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All Journal International Journal of Public Health Science (IJPHS) Archive of Community Health Medicina Sport and Fitness Journal E-Journal of Tourism E-Jurnal Medika Udayana Ecotrophic, Journal of Environmental Science Media Kesehatan Masyarakat Indonesia Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Jurnal Berkala Epidemiologi Indonesian Journal of Tropical and Infectious Disease Jurnal Penelitian Pendidikan IPA (JPPIPA) ISM (Intisari Sains Medis) : Jurnal Kedokteran Jurnal Pendidikan Kesehatan Rekreasi Bioscientia Medicina : Journal of Biomedicine and Translational Research JURNAL ILKES (Jurnal Ilmu Kesehatan) Bioscientia Medicina : Journal of Biomedicine and Translational Research Bali Dental Journal Lux Mensana: Journal of Scientific Health Public Health and Preventive Medicine Archive Jurnal Ilmu Kesehatan Masyarakat Seminar Ilmiah Nasional Teknologi, Sains, dan Sosial Humaniora (SINTESA) Physical Therapy Journal of Indonesia
I Made Ady Wirawan
Departemen Kesehatan Masyarakat Dan Kedokteran Pencegahan, Fakultas Kedokteran Universitas Udayana
Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Computer Science & IT Dentistry Earth & Planetary Sciences Education Environmental Science Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences

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Level of knowledge and workload are associated with nurse’s adherence in implementing fall prevention procedures at Tabanan District Hospital, Bali Sulawa, I Ketut; Wirawan, Made Ady; Putri, Wayan Citra Wulan Sucipta
Public Health and Preventive Medicine Archive Vol. 9 No. 1 (2021)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (552.891 KB) | DOI: 10.53638/phpma.2021.v9.i1.p11

Abstract

Background and purpose:Fall prevention is an essential part of patient safety system. At Tabanan District Hospital (BRSUD Tabanan), incidence of falling among patients is still happening. This study aims to determine the relationship between level of knowledge and workload of nurses with compliance in implementing standard operational procedures (SOP) to prevent the risk of falling in the inpatient rooms at Tabanan District Hospital. Methods: This study was a cross-sectional survey. The sample size was 75 nurses in the inpatient room at BRSUD Tabanan. Data collection was carried out in the period of December 2, 2019 - January 2, 2020 which included 1). direct interviews to obtain data on characteristics, the level of knowledge and workload of nurses, 2). observations of nurses’ adherence in the implementation of standard operational procedures to prevent the risk of falling patients. Data analysis was performed by univariate, bivariate with chi-square test and multivariate analysis with logistic regression. Results: Most of the respondents were ≤40 years old (86.7%), female (72%), length of working ≤10 years (81.4%), education level of bachelor in nursing (65.4%). Two third of the respondents have a good level of knowledge (66.7%), with medium workload (26.7%) and heavy workload (73.3%). Most of the respondents (70.7%) adhere to the implementation of standard operating procedures to prevent the risk of falling patients. Variables associated with the compliance to SOP are age (AOR=5.35; 95%CI: 1.230-23.259; p=0.025), level of knowledge (AOR=6.409; 95%CI: 1.720-23.873; p=0.006), and workload (AOR=0.076; 95%CI: 0.17-0.339; p=0.001), where the workload variable has a negative relationship with nurse compliance (AOR<1). Conclusion: The conclusion of this study is that there is a relationship between the level of knowledge and workload on nurses’ compliance in implementing standard operational procedures to prevent the risk of falling patients
The relationship of sociodemographic and clinical characteristics with the length of stay of COVID-19 patients at Dr. R. Soedjono Hospital, Selong, East Lombok Junaedi , Muhammad; Wirawan, I Made Ady; Adhi, Kadek Tresna
Public Health and Preventive Medicine Archive Vol. 10 No. 1 (2022)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2022.v10.i1.p10

Abstract

Background and purpose: By December 2020, 678 confirmed cases of COVID-19 were recorded in East Lombok District, and more are anticipated. The capacity of the available healthcare institutions is now impacted by the inclusion of these cases. In this study, the duration of stay of COVID-19 patients at Dr. R. Soedjono Hospital in Selong, East Lombok will be described, as well as the association between sociodemographic and clinical factors with length of stay. Methods: This is an observational study with a cross-sectional design using medical records of 409 patients who were confirmed positive for COVID-19 then treated in April-December 2020 and declared cured after completed the treatment period. The data collected included the date of admission and discharge of patients, age, gender, marital status, education, occupation, history of comorbidities and laboratory test results. Data analysis was performed using multiple logistic regression. Results: The average length of stay for COVID-19 patients at Dr. R. Soedjono Hospital Selong, East Lombok was 16 days (SD±7,366) and the median was 14 days (IQR=7). Multivariate analysis shows factors for patients being treated for longer time (the average length of stay ≥17 days) were male (AOR=1.87; 95%CI: 1.21-2.86) and low education level (AOR=1.91; 95%CI: 1.19-3.06). Conclusion: The average length of stay of COVID-19 patients in this hospital was quite long at 16 days. Male COVID-19 patients and those with low education have higher likelihood to stay longer in hospital. The hospital should consider this information to improve hospital planning for COVID-19 patients
Associations between knowledge, beliefs, and self-efficacy with COVID-19 preventive behavior in Denpasar, Bali Province Rosita, Ni Putu Indah; Wirawan, I Made Ady; Kadek Tresna Adhi
Public Health and Preventive Medicine Archive Vol. 11 No. 1 (2023)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2023.v11.i1.p08

Abstract

Background and purpose: Positive cases of COVID-19 in Bali have been growing rapidly during the pandemic. Denpasar City has contributed almost one-third of all cases with a high incidence of local transmission. Preventive action is pivotal to halt transmission; thus, this study aims to determine the association between knowledge, belief, and self-efficacy with COVID-19 preventive behavior in the Denpasar, Bali Province community. Methods: This cross-sectional study was conducted in Denpasar City, Bali. The study involved 1040 respondents with an age range of 18-59 years. Data collected include sociodemographic characteristics, knowledge and perception on COVID-19 and preventive behaviour. Online questionnaires in Google form format were distributed via WhatsApp groups from February to March 2021. Data obtained were analyzed using the Chi-Square test followed by Logistic Regression. Results: The respondents' mean (SD) age was 35 years (4.98), and 52.7% were male. The education level was considered high, with the majority finishing Senior High School/College (99.2%), and most were working or holding a job (94.4%). Factors that were significantly associated with COVID-19 prevention behavior in Denpasar City were knowledge about COVID-19 (AOR=2.43; 95%CI: 1.70-3.48), a belief in susceptibility to COVID-19 (AOR=4.03; 95%CI: 2.34-6.94), a belief in the seriousness of the disease (AOR=2.91; 95%CI: 1.84-4.60), a belief in the benefits of prevention (AOR=8.38; 95%CI: 4.37–16.06), and self-efficacy (AOR=2.10; 95%CI: 1.45-3.05). Conclusion: Knowledge, belief, and self-efficacy are associated with COVID-19 preventive behavior in the community of Denpasar City. Awareness campaign is important to ensure adequate knowledge level attained especially for such a new emerging disease.
Epidemiological, Clinical, And Occupational Characteristics of Migrant Workers Confirmed with COVID-19 At Udayana University Hospital Paramita, Ni Putu Pradnya; Wirawan, I Made Ady; Purnamasidhi, Cokorda Agung Wahyu; Florensia, Maria; Akatsu, Haruko
Indonesian Journal of Tropical and Infectious Disease Vol. 12 No. 2 (2024)
Publisher : Institute of Topical Disease Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijtid.v12i2.44596

Abstract

The coronavirus disease 2019 (COVID-19) pandemic has prompted Indonesian expatriates to return home. Travel history, including migrant repatriation, was thought to spread COVID-19. These factors increased COVID-19 transmission. This study examined the epidemiological, clinical, and occupational characteristics of migrant workers with COVID-19 at Udayana University Hospital. This descriptive study utilized a cross-sectional methodology. The research samples consisted of 97 migrant workers diagnosed with COVID-19 who had been treated at Udayana University Hospital between March to August of 2020, using the total sampling technique. The median age (IQR) of migrant workers is 30, and 84.53% are male. Before returning to Indonesia, many worked and visited the US (20.6%). 87.63% of respondents worked in hospitality sector, and mostly worked in 8–12-hour shifts. All respondents have insurance; most employers are provided with PPE and information regarding COVID-19 prevention. At the airport, COVID-19 screening revealed fever (70.6%) and cough (76.3%) as the most common symptoms. A 94.8% of migrant workers had no comorbidities, and 87.6% had normal chest X-rays. From this research, we discovered that amongst migrant workers, positive-COVID-19 results were mostly found in young, mobile men. Most of them worked for 8–12 hours per day, and majority worked in hospitality sector. Almost all of them did not have any comorbidities and the most common symptoms found were fever and cough. The findings suggest that male workers in their productive age with high mobility and working in the hospitality sector are at higher risk of infection. 
Occupational and Return-To-Work Characteristics of Covid-19 Patients After Treated in Udayana University Hospital Karya, I Kadek Jony Dwi; Wirawan, I Made Ady; Purnamasidhi, Cokorda Agung Wahyu; Florensia, Maria; Akatsu, Haruko
Indonesian Journal of Tropical and Infectious Disease Vol. 12 No. 1 (2024)
Publisher : Institute of Topical Disease Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijtid.v12i1.45414

Abstract

Corona virus disease 2019 (COVID-19) is a new disease caused by severe acute respiratory syndrome corona virus 2 (SARS-COV-2). The COVID-19's symptoms are fatigue, muscle pain, and psychological disorders. The purpose of this study was to describe the occupational characteristics and health conditions of COVID-19 patients who had recovered after being treated at Udayana University Hospital. This study is a descriptive study with a quantitative method and cross-sectional design. The research samples were 110 COVID-19 patients treated at Udayana University Hospital from June to August 2020 and taken using random sampling. The results showed that the highest proportion of respondents were aged between 24-44 years (44.5%), with almost equal proportions of women (50.1%) and men (49.09%). Most of them lived in Denpasar (46.36%). Most respondents work as private sector employees (24.55%), and 70% of them were using personal protective equipment (PPE) while working. Most respondents needed less than seven days to return to work after being declared "in recovery state” (60%), with the remaining 55.5% having a decreased work duration to be less than 8 hours per day. The proportion of respondents with comorbidities was 30.91%. As many as 27.27% were experiencing previously similar symptoms (fever, fatigue, cough) 4 to 5 months after being declared "cured.” COVID-19 patients who have recovered should be monitored for a longer period of time to evaluate the symptom reoccurrence and its impact on their occupational and health conditions.
The correlation between generalized joint hypermobility and musculoskeletal disorders in female dancers Nadila Sari, Putri; Saraswati, Ni Luh Putu Gita Karunia; Winaya, I Made Niko; Wirawan, I Made Ady
Physical Therapy Journal of Indonesia Vol. 5 No. 2 (2024): July-December 2024
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v5i2.208

Abstract

Background: Bali is a popular tourist destination because of its unique culture. One of its unique features is the Balinese dance, which is used to welcome guests, perform arts, and perform religious ceremonies. Many Balinese dancers experience generalized joint hypermobility (GJH) without realizing it, which may have a negative impact on them, especially if they have a problem of musculoskeletal pain. Methods: This research used an analytical observational design of a cross-sectional study. This study employed the sampling technique of purposive technique with a total sampling method. The inclusion criteria for this study were traditional Balinese dancers living in Denpasar city, female, aged 14-20, and having dancing experience more than 1 year. Exclusion criteria were subjects after surgery for fractures or other musculoskeletal injuries in the upper or lower extremities, subjects with signs of acute inflammation in the joints, and those unwilling to be research subjects. The number of samples was calculated using the lame show formula, and 85 samples were obtained. Data was collected by measuring GJH and musculoskeletal disorders using the Nordic body map questionnaire. Results: Based on the bivariate analysis test with Spearman's rho, p-value = 0.000 (p < 0.05) was obtained for the two independent variables with a correlation coefficient of r = 0.797. Conclusion: Based on the research results, it can be concluded that there is a relationship between GJH and MSDs in the Balinese dancer population in Denpasar City.
Implementation of clinical nursing supervision with the proctor and reflective models: literature review Prihandhani, I Gusti Agung Ayu Sherlyna; Wulanyani, Ni Made Swasti; Wirawan, I Made Ady
International Journal of Public Health Science (IJPHS) Vol 13, No 3: September 2024
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v13i3.23663

Abstract

Nursing supervision can impact nurses' ability to generate, direct, and maintain behaviors relevant to nurses’ work environment. However, the fact is that oversight has not been implemented optimally. The following are the sample inclusion criteria in this research article: i) Research articles published between 2018 and 2023. ii) The article's research design is experimental or publication. iii) Research studies examine how the process of establishing vision supervision is carried out. iv) The research article is about clinical nurse supervision. A systematic review was performed in this study to assess 12 journals that were studied and included in the inclusion criteria. The findings of this investigation were achieved. The framework and clinical supervisor’s perceptions are divided into three themes: organizing learning, supporting tool for understanding what nursing care is, and developing own supervision practice. Supervisors view the fundamentals of care framework favorably and utilize it to structure and stimulate students' contemplation on what nursing is and demands.
A systematic review of multi-level intervention to enhance the quality of life patient with human immunodeficiency virus Yuntari, Gusti Ayu Krisma; Ady Wirawan, I Made; Sri Budayanti, Ni Nyoman; Arimbawa, Putu Eka
International Journal of Public Health Science (IJPHS) Vol 13, No 4: December 2024
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v13i4.23936

Abstract

Human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) are still challenges worldwide. Improvement in quality of life (QoL) is crucial for HIV-infected people. The QoL of HIV-infected patients has been improved by the use of multilevel interventions in various circumstances. This study evaluates the evidence for interventions that target the quality of life of persons with HIV. A systematic review was performed according to the PRISMA guidelines. Science Direct, the Cochrane Library database, and Pubmed were also searched. Three independent reviewers extracted the data. Searches were conducted for articles published from 2013 to 2023. Searching procedures and data abstraction techniques were standardized. The 27 research examined the effects of interventions on HIVinfected people's quality of life. China is the most frequently mentioned country in the 27 studies, appearing as the setting in 8 (29.6%). Following South Africa (14.8%), New York (11.11%) and Kenya (7.4%) were the next most often mentioned countries. For analysis purposes, the interventions used in the 27 reviewed studies were classified into three main categories: individual intervention, family-community intervention, and health service intervention. Significant intervention innovations in quality-of-life research combining several interventions, including individual, family, community, and health system intervention, show the most promising results
EFFECTIVENESS OF HYPNOTHERAPY IN INSOMNIA PATIENTS: SYSTEMATIC LITERATURE REVIEW Ariana, Putu Agus; I Made Ady Wirawan; Dyah Pradnyaparamita Duarsa; Cokorda Bagus Jaya Lesmana
Lux Mensana: Journal of Scientific Health Vol. 1 Issue 2 (2022)
Publisher : jfpublisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (476.776 KB)

Abstract

Introduction. Insomnia is a sleep disorder that is often a complaint in the elderly which ischaracterized by difficulty sleeping and maintaining sleep. There are various recommendedtherapies for the management of insomnia. One of the therapies used was hypnotherapywhich aimed to find out, compare and analyze hypnotherapy as an intervention inInsomnia. Method. This study used a systematic review design, following guidelinesdescribed by the Preferred Reporting Items for Systematic Review and Meta-Analysis(PRISMA). The library source search was conducted online using the Google Scholar,Pubmed, and Science Direct databases. The keywords used are "effectivity","hypnotherapy", "insomnia". The literature search was limited to 2013 to 2021. 7 articleswere analyzed. The articles were selected using the inclusion criteria, namely full textarticles. Results&Analysis. Insomnia is still a health problem in the elderly. Variousattempts have been made to reduce the incidence of insomnia. Hypnotherapy can beapplied to therapeutic. Hypnotherapy provides benefits to reduce insomnia. Hypnotherapyin audio form can increase relaxation thereby reducing insomnia in the elderly.Discussion. Interventions carried out using hypnotherapy have potential in today's digitalera. Further research is needed to identify, develop and analyze a hypnosis-based insomniacontrol model on the index of insomnia, anxiety and sleep quality in the elderly. Inaddition, further research on the mechanism of cognitive therapy that plays a role in thecontrol model.
Integrasi Kesehatan Berbasis Partisipasi Masyarakat dalam Pengelolaan Desa Wisata untuk Mendukung Keberlanjutan dan Kesejahteraan Lokal Astawastini, I Dewa Ayu Mas Manik; Wirawan, I Made Ady; Jawi, I Made
Seminar Ilmiah Nasional Teknologi, Sains, dan Sosial Humaniora (SINTESA) Vol. 7 (2025): PROSIDING SINTESA
Publisher : LPPM Universitas Dhyana Pura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36002/snts.v7i.3553

Abstract

Desa wisata berbasis partisipasi masyarakat menawarkan potensi besar dalam mengintegrasikan aspek kesehatan melalui pelibatan aktif komunitas lokal. Integrasi ini penting untuk mengatasi tantangan kesehatan yang sering muncul di destinasi wisata, seperti sanitasi buruk, penyebaran penyakit, dan dampak kesehatan mental akibat interaksi intens antara wisatawan dan penduduk lokal. Namun, penelitian tentang integrasi kesehatan dalam pengelolaan desa wisata masih terbatas, terutama dalam konteks Indonesia. Penelitian ini merupakan tinjauan sistematis yang dilakukan berdasarkan pedoman PRISMA untuk mengevaluasi literatur yang relevan. Artikel yang memenuhi kriteria inklusi adalah studi observasional dan intervensi yang membahas integrasi kesehatan dalam desa wisata berbasis partisipasi masyarakat, diterbitkan dalam 10 tahun terakhir. Pencarian dilakukan di basis data elektronik, seperti PubMed, Scopus, dan Google Scholar, menggunakan kata kunci seperti "community-based tourism," "health integration," dan "CHSE implementation." Sebanyak 19 studi dianalisis, terdiri dari 10 studi observasional dan 9 studi intervensi berbasis community trial. Studi observasional menunjukkan hubungan positif antara wellness tourism dengan peningkatan kesehatan psikologis, fisik, dan sosial wisatawan. Studi intervensi menyoroti keberhasilan penggunaan teknologi, seperti sistem cloud dan platform digital, dalam meningkatkan efisiensi layanan kesehatan di komunitas rural. Partisipasi aktif masyarakat lokal terbukti meningkatkan kesadaran kesehatan dan keberlanjutan desa wisata. Integrasi kesehatan dalam desa wisata berbasis partisipasi masyarakat berkontribusi pada peningkatan kesejahteraan wisatawan dan komunitas lokal. Pendekatan berbasis kolaborasi, pelestarian budaya lokal, dan inovasi teknologi menjadi kunci keberhasilan. Penelitian lebih lanjut diperlukan untuk mengevaluasi dampak jangka panjang dan potensi replikasi di berbagai konteks lokal.
Co-Authors Akatsu, Haruko Ariana, Putu Agus Aryanita, Made Ayu Ratih Astawastini, I Dewa Ayu Mas Manik Bagus Komang Satriyasa Carolyna Mairing Cokorda Agung Wahyu Purnamasidhi Cokorda Bagus Jaya Lesmana Cokorda Bagus Jaya Lesmana, Cokorda Bagus Jaya Desak Nyoman Widyanthini Desak Putu Yulita Kurniati Deswandri Deswandri Dewa Nyoman Wirawan Dewa Nyoman Wirawan, Dewa Nyoman Dinar Lubis Dyah Pradnyaparmita Duarsa Egiya Goldarosa Sinuraya Erawati, Ni Kadek Erna Ervan Suryanti Umbu Lapu Fabiola Supit Florensia, Maria Frangklin Refelino Jotlely Futi Nurul Destya Ganesa Puput Dinda Kurniawan Gede Parta Kinandana Gunawan, I Made Abdi HARI MULYAWAN I Dewa Ayu Inten Dwi Primayanti I Gusti Agung Dyah Ambarawati I Gusti Ayu Made Julari I Gusti Ayu Made Juliari I Kadek Pendi Aprinta I Ketut Indra Wiguna Cakera I Ketut Suyasa I Komang Widarma Atmaja I Made Artana I Made Bakta I Made Jawi I Made Kerta Duana I Made Krisna Dinata I MADE MULIARTA . I Made Niko Winaya I Made Pande Dwipayana I Made Sukawinaca I Nyoman Mangku Karmaya I Wayan Putu Sutirta Yasa I Wayan Weta Ida Ayu Ary Pramita Ida Bagus Subanada Ida Bagus Yorky Brahmantya IKW. Suryawan Indra Wiguna Cakera, I Ketut IP. Adiartha Griadi Isabella Soerjanto Putri Istiana Marfianti J. A. Pangkahila Josua Aditya Manuel Kadek Dena Ayu Ersafira Kadek Tresna Adhi Karya, I Kadek Jony Dwi Ketut Ariawati Ketut Suarjana Komang Ayu Kartika Sari Lesmana, Cokorda Agung Bagus Jaya LMIS. Handari Adiputra Louise Cinthia Hutomo Luh Pitriyanti Luh Pitriyanti Luh Yulia Adiningsih Luh Yulia Adiningsih Made Agus Hendrayana MADE RATNA SARASWATI . Malcolm Abernethy Marfianti, Istiana Mia Ayustina Prasetya Nadila Sari, Putri Ngurah Agus Sanjaya ER Ni Kadek Dian Candra Dewi Ni Kadek Erna Erawati Ni Kadek Sutini Ni Ketut Sri Lestari Ni Luh Made Susanthi Pramandani Ni Luh Putu Mira Anggriani Ni Luh Putu Nurhaeni Ni Made Dian Kurniasari Ni Made Sri Nopiyani Ni Made Suasti Wulanyani Ni Nyoman Sri Budayanti Ni Putu Ita Mahayati Ni Wayan Mega Sri Wahyuni Ni Wayan Septarini Nijyoti, Nitya Nitya Nijyoti Nurhaeni, Ni Luh Putu Pande Putu Januraga Paramita, Ni Putu Pradnya Peter Larsen Prihandhani, I Gusti Agung Ayu Sherlyna Purnamawati, Susy Putu Astawa Putu Ayu Indrayathi Putu Ayu Sani Utami Putu Eka Arimbawa Putu Ika Anggaraeni Putu Imas Audina Putu Intan Tillama Putu Lestari Sudirman Putu Ratna Kusumadewi Giri Putu Rima Adilitha Widyasari Putu Wulan Putri Amerta R. A.T. Kuswardhani Rania Ayu Permata Putri Kornia Rodney Wu Rosita, Ni Putu Indah Santosa, I Gusti Ngurah Putra Eka Sarah Aldington Saraswati, Ni Luh Putu Gita Karunia Sari, Komang Ayu Kartika Sawitri, Anak Agung Sagung Sugijanto - Sukawinaca, I Made Sulawa, I Ketut Sulyastini, Ni Komang Susy Purnawati Tiara Alexander Wahyuddin, Wahyuddin Wahyudin - Wahyuni, Ni Wayan Mega Sri Wayan Citra Wulan Sucipta Putri Widowati, I Gusti Ayu Rai - Yenny Kandarini Yuntari, Gusti Ayu Krisma