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Terapi Musik sebagai Terapi Komplementer untuk Menurunkan Kecemasan Pasien Yuliasih Yuliasih; Sri Yona; Agung Waluyo
Journal of Telenursing (JOTING) Vol 5 No 1 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i1.5641

Abstract

This study aims to analyze the effectiveness of music therapy in reducing anxiety in patients in the intensive care unit. The research method uses article searches conducted on four databases, namely Science Direct, Embase, Pubmed, and Proquest, with the keywords "Anxiety," "therapy music," and "Intensive Care Unit." Articles are limited to the last ten years, English, free full text, RCT, or clinical trial designs. Of the 500 articles obtained, after screening, eight articles were subjected to further analysis. The study results show that music therapy positively impacts the physical and psychological aspects of patients in the intensive care unit. The positive impact from a biological perspective includes lowering the respiratory and heart rates, while the positive effects from a psychological perspective are reducing anxiety. The effective duration of music therapy in reducing stress after analysis is 25-90 minutes. In addition, there is no significant difference in the type of music in reducing anxiety. In conclusion, music therapy can be used as a complementary therapy in reducing patient anxiety in the intensive care unit because it is proven to reduce stress, has minimal side effects, and is inexpensive. Keywords: Anxiety, Intensive Care Unit, Music Therapy
Aplikasi Pendekatan Teori Virginia Henderson pada Pasien Diseksi Aorta: Case Study Mulida Arifiati; Sri Yona; Tuti Herawati
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 1 No 2 (2021): Perawatan Lansia di Posyandu
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v1i2.235

Abstract

Pendahuluan: Diseksi aorta akut merupakan kondisi gawat darurat yang sering terlewat saat pemeriksaan awal. Keterlambatan diagnosis meningkatkan mortalitas, tetapi presentasi dapat menyerupai beberapa  kondisi umum lainnya. Diseksi aorta adalah istilah yang digunakan untuk menggambarkan ketika lapisan interior aorta robek dan darah bisa mengalir ke dalam lumen palsu. Asuhan keperawatan yang diberikan oleh perawat sangat mempengaruhi kualitas pelayanan kesehatan yang akan diterima oleh pasien. Upaya yang dilakukan untuk meningkatkan kualitas asuhan keperawatan tersebut salah satunya dengan mengaplikasikan teori virginia henderson. Tujuan: mengeksplorasi masalah asuhan keperawatan dimulai dari pengkajian sampai dengan evaluasi kepada pasien diseksi aorta. Metode: Desain studi kasus asuhan keperawatan diseksi aorta dengan pendekatan teori Virginia Henderson dilakukan  dengan cara mengumpulkan data yang dimulai dari pengkajian, menentukan diagnosis, melakukan perencanaan, melaksanakan tindakan, dan melakukan evaluasi yang diberikan pada satu orang pasien dengan gangguan sistem kardiovaskular, tidak membatasi umur dan tidak menentukan jenis kelamin yang akan dijadikan dalam sebuah studi kasus. Analisa data dilakukan sejak peneliti melakukan asuhan keperawatan yang dilakukan mulai awal pengkajian dan dilakukan pendokumentasian pada setiap hari untuk mengetahui perkembangan dari pasien. Hasil: Penerapan teori Virginia Henderson efektif diterapkan pada pasien dengan diseksi aorta. Simpulan: Teori Virginia Henderson dapat digunakan pada asuhan keperawatan pasien dengan pasien diseksi aorta untuk meningkatkan kemandirian akibat perubahan fisik dan psikologis.  
Self-awareness as the key to successful adherence to antiretroviral therapy among people living with HIV in Indonesia: A grounded theory study Sri Yona; Chiyar Edison; Astuti Yuni Nursasi; Rita Ismail
Belitung Nursing Journal Vol. 9 No. 2 (2023): March - April
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.2480

Abstract

Background: Adherence to antiretroviral therapy (ART) continues to pose a significant challenge for people living with HIV (PLWH). Non-adherence to ART can have far-reaching implications for patient well-being, particularly in increasing the risk of opportunistic infections when medication is not taken as prescribed. Objective: This study aimed to develop a theoretical model that explains how PLWH in Indonesia adhere to their ART regimen and the strategies they follow to maintain adherence. Methods: The study used a grounded theory approach. Data were collected through face-to-face in-depth interviews with 21 PLWH who had been taking ART for six months or more at a non-governmental organization (NGO) in Jakarta, Indonesia, between July 2019 and November 2019. Theoretical sampling was used, and the data analysis method of Corbin and Strauss was utilized, including open coding, axis coding, and selective coding. Results: Three stages were identified as a process of adherence to the ART regimen: 1) initiating ART, 2) missing the connection, and 3) taking control. Self-awareness was identified as the central core theme describing the ART adherence process. Conclusion: Having adequate self-awareness to take ART regularly is crucial to improving adherence to ART. Moreover, social support from one’s spouse and family members can help patients maintain adherence. Therefore, self-awareness and support systems should be included as components in nursing interventions when starting ART therapy. In addition, nurses can help identify potential support persons and provide information related to ART therapy.
Efektivitas varian metode terapi komplementer untuk fatigue pada pasien penyakit paru obstruktif kronik (PPOK): Tinjauan sistematik Gustini Putri Dewanti; I Made Kariasa; Sri Yona
Holistik Jurnal Kesehatan Vol. 18 No. 2 (2024): Volume 18 Nomor 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v18i2.198

Abstract

Background: The process of fighting chronic obstructive pulmonary disease (COPD) is a challenge that affects the patient's quality of life. Moreover, the inevitable symptoms of fatigue often result in limitations in physical, emotional, cognitive and social aspects. However, in overcoming this there are new opportunities, namely the use of complementary therapies to optimally treat fatigue, paving the way for more effective health care for COPD sufferers. Purpose: To investigate and synthesize scientific evidence regarding the use of complementary therapies for fatigue in COPD patients. Method: Systematic review using PRISMA guidelines using five databases, including PubMed, Scopus, ScienceDirect, Cochrane and EMBASE. Search using the keyword combination "COPD" OR "Chronic Obstructive Pulmonary Disease" AND "Complementary Therapy" OR "Nonpharmacologic Therapy" OR "Supportive Therapy" AND "Fatigue" OR "Overtiredness" OR "Exhaustion". The article criteria used were quantitative research, RCT design, COPD patient respondents in inpatient or outpatient settings, complementary therapy or non-pharmacological interventions with a minimum duration of 2 weeks, measuring fatigue with fatigue instruments, English language, full text, and publication 2016-2023 . Results: Seven articles were found that met the criteria for analysis. Complementary therapy is grouped as follows, therapy with additional equipment, therapy carried out by professionals, therapy combined with additional equipment and carried out by professionals, and therapy without additional equipment and not carried out by professionals. Conclusion: Therapy with professional assistance such as yoga and reflexology reduces the average fatigue score the most, followed by therapy without additional equipment and without professional assistance such as PMR and DB, as well as therapy with additional equipment such as TENS and IMT or a combination of additional equipment and carried out professionally (MT on IMT). Yoga with online classes or through media such as videos can be adopted as a rehabilitation program at home. Suggestion: Future research is expected to examine the advantages and limitations of complementary therapies to reduce fatigue, so that they can be combined for better results.   Keywords: Complementary Therapy; Chronic Obstructive Pulmonary Disease (COPD); Fatigue.   Pendahuluan: Proses melawan penyakit paru obstruktif kronik (PPOK) menjadi sebuah tantangan yang mempengaruhi kualitas hidup pasien. Terlebih, gejala fatigue yang tak terhindarkan sering kali menjadi keterbatasan dalam aspek fisik, emosional, kognitif, dan sosial. Namun, dalam mengatasi hal tersebut terdapat peluang baru, yakni dengan penggunaan terapi komplementer untuk menangani fatigue secara optimal, membuka jalan bagi perawatan kesehatan yang lebih efektif untuk para penderita PPOK. Tujuan: Untuk menyelidiki dan menyintesis bukti-bukti ilmiah mengenai penggunaan terapi komplementer untuk fatigue pada pasien PPOK. Metode: Tinjauan sistematis dengan panduan PRISMA menggunakan lima database antara lain, PubMed, Scopus, ScienceDirect, Cochrane dan EMBASE. Pencarian dengan kombinasi kata kunci ”COPD” OR ”Chronic Obstructive Pulmonary Disease” AND ”Complementary Therapy” OR ”Nonpharmacologic Therapy” OR ”Supportive Therapy” AND ”Fatigue” OR ”Overtiredness” OR ”Exhaustion”. Kriteria artikel yang digunakan adalah penelitian kuantitatif, desain RCT, responden pasien PPOK di rawat inap ataupun rawat jalan, intervensi terapi komplementer atau non-farmakologis berdurasi minimal 2 minggu, mengukur fatigue dengan instrumen fatigue, berbahasa inggris, teks lengkap, dan publikasi 2016-2023. Hasil: Ditemukan tujuh artikel yang sesuai kriteria untuk dilakukan analisis. Terapi komplementer dikelompokkan sebagai berikut, terapi dengan alat tambahan, terapi dilakukan profesional, terapi kombinasi alat tambahan dan dilakukan profesional, serta terapi tanpa alat tambahan dan tanpa dilakukan profesional. Simpulan: Terapi dengan bantuan profesional seperti, yoga dan reflexology menurunkan skor rata-rata fatigue paling besar, diikuti terapi tanpa alat tambahan dan tanpa dilakukan profesional seperti, PMR dan DB, serta terapi dengan alat tambahan seperti, TENS dan IMT maupun kombinasi alat tambahan dan dilakukan profesional (MT pada IMT). Yoga dengan kelas online atau melalui media seperti video dapat diadopsi untuk menjadi program rehabilitasi di rumah. Saran: Penelitian selanjutnya diharapkan dapat mengkaji kelebihan dan keterbatasan terapi komplementer untuk menurunkan fatigue, sehingga dapat dikombinasikan untuk hasil yang lebih baik.   Kata Kunci: Fatigue; Penyakit Paru Obstruktif Kronik (PPOK); Terapi Komplementer.
Effectiveness of Psychotherapy on Quality of Life People with HIV/AIDS Armunanto, Anung Widi; Yona, Sri
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 2 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i2.686

Abstract

Aims: patients with HIV/AIDS have unique challenges regarding their quality of life, with factors such as physical symptoms, use of antiretroviral therapy, social support, and psychiatric conditions being important determinants. Method: This study is a systematic literature study. Literature search through online databases ProQuest, Scopus, Google Scholar, PubMed. The keywords used were: plwh, hiv aids, hiv positive, hiv patient, psychotherapy, cbt, mindfulness, counselling, quality of life, qol, depression, stress, with Bolean logic AND and OR. Journal of the last 10 years (2013-2023), using English, is a journal article, open access, involving adult respondents, full text, HIV/AIDS, adult, clinical trial, RCT. Exclusion criteria: Encyclopedia article, book chapter, conference, correspondent, editorial, news, practice guideline, protocol, systematic review, literature review and meta-analysis qualitative study. Screening and selection of articles are displayed in the PRISMA diagram. Selected articles were subjected to critical appraisal of RCT studies. Results: 7 articles met the criteria and were discussed in this study. 5 articles used CBT intervention and 2 used ITP intervention. Both CBT and ITP proved to have significant results in improving the quality of life of PLWHA. Conclusions: Psychotherapy, especially CBT and ITP, has a significant impact on the quality of life of people living with HIV. Integration of care, especially for alcohol use disorders, and utilization of telemedicine technologies, such as tele-IPT, also provide feasible solutions to improve accessibility of care, especially in rural areas.
Evidence-Base Nursing Pemberian Buah Pisang Gepok Hijau untuk Menurunkan Motilitas Usus Pasien dengan Diare Kurniawan, Rahmat; Yona, Sri; Zahra, Anggri Noorana; Purba, Sariaman; Zaki, Muhammad
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 15, No 1 (2024): Januari-Maret 2024
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf15136

Abstract

Indigestion can be manifested by various signs and symptoms, one of which is intestinal motility. Digestive disorders are one of the results of decreased body immunity, which can occur in several patient conditions, such as immunosuppressants undergoing chemotherapy and immunocompromise in patients with HIV/AIDS. In patients with immunosuppressants and immunocompromise, diarrhea can occur. This study aimed to determine the effect of giving green gepok bananas to reduce intestinal motility in patients with diarrhea. The design of this study was quasi-experimental involving 15 patients with diarrhea, who were selected using a purposive sampling technique. Data on motility was obtained through physical examination, then changes in motility between before and after intervention were analyzed using paired samples t-test. The results showed that the p-values for the motility indicators were: frequency of defecation = 0.001, stool consistency = 0.001 and bowel sounds = 0.001. Based on the results of this analysis, it could be concluded that giving green gepok bananas is effective in reducing intestinal motility indicators including diarrhea frequency, stool consistency and intestinal ulcers.Keywords: green gepok banana; diarrhea; immunosuppressants; immunocompromise ABSTRAK Gangguan pencernaan dapat dimanifestasikan dengan berbagai tanda dan gejala salah satunya adalah motilitas usus. Gangguan pencernaan merupakan salah satu akibat dari imunitas tubuh yang menurun, yang dapat terjadi pada beberapa kondisi pasien, seperti imunosupresan yang menjalani kemoterapi dan immunocompromise pada kondisi pasien dengan HIV/AIDS. Pada kondisi pasien dengan imunosupresan dan immunocompromise, dapat terjadi kondisi diare. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian buah pisang gepok hijau untuk menurunkan motilitas usus pasien dengan diare. Desain penelitian ini adalah eksprerimental kuasi dengan melibatkan 15 pasien dengan diare, yang dipilih dengan teknik pengambilan purposive sampling. Data tentang motilitas diperoleh melalui pemeriksaan fisik, lalu perubahan motilitas antara sebelum dan sesudah intervensi dianalisis menggunakan paired samples t-test. Hasil penelitian menunjukkan bahwa nilai p untuk indikator-indikator motilitas adalah: frekuensi buang air air besar = 0,001, konsistensi feses = 0,001 dan bising usus = 0.001. Berdasarkan hasil analisis tersebut dapat disimpulkan bahwa pemberian pisang gepok hijau efektif untuk menurunkan indikator motilitas usus meliputi frekuensi diare, konsistensi feses dan bisung usus.Kata kunci: pisang gepok hijau; diare; imunosupresan; immunocompromise
Manfaat Pendidikan Kesehatan terhadap Konsistensi Penggunaan Kondom pada Pasien ODHA Jamilah, Mimi; Yona, Sri
Journal of Telenursing (JOTING) Vol 6 No 1 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i1.9305

Abstract

This study aims to see the effect of health education on the consistency of condom use in patients living with HIV. The method used in this writing is a systematic review through several databases, namely Pubmed, Proquest, Science Direct, Sage journals, ClinicalKey Nursing, and Ebsco. Article analysis process using PRISMA method. The results showed that health education provided to PLHIV can influence consistent condom use. Health education provided in person or over the phone can improve the knowledge and self-efficacy of PLHIV about the importance of condom use consistency. In addition, consistent condom use can prevent the transmission of diseases due to unsafe sexual intercourse. In conclusion, consistent condom use among PLWHA can prevent cross infection of the HIV virus and can prevent sexually transmitted infections (STIs). Keywords: HIV/AIDS, Health Education, Condom Use
Penggunaan Lumbar Pillow Support pada Pasien Tirah Baring Meisa Ndari, Arni Budi; Yona, Sri; Nurachmah, Elly; Maria, Riri
Journal of Telenursing (JOTING) Vol 6 No 1 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i1.9511

Abstract

This study aims to explain the use of lumbar pillows in bed rest patients in a supine sleeping position. The method used is a scoping review by searching for articles using keywords in the Scopus, Science Direct, PubMed, EBSCOhost, and ProQuest databases based on inclusion and exclusion criteria. The research results showed that there were 3 articles consisting of 2 studies conducted on total bed rest patients and a study on healthy respondents. Two studies used a combination therapy of a support pillow with existing therapies. Two studies showed that support pillows help distribute pressure in the pelvic, lumbar and thoracic areas and support the lumbar arch which can reduce pain levels and increase the comfort of respondents. The conclusion from this study is that the lumbar pillow can be applied to patients on bed rest and provides effective results when combined with physical therapy, conservative therapy, and modification of sleeping position. Keywords: Lumbar pillow, Pillow support, Comfort, Pain, Bedrest,
Efektivitas Breathing Exercise dalam Menurunkan Kecemasan pada Pasien dengan Kanker Paru Jelang, Destya Wenny; Kariasa, I Made; Yona, Sri
Journal of Telenursing (JOTING) Vol 6 No 1 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i1.9789

Abstract

The aim of this research is to determine the effectiveness of breathing exercises, which is one of the independent nursing interventions to reduce anxiety in patients with lung cancer. The research method used was a systematic review carried out on journals originating from three databases, namely, ScienceDirect, Scopus and PubMed which were published between 2020-2023. The research results showed that there were seven articles that showed the effectiveness of breathing exercise programs on anxiety in patients with lung cancer. The conclusion obtained is that breathing exercises using the three-ball apparatus exercise technique, ACBT (Active Cycle Of Breathing Technique), ADOPT-Breathing Training and Qigong Breathing Exercise are considered effective in reducing anxiety significantly in patients with lung cancer. Keywords: Breathing Exercise, Anxiety, Lung Cancer
Manajemen Nyeri dengan Guided Imagery pada Pasien Pasca Operasi Total Joint Arthroplasty Ahmidati, Afiif; Irawaty, Dewi; Yona, Sri; Arista, Liya
Journal of Telenursing (JOTING) Vol 6 No 1 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i1.9915

Abstract

This study aims to identify the effectiveness of guided imagery in patients after total joint arthroplasty surgery. The method used is a systematic review using literature searches from 9 databases: PubMed, Scopus, Sage, ScienceDirect, Taylor & Francis, Wiley, SpringerLink, Cochrane, and ProQuest. Fifteen thousand seven hundred forty-eight articles were obtained from the initial search using keywords related to "Total Joint Arthroplasty,"; "Guided Imagery," and "Pain," but only five articles met the inclusion criteria for this study, namely adult and elderly patients after total joint arthroplasty, period 2021 - 2024, in English, full-text and open access. The five research articles showed that guided imagery significantly reduced pain after total joint arthroplasty. In conclusion, guided imagery effectively reduces pain in patients after total joint arthroplasty surgery. Guided imagery is used because it is easy to do, teach, and affordable. Keywords: Guided Imagery, Pain, Total Joint Arthroplasty
Co-Authors Adha, Alfi Kurnia Afifah Widyastuti Agung Waluyo Agung Waluyo Agung Waluyo Agung Waluyo Ahmidati, Afiif Ainur & Moch.Achwandi, Ika Alandia Alandia Allenidekania Allenidekania Amelia Ganefianty Anggri Noorana Zahra Anggri Noorana Zahra Arianti Arianti Arief Andriyanto Aries Sulaiman Arifiati, Mulida Aris Purnomo Arisdiani, Triiana Arisdiani, Triiana Armunanto, Anung Widi Astuti Yuni Nursasi Atnawanty, Tia Bakhitah, Khairunnisa Bambang Budi Siswanto Bambang Wispriyono Bambang Wispriyono Chaterina Janes Pratiwi Cut Sarida Pompey Dahlia, Debie - Debbie Dahlia Dewi Gayatri Dewi Irawaty Dewiyanti Toding Dewy Haryanti Parman Dikha Ayu Kurnia Edianto Edianto Edianto Edianto Edis Mari Eko Edy Soesanto Effita Piscesiana Elly Nurachmah Elly Nurachmah Elysabeth Sinulingga Endria, Vika Enny Virda Yuniarti Etty Rekawati Eusabius Separera Niron Fatoni, Mukhamad Firman Firman Firman Firman Fransiska Kurniati Natul Gde Yasa Antarika Gustini Putri Dewanti Herdiana, Dian Herdiana, Dian Herdiana Herliana , Rini Hesti Rahayu Himmatul Khaira Huda , Khoirul I Gd. Nym Ardi Supartha I Made Kariasa I Putu Adi Suryawan Ibnu Sofa Ikhda Ulya, Ikhda Ina Martiana Isnaeni Nur Khayati Iswanto Iswanto jamilah, mimi Jelang, Destya Wenny Joachim Voss Juita Juita Kathleen Norr Khumaidi Khumaidi Komang Noviantari Krisna Yetti Kurnia, Dikha Ayu Kurnianingsih, Neniek Kurniawan, Rahmat Liya Arista Liya Arista Maria Syelvrida Tumina Maria Syelvrida Tumina Maria, Riri Maria, Riri Masfuri - Masfuri Masfuri Meisa Ndari, Arni Budi Meta Agil Ciptaan Muh Abdul Rozaq Muhammad Adam Muhammad Fikri Indra, Muhammad Fikri Mulat Sari Mulida Arifiati Mulida Arifiati Mustikasari Mustikasari Nana Rochana, Nana Natul, Fransiska Kurniati Nia Khusniyati Nirwanto K. Rahim Novarita, Maria Devi Nurachmah, Elly Nurdahlia Nurdahlia Pandan Enggarwati Parman, Dewy Haryanti Pendet, Ni Made Diah Pusparini Prasetyanto, Deny - Purba, Sariaman Puteri Hirika Reptes Rabiatul Addawiah Rahmat Kurniawan Rany Novia Wardin Ratna Aryani Ratna Aryani Ratna Sitorus Regina Situmorang Riri Maria Riri Maria Riska Eka Fatma Hasibuan Rita Ismail Rizal, Imam Kurniawan Rohmah, Assyfa Siti Rusyda Anshari S., Chiyar Edison Santa Manurung Senja Paramita Shendika Wirastiningtyas Sidik Awaludin Silaban, Anna Ria Siswanto , Bambang Budi Siti Nurlaelah Sitti Shoimatul A Sri Endah Handayani Sri Wirayuni Ni Luh Putu Sukarmin SUKARMIN Sukarmin Sukarmin Susi Dwi Utarti Syafa'atun Mirzanah Syafdewiyani Syafdewiyani Syafdewiyani, Syafdewiyani Tia Atnawanty Titi Sulastri Tony Suharsono, Tony Triani Banna Tris Eryando Tris Yonado Tumina, Maria Syelvrida Tuti Herawati Vika Endria Vika Endria Waluyi=o, Agung Wanto Juli Silalahi Wati Melawati Wita Handayani Yati Afiyanti Yeane Anastania Yudi Elyas Yudi Elyas Yudia Eriza Yulia Yulia Yulia Yuliasih Yuliasih Yunisar Gultom Zahra, Anggri Noorana Zaki, Muhammad