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All Journal Jurnal Keperawatan Jurnal Keperawatan Indonesia Jurnal Kedokteran Brawijaya JURNAL ILMIAH KESEHATAN KEPERAWATAN Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Jurnal NERS Jurnal Ilmu Keperawatan dan Kebidanan JKG (Jurnal Keperawatan Global) IJNP (Indonesian Journal of Nursing Practices) Jurnal Keperawatan Padjadjaran Jurnal Keperawatan Silampari JURNAL INSTEK (Informatika Sains dan Teknologi) Jurnal Kesehatan Holistic Media Keperawatan Indonesia Journal of Islamic Nursing International Journal of Nursing and Health Services (IJNHS) Care : Jurnal Ilmiah Ilmu Kesehatan Jurnal Ilmu Keperawatan Jiwa Jurnal Ilmu Keperawatan Medikal Bedah Jurnal Bidang Ilmu Kesehatan JPP Jurnal Kesehatan Poltekkes Palembang Jurnal Ilmiah Keperawatan Indonesia (JIKI) Contagion: Scientific Periodical Journal of Public Health and Coastal Health Health Information : Jurnal Penelitian Dinasti International Journal of Management Science JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Jurnal Ners Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Jurnal Komunitas: Jurnal Pengabidian Kepada Masyarakat Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Ners Widya Husada Indonesian Journal of Global Health research TIN: TERAPAN INFORMATIKA NUSANTARA Alauddin Scientific Journal Of Nursing (ASJN) JURNAL KESEHATAN SAMODRA ILMU Jurnal Impresi Indonesia JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) Jurnal Ilmiah Ners Indonesia Hulondalo Jurnal Ilmu Pemerintahan dan Ilmu komunikasi (JIPIK) Jurnal Salingka Abdimas Jurnal Keperawatan Ranah Research : Journal of Multidisciplinary Research and Development Agents: Journal of Artificial Intelligence and Data Science Physical Therapy Journal of Indonesia Jurnal Berita Ilmu Keperawatan Prosiding Seminar Nasional Pengabdian Kepada Masyarakat: Peduli Masyarakat NURSE: Journal of Nursing and Health Science Jurnal Sahabat Keperawatan Jurnal Ilmiah Kesehatan Keperawatan Malahayati International Journal of Nursing and Health Science Service Quality (Jurnal Pengabdian Masyarakat)

Mustikasari Mustikasari

Fakultas ILmu Keperawatan Universitas Indonesia

Author-ID : 326487

Religion Aerospace Engineering Arts Humanities Automotive Engineering Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Civil Engineering, Building, Construction & Architecture Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Earth & Planetary Sciences Economics, Econometrics & Finance Education Electrical & Electronics Engineering Energy Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Materials Science & Nanotechnology Mathematics Mechanical Engineering Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Transportation Veterinary Other

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Stress Levels and High School Adolescents Coping Mechanism during the Covid-19 Pandemic Mustika Sajida Maharani; Mustikasari Mustikasari
Jurnal Keperawatan Padjadjaran Vol. 9 No. 3 (2021): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v9i3.1678

Background: Adolescents are prone to psychological disorders due to their personal nature that they cannot accept changes. It is further exacerbated by the Covid-19 pandemic situation which requires all activities to be carried out online from home. Purpose: This study aims to determine the relationship between stress levels and coping mechanism in high school adolescents during the Covid-19 pandemic in Halim Jakarta. Methods: Research design is a cross sectional used for adolescents aged 15-19 years at SMA Negeri 67 Jakarta and SMA Angkasa 1. 342 samples were selected by using the quota sampling method. The measurement of stress levels is done by distributing the Perceived Stress Scale (PSS) questionnaire, while the coping mechanism uses the Brief Cope questionnaire. The research results include the results of univariate analysis and bivariate analysis with the Chi Square test. Results: The results of this study showed that there was a relationship between stress levels and coping mechanism (p value 0.017), dysfunctional coping strategies (p value 0.000) in high school adolescents during the Covid-19 pandemic. Furthermore, there is no relationship between stress levels and Emotion Focused Strategies (p value 0.703), and Problem Focused Strategies (p value 0.816) in high school adolescents during the Covid-19 pandemic. The female adolescents are more dominant than male adolescents. More respondents from class XII majoring in science are from SMA Negeri 67 Jakarta. There are still teenagers with severe stress during the Covid-19 pandemic. There is a relationhip between stress levels with coping mechanism and dysfunctional coping strategies. But the stress level has no relationship with Emotion Focused Strategies and Problem Focused Strategies. Conclusion: The results of this study are expected to improve mental health services through routine mental health screening and providing counselling related to stress management in adolescents. Adolescents are also expected to solve problems by optimizing the use of coping mechanism (Emotion Focused Strategies, Problem Focused Strategies) appropriately and avoiding the use of dysfunctional coping strategies.

Is Social Support Related to Psychological Wellbeing in Working Mother? Muhammad Ari Arfianto; Mustikasari Mustikasari; Ice Yulia Wardani
Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Vol 8, No 4 (2020): November 2020
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jkj.8.4.2020.505-514

The number of working mothers has increased significantly in the last decade. Working mothers have a dual role, as caregivers of children and earn a living. The role of a worker adds to the burden and affects the psychological well-being of the mother. Psychological well-being is an indicator of an individual's mental health. Social support are important factors in the psychological well-being of working mothers. The purpose of this study was to analyze relationship between social support and psychological well-being of working mothers. This research used correlational cross sectional study design. 374 working mother in Sidoarjo East Java were taken using accidental sampling technique. Variable was measured using Multidimentional Scale of Perceived Social Support questionair and Ryff’s Scale Psychological Well-Being questionair. Variables were analyzed by pearson correlation. The result of this research showed that social support have significant correlation with psychological well-being (p value 0,000). These results explain the importance of social support factors in improving the psychological well-being of working mothers.

Peningkatan Integritas Diri Lansia Melalui Terapi Kelompok Terapeutik dan Reminiscence Norman Wijaya Gati; Mustikasari Mustikasari; Yossie Susanti Eka Putri
Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Vol 4, No 1 (2016): Mei 2016
Publisher : Universitas Muhammadiyah Semarang

Elderly changing through time biologically, psychological and socially. The Changes experienced by the elderly will affect the lives of elderly both physically and psychologically. They need support to adapt the changes that happened in their lives. Support can be given to the elderly includes support to individuals, families and groups. The purpose of this scientific work is to describe the application of therapeutic group therapy and Reminiscence to achieve self-integrity through Stuart’s Stress Concept and Roy Adaptation Model approach. Analysis was conducted to 20 elderly who received therapeutic group therapy, therapy was continued to 10 elderly who have signs symptoms of depression with Reminiscence therapy. The result obtained there were increasing of self-integrity after following therapeutic group therapy. The other result there were decreased in depressive sign and symptoms after pollowing reminiscence therapy. Conclusion : Therapeutic Group Therapy is recomended to the elderly to help them adapt and achieve self-integrity, and Reminiscence therapy was effective to reduce sign and symptoms of depression. This Scientific Works recommends further research on the factors affecting the achievement of integrity and involvement of families and volunteers in the implementation of therapy in elderly.

Gambaran Makna Hidup pada Pertumbuhan Pasca Trauma Penyintas Bencana Alam Rani Septiawantari; Mustikasari Mustikasari
Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Vol 9, No 3 (2021): Agustus 2021
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jkj.9.3.2021.539-548

Bencana alam tidak secara sengaja disebabkan oleh manusia, dan manusia bertanggung jawab atas dampak yang terjadi. Penyintas bencana alam dapat mengelola peristiwa bencana yang mengerikan dan mengancam jiwa dengan menemukan tujuan hidup dengan cara mencari makna hidup. Koping religius atau spiritualitas menjadi bagian penting dalam pencarian makna hidup individu dengan pengalaman trauma. Tujuan penulisan artikel ini untuk memberikan gambaran pencarian makna hidup sebagai pendorong adanya pertumbuhan pasca trauma. Penulisan artikel ini dibuat dengan systematic review menggunakan 7 database EBSCOhost, Science Direct, Proquest, Scopus, Sage Publications, SpringerLink dan Wiley Online. Penulis menggunakan kata kunci pencarian yaitu “meaning in life” AND “posttraumatic growth” AND “natural disasters”. Analisis yang dilakukan penulis dari 12 artikel yang relevan didapatkan bahwa spiritualitas menjadi poin utama dalam pencarian makna hidup individu yang mengalami peristiwa traumatis karena bencana alam, sehingga dapat menjadi salah satu penanda pertumbuhan pasca trauma terutama dalam domain spiritual change.

Penerapan Cognitif Behavior Therapy pada Klien Halusinasi dan Perilaku Kekerasan dengan Pendekatan Model Stress Adaptasi Stuart dan Model Hubungan Interpersonal Peplau Di Rs Dr Marzoeki Mahdi Bogor Firman Hidayat; Budi Anna Keliat; Mustikasari Mustikasari
Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Vol 3, No 1 (2015): Mei 2015
Publisher : Universitas Muhammadiyah Semarang

Cognitive Behavior Therapy (CBT) was designed to improve kognitif and behaviour for people having automatic negative thinking and negative behaviour. Application of CBT will change mind status and behavior of client, therefore negative behavior will be positive behavior. The objective of the final scientific paper was obtaining result description of Application of CBT on hallucinating clients and violence behaviour by using approach model of Peplau interpersonal relation in Utari room RS Dr Marzoeki Mahdi Bogor. CBT was applied on 28 clients in Utari room on 9 September-12 November 2013. CBT was appropriate therapy and can be applied to clients with hallucination and violence behavior, in which all clients can do each session of CBT. Based on the research it is recommended that CBT can be used as a therapy standard mental health nursing specialist, that can be applied on clients with hallucination and violence behavior.

Efek Logoterapi dan Psikoedukasi Kelarga terhadap Ketidakberdayaan Klien Penyakit Kronis di Rumah Sakit Umum Susanti Niman; Budi Anna Keliat; Mustikasari Mustikasari
Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Vol 2, No 2 (2014): November 2014
Publisher : Universitas Muhammadiyah Semarang

Powerlessness in chronic diseases caused by physiological factors, medication management, process loss, lack of knowledge, health care systems, social issues, lack of resources beyond the individual, and cultural uncertainty (Lukbin & Larsen, 2013). The purpose of this final scientific work was to determine the effects of logotherapy and family psychoeducation to client’s powerlessness in chronic diseases were treated in public hospitals through Orems's Selfcare Model approach. Nursing implementations logotherapy and family psychoeducatiob provided to 17 clients with chronic illness who were treated 3-6 days and 7 clients were treated 1-2 days.The results of the implementation of logotherapy on the client and the caregiver's family psychoeducation may reduce signs and symptoms of powerlessness, increased ability to cope client and their families with powerlessness and selfcare. The mean increase in the ability of 17 clients who where treated 3 - 6 days higher than the 7 clients are treated 1-2 days. Scientific work is recommended for clients powerlessness due to chronic illness.

THE EFFECTS OF COGNITIVE BEHAVIORAL THERAPY ON SMOKING BEHAVIOR AND ANXIETY IN HEADS OF FAMILY WHO SMOKE Giur Hargiana; Budi Anna Keliat; Mustikasari Mustikasari
Jurnal Keperawatan Indonesia Vol 21 No 2 (2018): Juli
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v21i2.770

Indonesia is the fifth largest producer of cigarettes and has the third highest number of smokers in the world. This has potential biological, psychological, and social consequences. The aims of this study were to investigate the effects of Cognitive Behavioral Therapy (CBT) on smoking behavior and anxiety. Quasi-experimental non-equivalent control group pretest-posttest design was used. A total of 80 respondents were selected at random from 10 districts in proportion to the number of smokers in each district. Respondents completed questionnaires and received a course of CBT conducted over five meetings. There was a significant decrease smoking behavior and anxiety (p<â€†0.05) in the intervention group. Smoking behavior, nicotine dependence, and anxiety in male heads of family who smoke and who received CBT were significantly lower than in control group. The decreases in smoking behavior and anxiety were significantly correlated (p<â€†0.05). The study reveals, CBT can effectively change smoking habits as well as reduce anxiety.Â Keyword: anxiety, smoking behavior, cognitive behavioral therapyÂ AbstrakÂ Pengaruh Cognitive Behavior Therapy Terhadap Perilaku Merokok dan Ansietas pada Kepala Keluarga dengan Perilaku Merokok. Indonesia sebagai penghasil rokok terbesar ke-5 dan memiliki jumlah perokok terbanyak ke-3 diÂ Dunia, hal tersebut memunculkan masalah secara biologis, psikologis maupun sosial. Tujuan penelitian ini untuk mengetahui pengaruh dari cognitive behavior therapy terhadap perubahan perilaku merokok dan ansietas. Metode penelitian menggunakan desain quasi experiment non-equivalent control group pre-test-post test. Sampel pengambilan secara proporsional random dengan jumlah 80 responden. Pengumpulan data dengan menggunakan kuesioner kemudian responden dilakukan tindakan cognitive behavior therapy dengan lima kali pertemuan.Â Hasil penelitian menunjukkan penurunan perilaku merokok dan ansietas secara bermakna (p< 0,05) pada kelompok intervensi. Penurunan perilaku merokok, tingkat ketergantungan nikotin dan ansietas kepala keluarga dengan perilaku merokok yang mendapatkan cognitive behavior therapy lebih besar secara bermakna (p< 0,05) dibandingkan dengan yang tidak mendapatkan cognitive behavior therapy. Penurunan perilaku merokok dan ansietas berhubungan secara bermakna (p< 0,05). Direkomendasikan untuk menerapkan cognitive behavior therapy perokok oleh perawat yang mempunyai kompetensi.Â Kata Kunci: ansietas, perilaku merokok,cognitive behavior therapy

Penurunan Depresi pada Lansia Harga Diri Rendah melalui Terapi Aktivitas Kelompok dan Terapi Kognitif Suzanna Suzanna; Mustikasari Mustikasari; Ice Yulia Wardhani
Jurnal Keperawatan Indonesia Vol 19 No 3 (2016): November
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v19i3.470

Penelitian ini bertujuan untuk mengidentifikasi penurunan depresi pada lansia harga diri rendah melalui Terapi Aktivitas elompok (TAK) stimulasi persepsi dan Terapi Kognitif Perilaku. Desain penelitianÂ menggunakan quasi experiment with pre post test control group, dengan sampel berjumlah 28 orang pada kelompok intervensi dan 28 orang pada kelompok kontrol. Alat pengumpul yang digunakan Geriatric Depression Scale (GDS). Data dianalisis menggunakan uji T-Test. Hasil penelitian menunjukkan ada penuruan bermakna kondisi depresi lansia harga diri rendah pada kedua kelompok dengan penurunan sebesar 67,4% kelompok intervensi dan 31,9% kelompok kontrol (p value < 0,05), dan ada hubungan bermakna antara karakteristik lansia (jenis kelamin, pendidikan, status perkawinan, pekerjaan dan penyakit fisik penyerta) dengan depresi pada lansia harga diri rendah (p value < 0,05). TAK stimulasi persepsi harga diri rendah dan terapi kognitif perilaku direkomendasikan untuk depresi pada lansia harga diri rendah.AbstractÂ Decrease in Elderly Depression through Therapy Low Self-Esteem Group Activities and Cognitive Therapy. The aim of this study was to determine the influence of Therapy of Group Activities (TGA) stimulatiing low self esteem perception and Cognitive Behavioral Therapy (CBT) for depression in elderly low self esteem. The research design was quasi experiment with pre-post test control group. The sample of this research are Â 28 respondents in the intervention group and 28 respondents in control group. Data collection with Geriatric Depression Scale (GDS) and were analyzed using T-test. The results showed significant decrease of elderly depression low self-esteem in both groups with a decrease of 67.4% intervention group and 31.9% of controls (p value <0.05) and significant relationship exists between elderly characteristics (gender, education, marital status, employment and comorbid physical illness) with depression in elderly low self-esteem (p value <0,05). Therefore, TGA stimulating low self-esteem and perception of cognitive behavioral therapy are recommended for depression in the elderly low self esteem.Â Keywords: Therapy of Group Activities, cognitive behavioural therapy, depression, low self esteemÂ

The Application of Nursing Interventions: Generalist Therapy to Against Hopelessness on Elderly Ike Mardiati Agustin; Budi Anna Keliat; Mustikasari Mustikasari
Jurnal Ners Vol. 10 No. 2 (2015): Oktober 2015
Publisher : Universitas Airlangga

Introduction: An increasing number of elderly people followed the emergence of mental health problems. One of mental health problem that arises is hopelesness. Nursing action to hopelesness in elderly people in society is not to optimals. The aimed of this paper was gave an overview about the application of nursing intervention: generalist therapy to against hopelesness on elderly. Method: This research was used descriptive analytic design. Population were elders who lived at RW 3 and RW 4, Kelurahan Ciwaringin, Kota Bogor. Samples were 10 respondents, taken according to purposive sampling technique. Independent variable was generalist therapy, while dependent variables were sign and symptoms of hopelessness and ability to cope with hopelessness. Data were collected by using questionnaire, then analyzed by using frequency distribution.Result: The results showed that generalist therapy can decrease elder’s sign and symptoms of hopelessness (21%) and increase their ability to cope with hopelessness (72%).Discussion: It can be concluded that generalist therapy can be used as one of nursing intervention to against hopelesness in the elderly.

Individual Reminiscence Therapy can Decrease Depression Level on Elderly at Social Homes Laily Nur Hidayati; Mustikasari Mustikasari; Yossie Susanti Eka Putri
Jurnal Ners Vol. 10 No. 2 (2015): Oktober 2015
Publisher : Universitas Airlangga

Introduction: Aging is a natural process in oldest old. The psychosocial development of the elderly to enhance self-integration. Reminiscence therapy is one of psychosocial treatment for elderly using memory recall of one’s life event in the past. The purpose of this study was to determine the effect of individual reminiscence therapy on depression among elderly in the social homes.Method: The study design was used Quasy-Eksperiment Pre-Post Test with Control Group. A total of 60 elderly people were recruited in this study and assigned into two groups, 31 participants in the intervention group and 29 participants in the control group. Independent variable was reminiscence therapy five sessions, which given to the intervention group. While, dependent variable was the level of depression on elderly. Data were collected by using GDS, then analyzed by using Wilcoxon and Mann-Whitney statistical test with level of significance α≤0.05.Result: After providing individual reminiscence therapy, the intervention group showed a significant decrease in depression as compared to those in the control group was found (p=0.008).Discussion: The individual reminiscence therapy is useful to overcome depression among elderly. The nurse can know the personality of each elderly so as to improve the quality of nursing care for elderly.

Co-Authors A.A. Ketut Agung Cahyawan W Abda Abda Achir Yani Hamid Achir Yani S Hamid Achir Yani S. Hamid Achir Yani, Achir Aditya, Muhammad Ferly AFIF, NUR Agus Setiawan Agus Waluyo, Agus Akemat, Akemat Alfriyani, Meyunda Ali Fendi Anny Rosiana Masithoh ANTAMIL, ANTAMIL Aswin Hardi Asy-Syifa, Farhani Dea Basri Fahriza Budi Anna Keliat Buntar Handayani Chandra, Yudi Ariesta DARMATASIA, DARMATASIA Daulima, Novy H. C. Daulima, Novy Helena Dedi Sukandar Dwi Erna Wati Dwiyantoro Dwiyantoro Eka Budiarto, Eka Eko Winarto ELISA ALTASANI Elly Nurachmah Emi Wuri Wuryaningsih Era Sari Eriyono Budi Wijoyo Evi Martha Evin Novianti Fajriyah Nur Afriyanti Fandy Yoduke Fandy Yoduke Febri Christian Firman Hidayat Firman Hidayat Fitri Hastuti Ningsih Fitria, Dian Fitria, Dian Fitriyani, Fadillah Nur Ghibran, Andi Khalil Gina, Agnes Hamid, Achir Yani Handayani, Buntar Hardayati, Yunita Astriani Hargiana, Giur Hariani Hariani, Hariani Hermanto, Hendy Herni Susanti Ice Yulia Wardani Ice Yulia Wardhani Ida Ayu Putri Wulandari Ike Mardiati Agustin ike mardiati agustin Imam Zainuri Imas Sartika Imelisa, Rahmi INDARNA, ASEP AEP Indra Ismawan, Indra Ismawan Iwan Somantri Junaiti Sahar KHAERUN, A.ALI AKBAR Kimin, Amelia Krisna Yetti Kuntarti Kurniawan Kurniawan Kuswantoro Rusca Putra Laela, Sri Laily Nur Hidayati Laily Nur Hidayati, Laily Nur Lilik Ma'rifatul Azizah Linda Mandasari Livana PH Livana Ph, Livana M Akbar Nugraha mariyati mariyati Muhammad Adam, Muhammad Muhammad Ari Arfianto Mustika Sajida Maharani Mutianingsih Mutianingsih Mutianingsih, Mutianingsih Nela Aprilia Nofrisel, Nofrisel Norman Wijaya Gati Noviyanti, Laura Khattrine Novy H. C. Daulima Novy H.C Daulima Novy Helena Catharina Daulima Novy Helena Chatarina Daulima Nugraha, Setiya Nuraenah, Nuraenah Nurfalah, Firhan Nurhayati Nurhayati Nursery Alfaridi S Nasution Oktavia, Maynah Purwadi Purwadi Puteri, Yossie Susanti Eka Rahayu, Prastiwi Puji Rahman, Faidhul Rani Septiawantari Ratanto Ratanto Retno Yuli Hastuti Ria Utami Panjaitan Ridwan Kustiawan Rohman Azaam Rohman Azzam Rohman Azzam Roswendi, Achmad Setya Royani Royani Rusmai Triaswati Rusmai Triaswati Sambuaga, Michelle Christine Sandriana Marina Saputra, Wahyuddin Sembiring, Kezia Arihta Setiyani, Adek Silalahi, Malianti Siska Amonalisa Silalahi Siwi Setya Utami Sofyani Kusmara, Irma Sri Laela Sri Wahyuni Sri Yona Sri Yulia Sriyk H, Sriyk H Susanti Niman Suzanna Suzanna Syahira, Apridina Tiveni Elisabhet Tri Setyaningsih Triani Banna Tuti Nuraini Tuti Nuraini Vina Rachmawati Wahyudi, Fitra Albana Wardhani, Ice Yulia Wisnusakti, Khrisna Yanuar Fahrizal Yati Afiyanti Yefta Primasari Yoduke, Fandy Yosi Pahala, Yosi Yossie Susanti Eka Putri Yulianti Keke Yuliastuti, Estin Yuniar Mansye Soeli Yunita Astriani Hardayati Zimbalis, Aprillia

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