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Analysis of the Use of the SOFA Score in Predicting Mortality among Critically III Patients Putra, Reyshar Pratama; Subandi, Andi; Sari, Putri Irwanti; Nurhusna, Nurhusna; Oktarina, Yosi
Genius Journal Vol. 7 No. 1 (2026): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v7i1.996

Abstract

Introduction: Sepsis is one of the main causes of morbidity and mortality in critical patients in the Intensive Care Unit (ICU). Delays in identifying organ dysfunction are an important factor that increases the risk of death. The Sequential Organ Failure Assessment (SOFA) Score is an assessment tool that is widely used to measure the extent of organ damage and predict mortality in sepsis patients. Objective: To know the output results of sepsis and sepsis shock patients and which indicators of the SOFA Score affect the patient's output. Methods: Quantitative research with a retrospective cohort design with a total population of 102 patients with a sample of 53 patients assisted by scoring assessment using the MDCalc application. Results:  overall output experienced mortality with the indicators that affected the SOFA Score score, namely; MAP, FiO2, Ventilator Use, Billirubin, and GCS. Other indicators that affect output include; RR, Glucose, and Leukocytes. Conclusion: This study confirms that SOFA Score can be used as an effective prediction tool to assess the prognosis of sepsis patients, as well as sepsis shock so that it can assist health workers in clinical decision-making and therapy planning more appropriately.
Air Bersih, Sampah Terkelola : Membangun Ekonomi Berkelanjutan Melalui Pemberdayaan Masyarakat Widiastuti, Fitri; Nurhusna; Putri Irwanti Sari; Andi Subandi; Dwi Noerjoedianto
Jurnal Pengabdian Harapan Ibu (JPHI) Vol. 7 No. 3 (2025): Jurnal Pengabdian Harapan Ibu (JPHI)
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30644/jphi.v7i3.1101

Abstract

Permasalahan akses air bersih dan pengelolaan sampah masih menjadi tantangan utama di berbagai desa di Indonesia, khususnya di Desa Kemuning Kabupaten Tanjung Jabung Barat, Provinsi Jambi. Masyarakat di desa ini, sebagian besar masih mengandalkan air sumur dan sungai yang kualitasnya tidak layak konsumsi, sehingga menimbulkan risiko penyakit berbasis lingkungan. Di sisi lain, sampah rumah tangga sering dibuang sembarangan tanpa sistem pemilahan, yang berdampak pada pencemaran dan rendahnya kualitas kesehatan masyarakat. Oleh karena itu, perlu edukasi dan pemahaman tentang penyediaan air bersih dan pengelolaan sampah rumah tangga, agar masyarakat mengetahui tentang pentingnya air bersih dan sanitasi yang akan menekan risiko penyakit dan menurunkan biaya kesehatan rumah tangga serta mendorong masyarakat untuk menjaga lingkungan agar tetap sehat dan lestari. Kegiatan pengabdian masyarakat ini dilakukan melalui pendekatan berbasis partisipasi masyarakat dengan tahapan sosialisasi, pelatihan, pendampingan, serta penerapan teknologi tepat guna. Hasil kegiatan ini menunjukkan adanya peningkatan pengetahuan akses air bersih melalui instalasi sistem penyaringan sederhana serta terbentuknya kelompok pengelola air dan sampah. Masyarakat juga mulai terbiasa memilah sampah dan memanfaatkan sampah organik menjadi kompos dengan menggunakan komposter. Kegiatan ini berkontribusi terhadap pencapaian Sustainable Development Goals (SDGs) dan sejalan dengan cita-cita Pembangunan Nasional ASTA CITA
Gambaran Tekanan Darah pada Penderita Hipertensi dengan Riwayat Penggunaan Obat Antihipertensi Selama 3–5 Tahun di Wilayah Kerja Puskesmas Simpang IV Sipin Kota Jambi MARCELINDA, WIDA TRI; Nurhusna, Nurhusna; Martawinarti, Rts Netisa; Subandi, Andi; Sari, Putri Irwanti
Jurnal Keperawatan Universitas Jambi Vol 10 No 1 (2025): Jurnal Keperawatan Universitas Jambi
Publisher : Program Studi Keperawatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jkuj.v10i1.49731

Abstract

Hypertension is a chronic condition characterized by a persistent increase in blood pressure that requires long-term therapy and risk factor control. This study aimed to describe the blood pressure profile of patients with hypertension who had a history of using antihypertensive medication for three to five years in the working area of Puskesmas Simpang IV Sipin, Jambi City. The study employed a quantitative descriptive design with a total sampling technique involving 40 respondents. Data were collected using a respondent characteristic questionnaire, interviews, and blood pressure measurements with a digital sphygmomanometer after participants rested for five minutes. The results showed that the majority of respondents were female (72.5%), had a college education (30%), worked as housewives (60%), and had suffered from hypertension for five years (62.5%). Based on blood pressure measurements, most respondents had systolic blood pressure in the moderate hypertension category (57.5%) and mild hypertension (42.5%). Meanwhile, diastolic blood pressure was predominantly in the mild hypertension category (62.5%), followed by high-normal (20%), normal (10%), and moderate hypertension (7.5%). The findings indicate that a portion of respondents still experienced uncontrolled blood pressure despite long-term antihypertensive medication use. Contributing factors include medication adherence, high-sodium diet, stress, and lack of physical activity. Continuous education, regular monitoring, and lifestyle modification efforts are necessary to achieve optimal blood pressure control.
Gambaran Tekanan Darah pada Penderita Hipertensi dengan Riwayat Penggunaan Obat Antihipertensi Selama 3–5 Tahun di Wilayah Kerja Puskesmas Simpang IV Sipin Kota Jambi MARCELINDA, WIDA TRI; Nurhusna, Nurhusna; Martawinarti, Rts Netisa; Subandi, Andi; Sari, Putri Irwanti
Jurnal Keperawatan Universitas Jambi Vol 10 No 1 (2025): Jurnal Keperawatan Universitas Jambi
Publisher : Program Studi Keperawatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jkuj.v10i1.49731

Abstract

Hypertension is a chronic condition characterized by a persistent increase in blood pressure that requires long-term therapy and risk factor control. This study aimed to describe the blood pressure profile of patients with hypertension who had a history of using antihypertensive medication for three to five years in the working area of Puskesmas Simpang IV Sipin, Jambi City. The study employed a quantitative descriptive design with a total sampling technique involving 40 respondents. Data were collected using a respondent characteristic questionnaire, interviews, and blood pressure measurements with a digital sphygmomanometer after participants rested for five minutes. The results showed that the majority of respondents were female (72.5%), had a college education (30%), worked as housewives (60%), and had suffered from hypertension for five years (62.5%). Based on blood pressure measurements, most respondents had systolic blood pressure in the moderate hypertension category (57.5%) and mild hypertension (42.5%). Meanwhile, diastolic blood pressure was predominantly in the mild hypertension category (62.5%), followed by high-normal (20%), normal (10%), and moderate hypertension (7.5%). The findings indicate that a portion of respondents still experienced uncontrolled blood pressure despite long-term antihypertensive medication use. Contributing factors include medication adherence, high-sodium diet, stress, and lack of physical activity. Continuous education, regular monitoring, and lifestyle modification efforts are necessary to achieve optimal blood pressure control.
Hubungan Fatigue dengan Kualitas Hidup pada Pasien Gagal Ginjal Kronis yang Menjalani Hemodialisa: Literature Review Alief Nisha Syafria; Yosi Oktarina; Andika Sulistiawan; Nurhusna; Andi Subandi
Galen: Jurnal Riset Ilmu Farmasi dan Kesehatan Vol. 2 No. 1 (2026): Galen: Jurnal Riset Ilmu Farmasi dan Kesehatan
Publisher : PT Pustaka Cendekia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71417/galen.v2i1.131

Abstract

Gagal ginjal kronis (GGK) merupakan masalah kesehatan global yang pada stadium akhir sering memerlukan terapi hemodialisa jangka panjang. Selain menimbulkan dampak fisik, hemodialisa juga berpengaruh signifikan terhadap kondisi psikologis dan sosial pasien, sehingga kualitas hidup menjadi indikator penting keberhasilan terapi. Salah satu keluhan yang paling sering dialami pasien GGK yang menjalani hemodialisa adalah fatigue, yang bersifat persisten dan dipengaruhi oleh berbagai faktor. Literature review ini bertujuan untuk menganalisis hubungan antara fatigue dan kualitas hidup pada pasien GGK yang menjalani hemodialisa. Metode yang digunakan adalah penelusuran artikel ilmiah melalui beberapa basis data dengan kata kunci terkait GGK, hemodialisa, fatigue, dan kualitas hidup, disertai seleksi berdasarkan kriteria inklusi dan eksklusi. Hasil kajian menunjukkan bahwa fatigue memiliki prevalensi tinggi pada pasien hemodialisa dan secara konsisten berhubungan negatif dengan kualitas hidup. Tingkat fatigue yang lebih tinggi berkorelasi dengan penurunan kualitas hidup, terutama pada aspek fisik, psikologis, dan persepsi terhadap beban penyakit ginjal. Faktor anemia, kondisi psikologis, serta lamanya menjalani hemodialisa turut memengaruhi tingkat fatigue. Kesimpulannya, fatigue merupakan determinan penting kualitas hidup pasien GGK, sehingga perlu dinilai dan ditangani secara rutin dalam pelayanan hemodialisa guna meningkatkan kualitas hidup pasien secara menyeluruh.
Gambaran Kepatuhan Minum Obat Antihipertensi Berdasarkan Lama Waktu Menderita pada Pasien Hipertensi di Wilayah Kerja Puskesmas Putri Ayu Kota Jambi M Fadhlan Wahyu Erlangga; Nurhusna; Putri Irwanti Sari; Andika Sulistiawan; Andi Subandi
Galen: Jurnal Riset Ilmu Farmasi dan Kesehatan Vol. 2 No. 1 (2026): Galen: Jurnal Riset Ilmu Farmasi dan Kesehatan
Publisher : PT Pustaka Cendekia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71417/galen.v2i1.149

Abstract

Kepatuhan minum obat merupakan penentu utama keberhasilan pengobatan. Hipertensi merupakan salah satu masalah kesehatan paling berbahaya didunia, karena tekanan darah tinggi merupakan faktor risiko utama yang menyebabkan penyakit seperti stroke, gagal jantung, stroke dan nefrosis.Penelitian ini bertujuan untuk mengetahui Gambaran Kepatuhan Minum Obat Antihipertensi Berdasarkan Lama Waktu Menderita pada Pasien Hipertensi di Wilayah Puskesmas Putri Ayu Kota Jambi. Penelitian ini menggunakan metode kuantitatif dekriptif dengan menggunakan metode survei. Populasi penelitian ini adalah 31.615 orang yang berkunjung ke puskesmas Putri Ayu dan mengkonsumsi obat Antihipertensi pada tahun 2023, tekni pengambilan sempel ini dengan teknik purposive sampling dengan 106 responden. Hasil penelitian Mayoritas responden berusia anatara 46-65 Tahun sebanyak 68 Responden (64,2%), mayoritas berjenis kelamin Perempuan 58 responden (54,7%), mayoritas berpendidikan terakhir SMA 41 responden (38,7%), mayoritas responden berkerja sebagai Ibu Rumah Tangga (IRT) 41 responden (38,7%), Gambaran tingkat kepatuhan minum obat antihipertensi pada penderita hipertensi baru (< 1 tahun) mayoritas adalah Sedang sebanyak 10,4%. Gambaran Tingkat kepatuhan minum obat antihipertensi pada penderita hipertensi jangka menengah (1-5 tahun) mayoritas adalah Rendah sebanyak 48,1%. Gambaran tingkat kepatuhan minum obat antihipertensi pada penderita hipertensi jangka panjang (> 5 tahun) mayoritas Adalah Rendah 18,9%. Dapat disimpulkan Tingkat kepatuhan responden berdasarkan lama pengobatan mayoritas responden memiliki Tingkat kepatuhan rendah.
HUBUNGAN TINGKAT STRES DAN POLA MAKAN DENGAN KEJADIAN HIPERTENSI DALAM KEHAMILAN DI PUSKESMAS SIMPANG IV SIPIN KOTA JAMBI Ditatri Utami; Sri Mulyani; Yulia Indah Permata Sari; Nurhusna; Putri Irwanti Sari
Pendas : Jurnal Ilmiah Pendidikan Dasar Vol. 11 No. 01 (2026): Volume 11 No. 01 Maret 2026 Publish
Publisher : Program Studi Pendidikan Guru Sekolah Dasar FKIP Universitas Pasundan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23969/jp.v11i01.40729

Abstract

Background: Hypertension in pregnancy is one of the main causes of maternal and perinatal morbidity and mortality. Psychological factors such as stress and lifestyle factors such as diet are known to play a role in increasing the risk of hypertension during pregnancy. Objective: To determine the relationship between stress levels and diet with the incidence of hypertension in pregnancy at Simpang IV Sipin Community Health Center, Jambi City. Method: Quantitative research with a cross-sectional design. The study sample consisted of 96 pregnant women in the second and third trimesters selected using a total sampling technique. Stress levels were measured using the DASS-42 questionnaire, diet was measured using a structured questionnaire, and blood pressure was classified into Grade 1, 2, and 3 hypertension. Data analysis was performed using the Spearman Rank correlation test with a significance level of α = 0.05. Results: Most respondents experienced mild stress (70.8%), had a good diet (54.2%), and had Grade 1 hypertension (88.5%). Spearman's test results showed a strong and significant relationship between stress levels and the incidence of hypertension (rs = 0.691; p < 0.001), as well as a moderate and significant relationship between diet and the incidence of hypertension (rs = 0.386; p < 0.001). Conclusion: Stress levels and diet are significantly associated with the incidence of hypertension in pregnancy. Stress screening and nutrition education are needed as part of antenatal care.
HUBUNGAN TINGKAT STRES DAN POLA MAKAN DENGAN KEJADIAN HIPERTENSI DALAM KEHAMILAN DI PUSKESMAS SIMPANG IV SIPIN KOTA JAMBI Ditatri Utami; Sri Mulyani; Yulia Indah Permata Sari; Nurhusna; Putri Irwanti Sari
Pendas : Jurnal Ilmiah Pendidikan Dasar Vol. 10 No. 04 (2025): Volume 10 No. 04 Desember 2025 In Process
Publisher : Program Studi Pendidikan Guru Sekolah Dasar FKIP Universitas Pasundan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23969/jp.v10i04.40731

Abstract

Background: Hypertension in pregnancy is one of the main causes of maternal and perinatal morbidity and mortality. Psychological factors such as stress and lifestyle factors such as diet are known to play a role in increasing the risk of hypertension during pregnancy. Objective: To determine the relationship between stress levels and diet with the incidence of hypertension in pregnancy at Simpang IV Sipin Community Health Center, Jambi City. Method: Quantitative research with a cross-sectional design. The study sample consisted of 96 pregnant women in the second and third trimesters selected using a total sampling technique. Stress levels were measured using the DASS-42 questionnaire, diet was measured using a structured questionnaire, and blood pressure was classified into Grade 1, 2, and 3 hypertension. Data analysis was performed using the Spearman Rank correlation test with a significance level of α = 0.05. Results: Most respondents experienced mild stress (70.8%), had a good diet (54.2%), and had Grade 1 hypertension (88.5%). Spearman's test results showed a strong and significant relationship between stress levels and the incidence of hypertension (rs = 0.691; p < 0.001), as well as a moderate and significant relationship between diet and the incidence of hypertension (rs = 0.386; p < 0.001). Conclusion: Stress levels and diet are significantly associated with the incidence of hypertension in pregnancy. Stress screening and nutrition education are needed as part of antenatal care.
Identifikasi Hubungan Tingkat Restless Legs Syndrome (RLS) dengan Kualitas Tidur Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisis Reda Evinta; Nurhusna Nurhusna; Andi Subandi
Jurnal Ners Vol. 9 No. 1 (2025): JANUARI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i1.30017

Abstract

Restless Legs Syndrome (RLS) merupakan komplikasi pada pasien GGK yang menjalani HD. Keluhan yang dirasakan berupa keinginan untuk menggerakkan kaki akibat sensasi tidak nyaman seperti nyeri, kesemutan, ditarik, dan kepanasan yang terjadi selama istirahat. Gejala ini memburuk pada malam hari sehingga mengganggu kualitas tidur. Tujuan penelitian ini untuk mengetahui hubungan tingkat RLS dengan kualiatas tidur pada pasien GGK yang menjalani HD di RSUD Raden Mattaher Jambi. Penelitian ini menggunakan metode kuantitatif dengan pendekatan cross-sectional dengan teknik total sampling. Sampel pada penelitian ini sejumlah 34 responden yang mengalami RLS. Teknik pengumpulan data dengan cara wawancara terpimpin, analisa univariat menggunakan distribusi frekuensi. Analisa bivariat menggunakan uji Kendalls Tau. Instrumen penelitian menggunakan International Restless Legs Syndrome Study Group (IRLSSG) dan Pittsburgh Sleep Quality Index (PSQI). Hasil penelitian didapatkan korelasi antara tingkat RLS dengan kualitas tidur pada pasien GGK yang menjalani HD yang mengalami RLS dengan p-value sebesar 0,002 dan r = 0,516. Hasil penelitian bermanfaat dalam memberikan asuhan keperawatan bagi tenaga kesehatan khususnya memperhatikan kualitas tidur pada pasien GGK yang menjalani HD yang mengalami RLS.
A Description of Antihypertensive Medication Adherence According to the Duration of Hypertension among Patients in the Working Area of Putri Ayu Primary Health Care, Jambi City Fadhlan, M Fadhlan Wahyu Erlangga; Nurhusna; Sari, Putri Irwanti
Jurnal Pinang Masak Vol. 4 No. 2 (2025): Jurnal Pinang Masak (JPIMA)
Publisher : Program Studi Keperawatan Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jpima.v4i2.49433

Abstract

Introduction: Compliance with taking medication is the main determinant of treatment success. Hypertension is one of the most dangerous health problems in the world, because high blood pressure is a major risk factor that causes diseases such as stroke, heart failure, stroke and nephrosis. Objective: This study aims to determine the description of compliance with taking antihypertensive medication based on the length of time of suffering in hypertensive patients in the Putri Ayu Primary Health Care, Jambi City. Method: This study uses a descriptive quantitative method using a survey method. The population of this study was 31,615 people who visited the Putri Ayu Primary Health Care and consumed antihypertensive drugs in 2023, this sampling technique used a purposive sampling technique with 106 respondents. Results: The majority of respondents were aged between 46-65 years as many as 68 respondents (64.2%), the majority were female 58 respondents (54.7%), the majority had a high school education of 41 respondents (38.7%), the majority of respondents worked as housewives (IRT) 41 respondents (38.7%), Description of the level of compliance with taking antihypertensive medication in patients with new hypertension (<1 year) is mostly moderate at 10.4%. Description of the level of compliance with taking antihypertensive medication in patients with medium-term hypertension (1-5 years) is mostly low at 48.1%. Description of the level of compliance with taking antihypertensive medication in patients with long-term hypertension (> 5 years) is mostly low at 18.9%. Conclusion: The level of compliance of respondents based on the duration of treatment, the majority of respondents have a low level of compliance.
Co-Authors Abda Abda Abdul Haliq Abdul Haliq, Abdul Afrilia, Fadillah Nisa Agustina, Rati Elvi AJ., Andi Agussalim Akmal Hamsa Alief Nisha Syafria Amalia, Mita Amaliah, Nurul Amalya Nasution, Riska Andi Agussalim, Andi Andi Fatimah Yunus Andi Nurfadillah Basri Andi Subandi Andika Sulistiawan Anita Candra Dewi Anshari Anshari, Anshari Arfiana Arfiana, Arfiana Aryani, Tuti Asis Nojeng Asri Ismail Astaria, Wike Astarina, Wike Azis Azizi, Putri Dwi Azzahra, Andi Afifah Baharman Baharman, Baharman Bettrianto, Bettrianto Biringkanae, Andi Cindy Batari Damayanti, Fina Dewi Aprilia Dian Hasriani Ridwan Dini Rudini Ditatri Utami Dormina, Dormina Dwi Noerjoedianto Edi Suhardi Rahman Elya Siti Mutmainah F Sri Susilaningsih Fadel Muh Tamrin Fadhlan, M Fadhlan Wahyu Erlangga Fadliyana Ekawaty Fairuz Faisal Fatihah, Nur Febrina, St Hajrah Fulgentius Danardana Murwani Gani, Alda Afrila Garim, Idawati Gusmarta, Gusmarta Hajib, Zainal Abidin Hajrah Hajrah, Hajrah Hanurawan, Fattah Hasanul, Fikri Hasnawati Hasrawan, FItri Herwansyah, Herwansyah Husna Arianti Idawati Ilham Falani Imanuel Hitipeuw Indah Mawarti Inggrid Wulandari Irmansyah . Istianah, Syarifatul Jauhari, Mori Fajar Johar Amir Jumadila Purnama Kamariyah Kamariyah Kamariyah Kamariyah Kamariyah kamariyah, kamariyah Kartika, Agustin Mega Kembong Daeng Khoiru Ulfah Kintan Resqitha Ekaputri Kirana, Febiyora Chandra Kristina Imron Lisa Anita Sari Lisa Anita Sari Lukman, Muhammad Nasril Luri Mekeama Luri Mekeama M Fadhlan Wahyu Erlangga M, Asia M. Nur, A. Nurchalifah M., Asia Maimunah, Iffat Makeama, Luri MARCELINDA, WIDA TRI Martawinarti, RTS Netisa Maryamah Maryamah Masdaf, Agino Saputra Mauliana, Firda Mawarti, Indah Mayong Mayong, Mayong Mega, Tiolin Meinarisa, Meinarisa Melinda, Nur Meta Rikandi mirza, Agnica Misriyani, Veni Muhammad Rapi Muhammad Saleh Muzani Shopa Nafasha, Reza Nanda Poniar Novia Wahyuni, Nopi Novita, Erahmi Nur Afiqa Apriandini Nurlinawati Nurlinawati, Nurlinawati Nurul Annisa, Fajrina Nurul Khusnul Khotimah Nurul Sri Wahyuni OKTARIA, RINA RINA Pebriansa Purwo Suwigjo Putra, Reyshar Pratama Putri Irwanti Sari Putri Utami, Melisa Rahayu, Anggraini Gita Ramadhan M, Agung Ramaputri Tilotama, Azzahrah Ramly Ramly Reda Evinta Riska Amalya Nasution Risma Risnawati Risnawati Rizki Herdiani Rohmah, Miftahur rosiska, mimi Rts. Netisa Martawinarti Rudini, Dini Rudini, Dini Safwendra, Ewen Sakaria Salam Salam Salam Salam, Salam Salma Fauziah Salsabila Salsabila, Nurrahmah Saputri, Melda Sari, Andi Nurindah Sari, Yulia Indah Permata Satria Saputra Seni, Maria Kristiani Septia, Hidayatul Dwi Shafariana Shafariana Silvi Salsabila Sisi, Aisyah Tita Rahmayuly Siska Siska Sodikhoh, Jamiatus Sri Mulyani Sri Mulyani St Syamsudduha St.Nurhaedah Sulastriningsih Djumingin Sultan Sultan Suryaningsih, Irma Suryati Yati Syafitri, Zakia Ulifa Syamsudduha Tri Andini, Febri Tuti Wijayanti Ummami, Ellysha Azzahra Usman Veni Misriyani Widiastuti, Fitri Wijayanti, Tuti Yosi Oktarina Yulia Indah Permata Sari Yuliana Yuliana Yuliana Yuliana Yurni yurni Yurni Yurni Yusnilawati, Yusnilawati Yusnilawati, Yusnilawati