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All Journal Nurse Media Journal of Nursing JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Public Health of Indonesia Belitung Nursing Journal JCES (Journal of Character Education Society) Martabe : Jurnal Pengabdian Kepada Masyarakat Jurnal Ilmu Keperawatan Jiwa Jurnal Keperawatan dan Kesehatan Community Empowerment Britain International of Exact Sciences Journal (BIoEx Journal) Proceedings Series on Health & Medical Sciences Jurnal Keperawatan dan Kesehatan (JKK)
Parliani, Parliani
Sekolah Tinggi Ilmu Keperawatan Muhammadiyah Pontianak
Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Chemistry Education Health Professions Mathematics Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences

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GAMBARAN KELUHAN MYALGIA PADA PERAWAT LUKA DI KOTA PONTIANAK endah, endah; S, Wuriani; Parliani, Parliani
Jurnal Keperawatan dan Kesehatan Vol 9 No 1 (2018): JK2
Publisher : Sekolah Tinggi Ilmu Keperawatan Muhammadiyah Pontianak

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Abstract

  Abstract Myalgia or muscle aches are caused by incorrect use of muscles or overly strained muscles, direct injury or trauma, fatigue and long lasting work. In the wound nurses found complaining of myalgia complaints as much as 100%, but the complaint has not been described on any body part associated with myalgia. To know the description of myalgia complaints on the wound nurses in Pontianak City. The method used in this research is descriptive observasional with crossectional approach. Sampling was done by using total sampling technique with 26 samples. Data collection using standard QEC questionnaires. Result of research on characteristic data got 42,3% at characteristic age and 30,8% at work period. The results of myalgia complaints on the back of static in the medium category of 46.2%, the back of the move in the category of medium 50.0%, shoulder section in the medium category 42.3%, hand section in the medium category 38.5%, and in neck very high category 38,5%. The most common myalgia complaints are in the back area of ??the move and the least of which is on the neck and hands. Therefore, nurses should start to posture posture at work, especially for wound nurses so that his myalgia is not getting worse and hampered in doing his job. Keywords:  Complaints of myalgia, wound nurses   Abstrak Myalgia atau nyeri otot disebabkan karena penggunaan otot yang salah atau otot yang terlalu tegang, cedera langsung atau trauma, kelelahan dan pekerjaan yang berlangsung dalam waktu lama. Pada perawat luka didapatkan mengeluhkan keluhan myalgia sebanyak 100%, namun keluhan tersebut belum tergambarkan pada bagian tubuh mana saja yang terkait dengan myalgia. Tujuan: Untuk mengetahui gambaran keluhan myalgia pada perawat luka di Kota Pontianak. Metode yang digunakan dalam penelitian ini adalah observasional deskriptif dengan pendekatan crossectional. Pengambilan sampel dilakukan dengan menggunakan teknik total sampling dengan jumlah sampel 26 orang. Pengumpulan data menggunakan kuesioner QEC yang telah baku. Hasil penelitian pada data karakteristik didapatkan 42,3% pada karakteristik umur dan 30,8% pada masa kerja. Hasil gambaran keluhan myalgia di bagian punggung statis pada kategori medium yaitu sebanyak 46,2%, bagian punggung bergerak pada kategori medium 50,0%, bagian bahu pada kategori medium 42,3%, bagian tangan pada kategori medium 38,5% dan bagian leher pada kategori sangat tinggi 38,5%. Keluhan myalgia yang paling banyak yaitu di daerah punggung bergerak dan yang paling sedikit yaitu pada bagian leher dan tangan. Oleh karena itu, sebaiknya perawat mulai memperthatikan postur tubuhnya pada saat bekerja, khususnya bagi perawat luka agar myalgianya tidak semakin parah dan menghambat dalam melakukan pekerjaannya. Kata Kunci: Keluhan myalgia, perawat luka
SOCIALIZATION, FACE VALIDITY AND CONTENT VALIDITY FOR INSTRUMENTS AND FOOT CARE GUIDELINES FOR DIABETES MELLITUS PATIENTS: RESEARCH RESULTS 2020 Parliani, Parliani; Wahyuni, Tri; Ramadhaniyati, Ramadhaniyati
JCES (Journal of Character Education Society) Vol 4, No 3 (2021): Juli
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jces.v4i3.4911

Abstract

Abstrak: Belum adanya instrumen perawatan kaki dan pedoman perawatan kaki pada pasien diabtes mellitus (DM) di lokasi mitra, dimana pedoman sangat dibutuhkan untuk mencegah terjadinya kejadian berulang luka kaki diabetes (DFU). Tujuan pengembangan instrument ialah untuk menjadi pegangan pasien dan perawat dalam melakukan perawatan kaki pasien DM dan mencegah dini kejadian DFU. Metode pelaksanaan terdiri atas 3 tahap yakni 1) sosialisasi intrumen terdiri atas a) memberikan pedoman dan instrumen untuk di telaah dan presentasi, b) tanya jawab, c) small group discussion untuk item, dan d) pemaparan hasil diskusi, 2) face validity dan 3) content validity. Hasil sosialisasi yakni peserta sepakat untuk memecah instrumen dan manual menjadi pedoman khusus tatalaksan pasien dirumah dan tatalaksana di klinik, dimana 100% peserta setuju untuk dikembangkan instrumen ini. Hasil uji validitas isi yakni terdapat 10 item yang memiliki nilai I-CVI ialah 1.00 yang bermakna valid diantaranya 1) pendidikan perawatan kaki, 2) senam kaki diabetes, 3) perawatan kebersihan kaki, 4) menggunakan alas kaki yang sesuai, 5) teknik potong kuku yang sesuai, 6) tes monofilamen, 7) riwayat luka atau amputasi, 8) inspeksi kelainan bentuk kaki, 9) tes keterbatasan pergerakan kaki, dan 10) tes Ankle Brachial Index (ABI). Hasil S-CVI ialah 0.78. Instrumen dan panduan ini dikembangkan menjadi 2 bagian yakni untuk pasien dan untuk tenaga kesehatan yang merawat pasien DM.  Abstract: There is no foot care instrument and guideline for patients with diabetes in the partner’s location where it is needed for protect recurrence of diabetic foot ulcer (DFU). The aims of this instrument are to have manual for patients and nurses in doing of foot care and decrease the number of DFU. The methods are 1) instrument socialization such as a) giving the manual and doing presentation, b) discussion, c) small group discussion and d) sharing results of discussion, 2) face validity, and 3) content validity. The results are participants decided the manual becomes for patients in home and for nurses in clinical setting. The result of content validity in 10 items with I-CVI is1.00 where there are significance to be used, 1) foot care education, 2) gymnastics diabetic foot, 3) maintenance of cleanliness foot, 4) using footwear appropriate, 5) technical pieces of nails that suit, 6) monofilament test, and 7) a history of injuries or amputations, 8) inspection of foot abnormalities, 9) test the limitations of foot movement, and 10) test of Ankle Brachial Index (ABI). The S-CVI result is 0.78. This instrument and guide was developed into 2 books, for patients and for nurses who take care of DM patients.  
PENDAMPINGAN PENGGUNAAN SCREENING LUKA KAKI DIABETES UNTUK TENAGA KESEHATAN DAN KADER DI DAERAH TERPENCIL Parliani Parliani; Tri Wahyuni; Sahbandi Sahbandi
JCES (Journal of Character Education Society) Vol 3, No 3 (2020): October
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jces.v3i3.2730

Abstract

Abstrak: Tujuan utama pelaksanaan kegiatan ini adalah untuk pendampingan dan uji face validity penggunaan screening luka kaki diabetes (LKD) pada pasien diabetes mellitus (DM) dalam mendeteksi dini LKD sehingga menurunkan kejadian LKD serta dapat melakukan intervensi dini pada pasien beresiko. Kegiatan ini juga mendorong masyarakat untuk melakukan pola hidup sehat dengan senam diabetes, mengolah makanan sehat dan rutin melakukan pemeriksaan gula darah sewaktu (GDS). Metode pelaksanaan ini yakitu metode pelatihan dan partisipasif dimana seluruh kegiatan dilaksanakan bersama-sama dengan tenaga kesehatan, kader dan masyarakat desa. Hasil dari Face validity ialah perawat spesialis mudah menggunakan Screening ini, tetapi perawat umum atau kader harus dilakukan pelatihan untuk menggunakannya. Adapun hasil luaran dari kegiatan ini ialah masyarakat dapat secara rutin melakukan deteksi dini LKD yang dapat dilakukan oleh kader ataupun tenaga kesehatan di wilayah desa Kerawang dan Desa Sumber Agung sehingga mampu memberikan intervensi yang tepat sesuai tingkat resiko.Abstract: The main objective of implementing the activity is to provide assistance and face validity testing for using diabetic foot ulcer (DFU) screening in diabetes mellitus (DM) patients in early detection of DFU to reduce the incidence of DFU and to be able to do early intervention in patients with its risk. This activity also encourages people to adopt a healthy lifestyle with diabetes exercises, consume healthy food and check blood sugar regularly. The implementation methods are training and participatory method in which all activities are carried out together with health providers, cadres and communities. The result of Face validity is that specialist nurses are easy to use this screening, but general nurses or cadres must be trained to use it. The outcome of this activity is that the community can routinely carry out early detection of DFU which can be carried out by cadres or health providers in the Desa Kerawang and Desa Sumber Agung so that they are able to provide appropriate interventions according to the level of risk.
UJI INTER-RATER RELIABILITY, SENSITIVITAS DAN SPESIFITAS ALAT UKUR PADA LUKA BERONGGA Haryanto Haryanto; Parliani Parliani; Yenni Lukita
JCES (Journal of Character Education Society) Vol 3, No 2 (2020): JULI
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jces.v3i2.2365

Abstract

Abstrak: Di beberapa negara maju seperti Jepang sudah mengembangkan alat untuk mengukur kedalaman luka yang aman. Namun, di Indonesia alat ini belum tersedia dipasaran. Berdasarkan hal ini, maka diperlukan alat yang sederhana dan terjangkau bagi tenaga kesehatan. Tujuan kegiatan ini adalah; 1) menguji inter-rater realibilitas H-Test pada luka yang memiliki rongga seperti undermining dan tunnelling, 2) menguji sensitivitas dan spesifitas penggunaan H-Test. Metode yang digunakan dengan menguji alat yang dilakukan oleh perawat yang memiliki sertifikat pada 10 pasien yang datang ke Klinik luka Kitamura PKU Muhammadiyah. Alat yang digunakan pada progam ini alat pengukur kedalaman luka yang telah dimodifikasi disebut H-test. Dalam menganalisa inter-rater reliabilitas dan sensitivitas dan spesifitas menggunakaan koefisien Cohen’s kappa. Hasil adalah nilai Kappa 0.70 (p<0,001) (substantial agreement), sedangkan sensitivitas didapatkan 83,3% dan spesifisitas 66,7%. Berdasarkan hasil ini, disimpulkan bahwa alat ini dapat mengukur dengan mudah kedalaman luka berongga.Abstract: In some countries such as Japan has developed a tool to measure the depth of the wound safely. However, in Indonesia this tool is not yet available in the market. Based on this, a simple and affordable tool for health worker is needed. The purpose of this program was 1) to evaluate inter-rater reliability of H-test on wounds have cavity such as undermining and tunneling, 2) to evaluate sensitivity and specificity using H-Test.  The method was used with evaluating the tool by nurses have certificate on 10 patients that came to Wound Care Clinic, PKU Muhammadiyah.   The tool was used in this program was a wound cavities measure tool that was modified namely H-test. In analyzing inter-rater reliability, sensitivity and specificity used Cohen’s kappa coefficient. The result was Kappa value 0,70 (p<0.001) (substantial agreement), sensitivity 83,3% and specificity 66,7%. Based on this result, was concluded that this tool could to measure wound deep that have cavities easily.
SOCIALIZATION, FACE VALIDITY AND CONTENT VALIDITY FOR INSTRUMENTS AND FOOT CARE GUIDELINES FOR DIABETES MELLITUS PATIENTS: RESEARCH RESULTS 2020 Parliani Parliani; Tri Wahyuni; Ramadhaniyati Ramadhaniyati
JCES (Journal of Character Education Society) Vol 4, No 3 (2021): Juli
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jces.v4i3.5665

Abstract

Abstrak: Belum adanya instrumen perawatan kaki dan pedoman perawatan kaki pada pasien diabtes mellitus (DM) di lokasi mitra, dimana pedoman sangat dibutuhkan untuk mencegah terjadinya kejadian berulang luka kaki diabetes (DFU). Tujuan pengembangan instrument ialah untuk menjadi pegangan pasien dan perawat dalam melakukan perawatan kaki pasien DM dan mencegah dini kejadian DFU. Metode pelaksanaan terdiri atas 3 tahap yakni 1) sosialisasi intrumen terdiri atas a) memberikan pedoman dan instrumen untuk di telaah dan presentasi, b) tanya jawab, c) small group discussion untuk item, dan d) pemaparan hasil diskusi, 2) face validity dan 3) content validity. Hasil sosialisasi yakni peserta sepakat untuk memecah instrumen dan manual menjadi pedoman khusus tatalaksan pasien dirumah dan tatalaksana di klinik, dimana 100% peserta setuju untuk dikembangkan instrumen ini. Hasil uji validitas isi yakni terdapat 10 item yang memiliki nilai I-CVI ialah 1.00 yang bermakna valid diantaranya 1) pendidikan perawatan kaki, 2) senam kaki diabetes, 3) perawatan kebersihan kaki, 4) menggunakan alas kaki yang sesuai, 5) teknik potong kuku yang sesuai, 6) tes monofilamen, 7) riwayat luka atau amputasi, 8) inspeksi kelainan bentuk kaki, 9) tes keterbatasan pergerakan kaki, dan 10) tes Ankle Brachial Index (ABI). Hasil S-CVI ialah 0.78. Instrumen dan panduan ini dikembangkan menjadi 2 bagian yakni untuk pasien dan untuk tenaga kesehatan yang merawat pasien DM.  Abstract: There is no foot care instrument and guideline for patients with diabetes in the partner’s location where it is needed for protect recurrence of diabetic foot ulcer (DFU). The aims of this instrument are to have manual for patients and nurses in doing of foot care and decrease the number of DFU. The methods are 1) instrument socialization such as a) giving the manual and doing presentation, b) discussion, c) small group discussion and d) sharing results of discussion, 2) face validity, and 3) content validity. The results are participants decided the manual becomes for patients in home and for nurses in clinical setting. The result of content validity in 10 items with I-CVI is1.00 where there are significance to be used, 1) foot care education, 2) gymnastics diabetic foot, 3) maintenance of cleanliness foot, 4) using footwear appropriate, 5) technical pieces of nails that suit, 6) monofilament test, and 7) a history of injuries or amputations, 8) inspection of foot abnormalities, 9) test the limitations of foot movement, and 10) test of Ankle Brachial Index (ABI). The S-CVI result is 0.78. This instrument and guide was developed into 2 books, for patients and for nurses who take care of DM patients.  
Intervention Supportive Educative System Based on Self Care and Family Centered Nursing Model to Family Support in Teaching Cough Ethics and Correct Sputum Disposal of TBC Patients at Sanggau Ledo Health Center, Bengkayang District Tri Wahyuni; Parliani; Cau Kim Jiu; Kharisma Pratama; Tutur Kardiatun; Sukartina
Britain International of Exact Sciences (BIoEx) Journal Vol 2 No 3 (2020): Britain International of Exact Sciences Journal, September
Publisher : Britain International for Academic Research (BIAR) Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/bioex.v2i3.301

Abstract

Tuberculosis is an infectious disease that attacks the lungs characterized by granuloma formation and causes tissue necrosis, a direct infectious disease caused by the TBC germ (mycobacterium tuberculosis). Problems that often arise in tuberculosis sufferers are about knowledge, activities and psychosocial family support. Purpose: this study was to determine a supportive educative system intervention based on self-care and family centered nursing models for family support in teaching cough and sputum disposal properly. Methods: The research design used was quantitative with a Quasi Experimental design pre-test post-test without control group. The sample in this study was 20 samples taken before and after the intervention. Results: based on the bivariate analysis of knowledge, activity, and family support with the Wilcoxon test, it shows that in the intervention group after education, this self-care based system affects people with tuberculosis, the variable knowledge with p value 0,000, activity (behavior) with p value 0,000 and family support p. value 0.050, which means p value <α 0.050, this study shows that there is a difference in scores of supportive educative system interventions based on self-care and family centered nursing models on family support in teaching cough and sputum disposal properly. Suggestion: This study recommends that poly pulmonary health services provide a supportive educative system intervention based on self-care and family centered nursing models for family support in teaching cough and sputum disposal in TBC patients.
Development of Psychosocial Telenursing Education Stigma of Suspected Covid-19 (Rapid Reactive) Patients Tri Wahyuni; Parliani; Kharisma Pratama; Tutur Kardiatun; Nita Zulfia; Paudilah; Gmeliana Adha Sari
Britain International of Exact Sciences (BIoEx) Journal Vol 3 No 2 (2021): Britain International of Exact Sciences Journal, May
Publisher : Britain International for Academic Research (BIAR) Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/bioex.v3i2.457

Abstract

In the midst of the Covid-19 pandemic, there is one social phenomenon that has the potential to aggravate the situation, namely stigma in patients suspected of Covid-19 or rapid reactive results. The lab results have not actually confirmed that the patient is positive for Covid-19 but the social environment or negative associations of a person or group of people who experience symptoms or bear certain diseases result in stigma against a person. This study aims to find out how the experience and stigma in patients suspected of Covid - 19. This study uses qualitative approach method of phenomenological studies and in-depth interviews with telenursing. The number of participants in this study was 10 participants. This study obtained 5 themes, namely physiological experience, psychological experience, biological experience, sociological experience and spiritual experience. The high positive number of Covid-19 in Indonesia makes the emergence of negative stigma of society to patients exposed to Covid-19, not even just Patients who are positive of Covid-19 who get negative stigma, therefore for diagnostic enforcement it takes examination by Molecular Test: Real Time PCR (Polymerase Chain Reaction) method. The sample types used are bronchoalveolar lavage, nasopharyngeal or oropharyngeal swabs, sputum, tracheal aspirate, nasopharyngeal aspirate or nasal wash, and biopsy tissue including from the lungs. Real Time PCR check method is the golden standard for the enforcement of diagnostic Covid - 19.
Concept Analysis: Compliance Among Diabetic Patients Parliani Parliani
Jurnal Ilmu Keperawatan Jiwa Vol. 4 No. 3 (2021): Agustus 2021
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

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Abstract

There is a lot of evidence showing that the level of compliance is a fundamental factor in determining the health status of people with diabetes mellitus. Although many treatments have been effective in treating this disease, there are still many patients who fail to achieve glycemic control which causes complications and premature death. The purpose of this analysis concept is to clarify the concept of compliance with diabetes mellitus patients so that it becomes the basis for understanding in decision making in avoiding complications and long-term adherence in diabetes management. This concept analysis uses eight methods of 8 step walker and avant from 11 articles reviewed. Compliance in carrying out antidiabetic therapy is an active participation of patients on an ongoing basis in carrying out the use of drugs, diet and exercise. The concept of this analysis serves to direct the mindset of nurses in determining standard guidelines and improving adherence to the regimen of diabetic patients.
Development of foot care instrument and internal consistency test in the rural area Parliani; Tri Wahyuni
Proceedings Series on Health & Medical Sciences Vol. 1 (2020): Proceedings of the 1st International Conference of Health Science Faculty Universitas
Publisher : UM Purwokerto Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (297.724 KB) | DOI: 10.30595/pshms.v1i.57

Abstract

Currently, there are some comprehensive assessment tools for DFU. There is only one screening tool, but only assess risk of neuropathy, there is no complete of foot care assessment. The develop of foot care instrument is important for the nurses to provide health services and seek to eliminate physical, emotional, mental, and socio-cultural patient needs and also they play an important role in the care of diabetes .This descriptive study aimed: 1) to develop the instrument of foot care for diabetic patient, and 2) to test internal consistency in the rural area. The tool development were using: 1) literctivature review, 2) defining and categorize the item and 3) Testing the internal consistency using 23 respondents in Desa Kerawang and Desa Sumber Agung,Kubu Raya.Cronbachs Aplha were to analyze the internal consistency.The results showed that the instrument was developed as followed internal consistency used Cronbach’s Alpha was 0.893 for the item which can be used and 0.991 for the item which can be done in the rural area.The total items of this study consisted of: 1) Foot care education, consisting of a) knowledge of foot care, b) foot care behavior, c) amputation risk, d) mortality risk, d) interpretation of monofilament examination, 2) foot care diabetes, a) foot and foot examination, b) routine foot hygiene, c) walking barefoot, d) using proper footwear, e) cutting toe nails, f) avoiding the use of anything rough on the feet, g) professional care when open wounds and lesions in the leg, i) routine foot examination by professionals, 3) routine foot examination, a) peripheral neuopathy, b) history of ulcer or amputation, c) foot deformity, d) peripheral arterial disease, e) level of glycated hemoglobin, 4) Diabetic foot exercises, 5) Self-care management, 6) Supporting factors consist of a) footwear, b) digital silicon divices, c) antifungal treatment, d) elastic compression stocking.In conclusion the instrument of foot care has developed and reliable in rural area. Nurses and people who work with diabetic patients can use the instrument take care of patients’ foot. Further study should examine other test of validity and reliability.
Socialization of self-care guidelines for tuberculosis patients at UPT Pulmonary Health Services in West Kalimantan Province Tri Wahyuni; Parliani Parliani; Tutur Kardiatun; Prasetyo Aji Nugroho; Al Fikri; Muamar Muamar; Muhammad Riduan; Veni Fitrianingsih
Community Empowerment Vol 6 No 11 (2021)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (277.35 KB) | DOI: 10.31603/ce.5241

Abstract

Tuberculosis is an infectious disease caused by the bacterium Mycobacterium tuberculosis, which can harm the lungs and attack other organs. This will result in nursing issues, the risk of infection spreading to other organs and people, ineffective airway clearance, impaired gas exchange, nutritional disorders, and psychosocial problems. Efforts are made to overcome nursing problems by increasing the participation of patients and families, who serve as the primary supporters. The intervention performed by the patient as an agent for himself is known as self-care. Self-care is concerned with an individual's ability to care for and maintain his or her own health. Treatment, family support, and nutritional fulfillment are all part of TB treatment. The outcomes of service activity at UPT Pulmonary Health Services includes teaching health workers about self-care for TB patients, as well as conducting follow-up discussions about TB patients with anxiety in the intensive phase.
Co-Authors Al Fikri Aryadi, Deni Bebbie Aprianto Cau Kim Jiu Cau Kim Jiu Desi Susilawati, Desi Dian Puspita Dien Safitri, Mutiara Djaswadi Dasuki Edy Juniardi Efren, Irenius endah endah endah, endah Gmeliana Adha Sari Haryanto Haryanto Herman . Kardiatun, Tutur Khanitta Nuntaboot Khoir, Fathul Lestari Makmuriana Lilis Lestari Lukita, Yenni Muamar Muamar Muhammad Iqbal Muhammad Riduan Nita Zulfia Paudilah Pearkao, Chatkhane Phutthikhamin, Nichapatr Pikanthi Diwanti, Dyah Prasetyo Aji Nugroho Pratama, Kharisma Ramadhaniyati, Ramadhaniyati Roy Sandi Sahbandi Sahbandi Sangchart, Bumpenchit Somporn Rungreangkulkij Sukartina Tri Wahyuni Tri Wahyuni Tri Wahyuni Tri Wahyuni tri wahyuni Ultari, Cici Veni Fitrianingsih Vivi Indah Lestari Wuriani S Wuriani, Wuriani