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Attitude of Nurses Related to The Implementation of Patient Safety in The Intensive Care Unit Hanik Endang Nihayati; Gunawan Gunawan; Erna Dwi Dwi Wahyuni; Sena Wahyu Purwanza; Hidayat Arifin
Jurnal Ners Vol. 14 No. 3 (2019): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (263.675 KB) | DOI: 10.20473/jn.v14i3.17313

Abstract

Introduction: The error events in the Intensive Care Unit (ICU) were caused by nurses focusing more towards collaborative intervention with other medical staff and workload documentation which was not optimal. The purpose of this study was to determine the predisposing factors related to the implementation of patient safety in the ICU.Methods: This study was a descriptive analytic correlational study. Sample size was determined by purposive sampling and obtained 26 nurses. The independent variables were the predisposing factors and the dependent variable was the implementation of patient safety.  Instruments used were a questionnaire and observation sheet. Analysis was performed using Spearman's Rho and Logistic Regression.Results: Spearman’s Rho showed there was a significant correlation between knowledge (p=0.019) and attitude (p=0.040) towards implementation of patient safety. There was no significant of motivation (p=0.073) towards the implementation of patient safety. Logistic Regression showed the dominant factor in implementation of patient safety was attitude.Conclusion: Predisposing factors, that include knowledge and attitude, had a significant effect on the implementation of patient safety, but still required high motivation in the implementation of patient safety. In addition to knowledge and good attitude, nurses are expected to improve motivation in the implementation of patient safety.
Analysis of Implementation of Perioperative Care Instrument Based on Standards of Nursing Diagnosis, Intervention and Outcomes in Indonesia Haris Widodo; Nursalam Nursalam; Erna Dwi Wahyuni
Jurnal Ners Vol. 15 No. 1Sp (2020): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v15i1Sp.18911

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Introduction: Perioperative nursing care has been widely applied in either various hospitals or other healthcare facilities. The purpose of this study was to analyze the implementation of a perioperative care instrument based on the Indonesian Nursing Diagnosis Standards (SDKI, the Indonesian Nursing Intervention Standards (SIKI), and the Indonesian Nursing Outcome Standards (SLKI) in the operating room in a Teaching hospital, East Java.Methods: This research design was a descriptive study. The study population was the perioperative nursing care instrument in the medical records of patients with fracture cases. The research sample consisted of 106 medical records with total sampling. The dependent variable of this study was the implementation of the perioperative nursing care instrument based on SDKI, SLKI, and SIKI. Data were collected using observation sheets and analyzed using descriptive analysis.Results: Applying the diagnosis of nursing care according to the standard the risk of infection is (27.36%), acute pain (20.75%), and the risk of injury (2.83%). The application of nursing outcomes according to standards is the infection rate (27.36%), pain level (20.75%) and fluid balance (2.83%).Conclusion: The nursing interventions, implementation, and evaluation of nursing are not according to the Indonesian Nursing Intervention standards (SIKI). The application of perioperative nursing care instruments, which includes titles, diagnoses, and outcomes, is partly following SDKI and SLKI standards. Nursing interventions, implementation, and evaluation of nursing are not according to standards.
The Effects from Physical Exercise on the Blood Glucose Levels, HbA1c and Quality of Life of Type 2 Diabetes Mellitus Patients: A Systematic Review Novita Fajriyah; I Ketut Sudiana; Erna Dwi Wahyuni
Jurnal Ners Vol. 15 No. 1Sp (2020): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v15i1Sp.20517

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Introduction: The present study aimed to analyze the effects of aerobic exercise, resistance and a combination of both on blood glucose levels, HbA1c and quality of life for patients with T2DM.Methods: This systematic review used PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis). Scopus, Science Direct and PubMed online databases were extensively searched, focusing on the last five years. The search utilized the phrases "diabetes," "physical exercise,” "glucose" and "quality of life." The inclusion criteria in the study regarding the literature was that it had to be an original article, that the source was a journal, that the article was in English and that it was available in full text.Results: We identified 1017 articles where 17 were considered to be relevant for this systematic review. The combination of resistance and aerobic physical exercise seems to have a greater impact on glucose, HbA1c and quality of life. Aerobic exercise, resistance exercise and a combination of both have benefits when it comes to reducing blood glucose levels and HbA1c, as well as improving the quality of life of patients with T2DM.Conclussion: The type and intensity of the exercise chosen for the management of T2DM must be adjusted to the clinical condition and the patient’s individual physical fitness
Pengaruh Pendidikan Kesehatan Explicit Instruction Terhadap Perubahan Perilaku Penanganan Cedera Di Komunitas Breakdance Lucy Kartika Dewi; Erna Dwi Wahyuni; Deni Yasmara
Jurnal Keperawatan Muhammadiyah Vol 3, No 2 (2018): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (761.769 KB) | DOI: 10.30651/jkm.v3i2.1801

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Background: Injury isa condition causes the body getting damage by physical pressure or chemical.The breakdance community members need to know the ability of the first injury handling. Objective: The purpose of this study is to analyze the influence of health education with explicit instruction method towards the injury handling behavior in Surabaya breakdance community.Methods: This study used quasy experimental design with pre-test and post-test in two groups. It comprised 13 treatment group and 13 control group respondents. This study used purposive sampling. The data were analyzed by Wilcoxon Signed Rank Test, Mann Whitney Test and Chi Square Test significance p<0,05. Results: The Wilcoxon Signed Rank Test result of the treatment group respondents showed knowledge (p = 0.001) and action (p = 0.001). The control group respondents showed the knowledge(p= 0.102) and action (p = 1,000). The Mann Whitney Test result between the treatment and control group were obtained knowledge(p = 0.000) and action (p = 0.000). For the Chi Square Testgot the attitude (p=0.047).Conclusion: This research shows the health education with explicit instruction method influences the breakdance community member’s behavior in injury handling. It suggests for further research to undertake the health education by using other methods.
The Difference in Effectiveness of Giving Aromacare Bergamot (Citrus Bergamia) by Inhalation Method and Soaking Feet Method to Comfort Dwi Ferafurisca Desi; Eka Misbahatul Mar'ah Has; Erna Dwi Wahyuni
Indonesian Journal of Community Health Nursing Vol. 5 No. 2 (2020): AGUSTUS 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijchn.v5i2.12378

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Pendahuluan: Penyakit degeneratif yang umum diderita lansia salah satunya adalah hipertensi. Salah satu terapi non farmakologi yang dapat diberikan pada pasien hipertensi adalah teknik relaksasi, diantaranya yaitu aromacare bergamot dengan metode inhalasi dan rendam kaki. Penelitian ini bertujuan untuk mengetahui perbedaan efektifitas pemberian aromacare bergamot melalui inhalasi dan rendam kaki terhadap peningkatan kenyamanan.Metode: Desain Quasi eksperimen dengan rancangan 3 kelompok pretest posttest, teknik pengambilan sampel purposive sampling. Sampel 75 Lansia pembagian kelompok kontrol dan perlakuan masing-masing 25 responden dengan cara dikelompokan berdasarkan pengunaan obat hipertensi dan tekanan darah. Variabel independen aromacare bergamot dengan metode inhalasi dan rendam kaki. Variabel dependen kenyamanan. Intrumen General Comfort Questionnaire dan SOP aromacare bergamot metode inhalasi dan rendam kaki. Analisa data Wilcoxan signed ranks test dan Kruskal Wallis untuk uji kenyamanan.Hasil: Perbandingan tingkat kenyamanan rata-rata tiga kelompok dianalisis dengan uji kruskal wallis didapatkan data perbedaan rata-rata pada pre test 1 dan post tes 4 pada kelompok inhalasi meningkat rata-rata 44,20, kelompok rendam meningkat rata-rata 41,54 dan kelompok kontrol meningkat rata-rata 28,26 dengan nilai p value ≤ 0,05. Hasil penelitian menunjukan ada perbedaan signifikan tingkat kenyamanan.Kesimpulan: Aromacare bergamot dengan metode inhalasi memberikan dampak yang baik terhadap peningkatan kenyamanan, pada klien hipertensi direkomendasikan untuk diberikan edukasi tentang cara meningkatkan kenyamanan dengan pemberian aromacare dengan inhalasi.
Maternal Healthcare Utilization among Mothers Aged 15-24 Years in Indonesia: a Literature Review Mabda Novalia Istafa; Ferry Efendi; Erna Dwi Wahyuni
Indonesian Journal of Community Health Nursing Vol. 6 No. 1 (2021): FEBRUARY 2021
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijchn.v6i1.17754

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Introduction: The use of health care services in mothers was a very important concern in developing countries because it was very beneficial in terms of declining maternal mortality rate, but the use of maternal health services in mothers aged 15-24 years In Indonesia was still not maximized. The purpose of this review was to analyze best practices in the use of maternal health services in mothers aged 15-24 years.Method: The systematic review of this search was done by the publication range was five years ago. Article criteria were articles reviewed by Bestari Partners, government documents and research locations in developing countries. Acquired 10 references that meet predefined criteria.Results: The analysis obtained was the use of maternal health services in mothers aged 15-24 years needs to be increased by looking at the factors that influence among them were seeing from the socio-demography of mothers and husbands, household factors, access to health services and regional factors.Conclusion: These recommendations are aimed at governments, health professionals and families that efforts to increase not only can be done by a single community line, but the whole must also be able to cooperate by the role in the efforts to increase the use of Health care services.
KARAKTERITIK PASIEN TERKAIT KECEMASAN DALAM MENJALANI PROSEDUR KOLONOSKOPI : Patient Characteristics Related to Anxiety in Undergoing Colonoscopy Procedure Ratri Ismiwiranti; Nursalam Nursalam; Erna Dwi Wahyuni
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 6 No. 1 (2020): JIKep | Maret 2020
Publisher : LPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (211.342 KB) | DOI: 10.33023/jikep.v6i1.443

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ABSTRAK Pendahuluan: Pasien yang menjalani prosedur kolonoskopi seringkali mengalami kecemasan. Perawat perlu mengetahui penyebab dan memberikan intervensi secara khusus untuk meningkatkan keberhasilan tindakan. Tujuan penelitian ini adalah mendeskripsikan karakteristik pasien yang menjalani kolonoskopi terkait kecemasan yang dirasakan. Metode: Desain penelitian ini adalah deskriptif kualitatif dengan pendekatan studi kasus. Lokasi penelitian di Unit Endoskopi RSUD dr Abdoer Rahem Situbondo dan RSD dr. Koesnadi Bondowoso, Jawa Timur. Rekruitmen partisipan dilakukan dengan purposive sampling sampai mencapai saturasi. Responden dalam penelitian ini berjumlah 9 partisipan. Wawancara mendalam dilakukan dengan menggunakan pedoman wawancara semi-struktur dan dilakukan perekaman. Analisis data secara deskriptif. Hasil: karakteritik 9 pasien yang menjalani kolonoskopi dapat dilihat dari usia, jenis kelamin, pekerjaan, indikasi, diagnosa awal, frekuensi dan kesiapannya. Hanya 3 orang pasien yang menyatakan siap dan mampu mengontrol kecemasan yang dirasakan. Karakteristik pasien tidak terkait secara langsung dengan kecemasan yang dirasakan. Diskusi: Kecemasan yang dirasakan oleh pasien tidak hanya terkait karakteritik pasien melainkan lebih dipengaruhi faktor psikologis, persepsi, dan harapan pasien terhadap tindakan kolonskopi, oleh karena itu perlu diberikan intervensi khusus untuk mengontrol kecemasan yang dialami sehingga tujuan pemeriksaan dapat tercapai dengan optimal. Kata kunci: Kecemasan, Kolonoskopi, Penelitian Kualitatif ABSTRACT Introduction: Patients undergoing colonoscopy procedures often experience anxiety. Nurses need to know the cause and give intervention specifically to improve the success of the action. The purpose of this research is to describe the characteristics of patients undergoing the perceived anxiety-related colonoscopy. Methods: The design of this research is a qualitative descriptive with a case study approach. Location of research in endoscopy Unit of RSUD Dr Abdoer Rahem Situbondo and RSD Dr. Koesnadi Bondowoso, East Java. Participants' recruitments are carried out purposive sampling until they reach saturation. Respondents in this study amounted to 9 participants. In-depth interviews were conducted using semi-structural interviews and performed recordings. Descriptive data analysis. Result: Characterizing 9 patients undergoing colonoscopy can be seen from age, gender, occupation, indications, preliminary diagnosis, frequency and readiness. Only 3 patients are said to be ready and able to control the perceived anxiety. Characteristics of patients not directly related to the perceived anxiety. Discussion: The anxiety felt by the patient not only related to the charactertic of the patient but rather more influenced by the psychological factors, perception, and patient's expectation of colonscopic action, therefore it is necessary to give special intervention to control The purpose of the examination can be achieved optimally. Keywords: Anxiety, colonoscopy, qualitative research
THE RELATIONSHIP BETWEEN POSITIVE THINKING AND SELF ACCEPTANCE ON ELDERLY IN THE NURSING HOMES: A LITERATURE REVIEW Retno Indarwati; Neisya Pratiwindya Sudarsiwi; Erna Dwi Wahyuni
Nurse and Health: Jurnal Keperawatan Vol 10 No 2 (2021): Nurse and Health: Jurnal Keperawatan July-December 2021
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v10i2.257

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Background: Low elderly self-acceptance in nursing homes affects their quality of life. Elderly difficult to adapting so they feel stressed, lose of control of lives, lose identity. Positive thinking is a form of adaption that can be done by the elderly to have good self acceptance to live in nursong homes. Objective: To know the relationship betwen positive thinking and self-acceptance elderly in nursing homes. Design: A Whittemore and Khanfl’s integrative review was used in this review. Data Sources: This systematic review searched 4 electronic database Scopus, Proquest, Pubmed, Science Direct that published in 2015-2020. Review Methods: Key terms and phrases that utilized were positive thinking OR optimism, self acceptance, elderly OR aged, nursing homes OR orphanage. The JBI Guideline used to asses the quality of each study. Data tabulation and narrative analysis were performed. Results: A total of 11 papers were included in this review. The included studies were divided into three-part, positive thinking in the elderly (n=4), self-acceptance (n=3) and both (n=4). The average number of samples used in each study was 35 people. Conclusion: Positive thinking related to self-acceptance of the elderly in nursing homes. Elders who think positively have a positive mind about themselves, acknowledge and accept various aspects including the good and bad and look at life positively, so they get life satisfaction. The elderly more often feels happiness, enthusiasm to support life, actively appreciate the environment. Good quality of life will increase welfare.
PEMBERDAYAAN MASYARAKAT (GURU DAN ORANG TUA) TANGGAP BAHAYA TERSEDAK DI KB-TK KHADIJAH SURABAYA: Community Empowerment (Teachers and Parents) to Respond Choking Hazard in KB-TK Khadijah Surabaya Erna Dwi Wahyuni; Deni Yasmara; Sriyono Sriyono; Yulis Setiya Dewi; Ninuk Dian Kurniawati; Nadia Rohmatul Laili; Hakim Zulkarnain; Arina Qona’ah
Jurnal Pengabdian Masyarakat Kesehatan Vol. 5 No. 1 (2019): JPM | Maret 2019
Publisher : LPPM - STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (375.401 KB) | DOI: 10.33023/jpm.v5i1.235

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Pendahuluan: Tersedak merupakan kondisi kegawatan pernapasan yang harus cepat ditangani. Bayi dan anak – anak adalah kelompok umur yang paling berpotensi untuk mengalami tersedak disebabkan oleh tidak dikunyahnya makanan dengan sempurna, makan terlalu banyak pada satu waktu dan memasukkan benda-benda padat kecil ke dalam mulut.Tujuan:Melakukan pemberdayaan masyarakat dalam hal ini guru, care giver/bunda KB (kelompok bermain) dan orang tua siswa KB-TK Khadijah Surabaya dalam penanganan kasus tersedak pada anak dan bayi. Metode:Metode yang digunakan dalam pengabdian masyarakat ini adalah ceramah, diskusi, simulasi/demonstrasi oleh fasilitator yang kemudian dilanjutkan dengan redemonstrasi oleh peserta/audience sebagai evaluasi.Hasil:Setelah dilakukan pengabdian kepada masyarakat terdapat peningkatan kemampuan peserta yang ditunjukkan oleh peningkatan pengetahuan dan efikasi diri sebelum dan sesudah kegiatan pengabdian masyarakat. Para guru dan orang tua juga dapat melakukan redemonstrasi secara benar setelah dilakukan pengabdian masyarakat ini. Diskusi:Pengetahuan terjadi setelah orang melakukan penginderaan terhadap suatu objek tertentu. Metode simulasi/demonstrasi mempermudah guru dan orang tua untuk mengetahui cara penanganan tersedak melalui indera mata dan telinga, sehingga mudah untuk dipahami. Pengetahuan kognitif merupakan domain yang sangat penting dalam membentuk tindakan seseorang.Simpulan:Pengabdian masyarakat melalui pemberdayaan masyarakat dapat meningkatkan pengetahuan dan efikasi diri terhadap penanganan kasus tersedak pada anak dan bayi. Kata kunci :tersedak, pemberdayaan masyarakat, pengetahuan, efikasi diri
PENINGKATAN KEMAMPUAN MELAKUKAN PERTOLONGAN PERTAMA PADA KECELAKAAN SISWA SMU DI SEKOLAH MENENGAH UMUM MELALUI METODE SIMULASI DAN ROLE PLAY Ninuk Dian Kurniawati; Makhfudli Makhfudli; Nadia Rohmatul Laili; Tintin Sukartini; Erna Dwi Wahyuni; Deni Yasmara
Jurnal Pengabdian Masyarakat Dalam Kesehatan Vol. 2 No. 1 (2020): APRIL 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpmk.v2i1.18086

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Pendahuluan: Kecamatan Cerme merupakan salah satu kecamatan di Kabupaten Gresik dengan angka kejadian kecelakaan yang cukup tinggi dibandingkan dengan daerah lain. Kecelakaan ini memerlukan bantuan dan penanganan awal yang bisa dilakukan oleh orang awam, termasuk siswa SMU untuk mengurangi angka kecacatan dan kematian. SMU Muhammadiyah 8 dan SMK Muhammadiyah 3 berlokasi di tepi jalan raya dimana kecelakaan lalu lintas tersebut sering terjadi, namun pihak sekolah mengungkapkan belum bisa memberikan bantuan karena kurangnya pengetahuan dan ketrampilan dalam memberikan pertolongan pertama. Dengan demikian diperlukan suatu strategi untuk memberdayakan masyarakat dalam memberikan bantuan atau pertolongan pertama, yaitu melalui pengabdian masyarakat dalam rangka peningkatan kemampuan siswa SMU di Kabupaten Gresik dalam memberikan bantuan hidup dasar. Metode: Kegiatan pengabdian masyarakat dilakukan melalui pemberian edukasi melalui simulasi dan bermain peran (role play) kepada para siswa. Alasan dari pemilihan metode ini adalah karena siswa SMU pada dasarnya lebih menyukai pembelajaran partisipatif dibandingkan dengan ceramah. Pembelajaran simulasi akan memberi siswa kesempatan untuk belajar secara langsung melalui melihat, mempraktikkan, serta bermain peran cara melakukan pertolongan pertama pada kecelakaan atau memberikan bantuan hidup dasar. Dengan demikian diharapkan para siswa akan mengalami peningkatan pengetahuan, sikap dan tindakan dalam penanganan kecelakaan. Hasil: Kegiatan pengabdian masyarakat menghasilkan perubahan yang sesuai dengan target luaran yang telah ditetapkan yaitu peningkatan pengetahuan siswa tentang pertolongan pertama pada korban kecelakaan, meliputi tindakan bantuan hidup dasar, bebat bidai, dan transportasi khusus untuk orang awam. Kesimpulan: Pemberian edukasi melalui simulasi dan bermain peran dalam pengabdian masyarakat pada siswa SMU di Wilayah Kabupaten Gresik meningkatkan pengetahuan dan ketrampilan siswa akan pemberian pertolongan pertama pada korban kecelakaan.
Co-Authors Abit Mawan Dayoko Abu Bakar Ah Yusuf, Ah Ah. Yusuf Alfaruq, Muhammad Fikri Alit Armini, Ni Ketut Amellia Mardhika Ananta Baru Wijaya Andri Setiya Wahyudi Anestasia Pangestu Mei Tyas Anita Dwi Ariyani Arifin, Hidayat Arina Qona'ah Ayu Permata Sari Candra Panji Asmoro, Candra Panji Deka Ade Yussmawan Deni Yasmara Devi Rahmaningrum Wardani Diah Lestari Dimas Satrya Sukma Wijaya Dinda Dhia Aldin Kholidiyah Dwi Ferafurisca Desi Dwi Susi Pristiwatin Edy Nugroho Eka Misbahatul Mar'ah Has Ekawati, Shintia Elok Faradisa Eti Rahmawati Ferry Efendi Fitria, Mawaddah Gunawan Gunawan Gunawan Gunawan Hakim Zulkarnain Hakim Zulkarnain Haris Widodo Harmayetti Harmayetti Hartono Hartono Hery Sasongko Hidayat Arifin Hikmah Lia Basuni I Ketut Sudiana Ika Yuni Widyawati Indarwati , Retno Intan Widiastuti Joni Haryanto Jujuk Proboningsih, Jujuk Kinanthi Rosyana Konita Shafira Kristiningrum, Sifira Kurniawati, Ninuk Dian Kusnanto Kusnanto Lailatun Ni'mah Laili, Nadia Rohmatul Lucy Kartika Dewi Lutfiyah, Kharisma Nuur M. Zakariya Mabda Novalia Istafa Made Mahaguna Putra Makhfudli Makhfudli María Pilar Mosteiro-Diaz Maropi, Anuchit Martini Sriwulaningdyah Mosteiro-Diaz, María Pilar Nadia Rohmatul Laily Neisya Pratiwindya Sudarsiwi Nihayati, Hanik Endang Nimah, Lailatun Novita Fajriyah Nursalam . Nursalam Nursalam Nursalam, Nursalam Nurwahyuni, Tutuk Praba Diyan Rachmawati, Praba Diyan Primadiana, Dinda Berlian Qona'ah, Arina Ratri Ismiwiranti Rifky Octavia Pradipta Rizki Dwi Cahyono Rizki Dwi Cahyono S.Pd. M Kes I Ketut Sudiana . Safrullah, Safrullah Sartika Wulandari Sena Wahyu Purwanza, Sena Wahyu Setho Hadisuyatmana Setiya Dewi, Yulis Silvia Lusiana Suwandi Soares, Domingos Sriyono Sriyono Sriyono Sriyono Suadyani, I Ketut Suarilah, Ira Sudarmaji, Wikan Purwihantoro Sukma Randani I Susiana, Endang Syahri, Alfi Tintin Sukartini Sukartini, Tintin Sukartini Tisel, Yulmira Wieji Santosa Wikan Purwihantoro Sudarmaji Wimar Anugrah Romadhon Wimar Anugrah Romadhon Yety Elina Yonia Rafika Nanda Yulis Setiya Dewi Zuhriya, Cholilatul