respondents was 210.75 mg/dL, but there was no significant relationship between blood sugar levels and fatigue (p = 0.683; r = 0.052). In contrast, a significant association was found between depression and fatigue levels (p = 0.000; r = 0.566), with an average depression score of 22.05 and a fatigue score of 24.63. These findings indicate that fatigue in type 2 DM patients is more influenced by psychological factors such as depression than by blood sugar levels themselves. Abstrak Fatigue pada orang dengan diabetes mellitus (DM) merupakan masalah serius yang dapat mempengaruhi kualitas hidup pasien. Pengelolaan kadar glukosa darah yang tidak optimal seringkali berkontribusi pada munculnya komplikasi fisik maupun psikologis, termasuk depresi dan fatique. Depresi pada pasien DM tipe 2 tidak hanya memperburuk kontrol glukosa darah, tetapi juga meningkatkan risiko fatique yang berkelanjutan, sehingga menurunkan kemampuan fungsional dan motivasi pasien dalam menjalani terapi. Pemahaman yang mendalam mengenai hubungan antara kadar glukosa darah, depresi, dan fatique sangat penting dalam praktik keperawatan sebagai landasan dalam merancang penatalaksanaan yang komprehensif. Penelitian ini bertujuan untuk menganalisis hubungan antara kadar glukosa darah, depresi, dan fatigue pada penderita DM tipe 2. Penelitian ini merupakan penelitian kuantitatif dengan desain cross-sectional. Jumlah sampel 65 responden, menggunakan teknik Total Sampling dengan kriteria, pasien DM tipe 2, bersedia mengikuti penelitian dengan menandatangani informed consent, aktif dalam kegiatan prolanis, tidak mengalami gangguan mental yang berat, kooperatif, serta dapat berkomunikasi dengan baik. Instrumen penelitian ini menggunakan  kuesioner Fatigue Assesment Scale (FAS) dan Beck Depression Inventory II (BDI II), dan glucometer (GCU). Analisis data menggunakan uji pearson. Hasil penelitian menunjukkan bahwa rata-rata kadar glukosa darah sewaktu responden adalah 210,75 mg/dL, namun tidak terdapat hubungan yang signifikan antara kadar glukosa darah dengan fatigue (p = 0,683; r = 0,052). Sebaliknya, ditemukan hubungan yang signifikan antara tingkat depresi dan fatigue (p = 0,000; r = 0,566), dengan rata-rata skor depresi sebesar 22,05 dan skor fatigue 24,63. Temuan ini mengindikasikan bahwa kelelahan pada diabetesi tipe 2 lebih dipengaruhi oleh faktor psikologis seperti depresi dibandingkan dengan kadar glukosa darah itu sendiri.
Co-Authors Ajeng, Putri Allena Ade Aman, Syahrial Ashri Maulida Rahmawati Ashri Maulida Rahmawati Biyanti Dwi Winarsih Dewi Hartinah Diah Fatmawati, Diah Edi Wibowo Edi Wibowo Suwandi Efendi Efendi Eko Retnowati, Eko Fitriana, Ida Gini, Ninda Titian Asta Hasriyani Hasriyani, Hasriyani Hindriyastuti, Sri Ika Puji Eviyanti Indanah, I Istyanti, Gabriella Sekar Iswatun Qasanah Kartikasari, Fitriana Lintang Ayu Diana Linsqy Lismawati, Dini Marniati Kadir Muhamad Jauhar Muhammad Jauhar, Muhammad Muslimah, Aulya Choirul Nisdayanti, Dela Amanda Putri, Sheryl Nisrina Aulia Rabiatul Adawiyah Rahmasari, Lutfir Fitri Rahmawati, Ashri Maulida Rahmawati, Ashri Mualida Sholahudin, Mohammad Sinta Novia Dewi Sri Karyati Sukamto SUKARMIN Sukarmin, S Sukesih Sukesih, Sukesih Sukma Wijayanti Sunarya, Dian Fitriani Surastuti, Putri Tukiyo Vera Fahreza Widiastari, Yunita Widyastuti, Anik Wulandari, Fifi Faryanti Yanti, Vivin Amei Yayuk Mundriyastutik, Yayuk Yulisetyaningrum, Yulisetyaningrum Yusuf Ilham Romadhoni