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Fery Surahman Saputra
Universitas Dehasen
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PENGARUH LATIHAN FISIK TERHADAP PENURUNAN HIPERTENSI PADA LANSIA DI POSWINDU WILAYAH KERJA PUSKESMAS BINTUHAN KABUPATEN KAUR TAHUN 2019 SAPUTRA, FERY SURAHMAN; DAUD, TARMIZI
Journal of Nursing and Public Health Vol 8 No 1 (2020)
Publisher : UNIVED Press, Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (158.584 KB) | DOI: 10.37676/jnph.v8i1.1010

Abstract

Hipertensi atau tekanan darah tinggi merupakan salah satu contoh penyakit degeneratif. Penyakit darah tinggi atau hipertensi adalah suatu peningkatan abnormal tekanan darah dalam pembuluh arteri secara terus menerus lebih dari suatu periode. Berdasarkan data yang diperoleh dari Dinas Kesehatan Kabupaten Kaur tahun 2018 jumlah hipertensi sebanyak 315. 199 orang, untuk jumlah penderita hipertensi tertinggi di Puskesmas Bintuhan pada tahun 2018 yang berjumlah 671 orang, Puskesmas tanjung Kemuning sebanyak 553 orang dan Puskesmas Kinal sebanyak 408 orang. Jenis penelitian ini adalah penelitian analitik dengan rancangan penelitian Pre Experimental Design (The One Group Pre Tes-Post Test Design) yaitu suatu penelitian dilakukan dengan cara memberikan pengamatan awal terlebih dahulu sebelum diberikan intervensi, setelah itu diberikan intervensi, kemudian dilakukan pengamatan terakhir. Populasi dalam penelitian ini adalah seluruh penderita penyakit hipertensi pada Januari – Maret tahun 2019 berjumlah 102 orang. Jumlah sampel 14+1 =15 orang. Teknik pengambilan sampel yang digunakan dalam penelitian ini adalah dengan menggunakan teknik random sampling. Hasil penelitian ini ada rata-rata perbedaan penurunan hipertensi pada lansia sebelum dan setelah melakukan latihan fisik di Poswindu wilayah kerja Puskesmas Bintuhan Kabupaten Kaur Tahun 2019 yaitu sistole 11,44000 mmHg dan diastole 6,6600 mmHg dengan nilai P=0,000. Saran kepada pihak Puskesmas diharapkan dapat lebih meningkatkan untuk mengajak para lansia melakukan senam setiap hari jumat, melakukan jalan santai dan aktivitas lainnya yang mampu membantu menyehatkan dan memberikan kebugaran tubuh.
Sosialisasi Pentingnya Pengeloalaan Keuangan Keluarga Pada Ibu Rumah Tangga Dwi Ekaguspita; Fery Surahman Saputra; Yessi Mardiana
Jurnal INDONESIA RAYA (Pengabdian pada Masyarakat Bidang Sosial, Humaniora, Kesehatan, Ekonomi dan Umum) Vol 3, No 1 (2022)
Publisher : Perkumpulan Dosen Muda Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37638/indonesiaraya.3.1.10-14

Abstract

Mengelola Keuangan Rumah Tangga ini memiliki tujuan untuk meningkatkan mengelola keuangan. Berdasarkan survei awal dari 15 responden diketahui bahwa tingkat pengelolaan keuangan Keluarga pada Ibu Rumah Tangga masih rendah dan harus ditingkatkan. Sebanyak 15 orang ibu rumah tangga belum melakukan pengelolaan keuangan dengan baik. pencatatan yang dilakukan masih sangat terbatas yaitu hanya pencatatan pemasukan dan pengeluran bagi ibu-ibu rumah tangga. Hasil sosialisasi, setelah dilakukan pre tes dan post tes, dari 15 peserta sosialisasi diperoleh hasil semuanya dari 15 peserta telah paham dalam mengelola keuangan rumah tangga, dapat melakukan pengelolaan keuangan rumah tangga, dan melakukan pencatatan keuangan rumah tangga dengan baik.
Pentingnya Sosialisasi Pengeloalaan Keuangan Keluarga Pada Ibu Rumah Tangga Ekaguspita, Dwi; Saputra, Fery Surahman
Jurnal PADAMU NEGERI (Pengabdian pada Masyarakat Bidang Eksakta) Vol. 4 No. 1 (2023)
Publisher : Perkumpulan Dosen Muda (PDM) Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37638/padamunegeri.v4i1.548

Abstract

Mengelola Keuangan Rumah Tangga ini memiliki tujuan untuk meningkatkan mengelola keuangan. Berdasarkan survei awal dari 15 responden diketahui bahwa tingkat pengelolaan keuangan Keluarga pada Ibu Rumah Tangga masih rendah dan harus ditingkatkan. Sebanyak 15 orang ibu rumah tangga belum melakukan pengelolaan keuangan dengan baik. pencatatan yang dilakukan masih sangat terbatas yaitu hanya pencatatan pemasukan dan pengeluran bagi ibu-ibu rumah tangga. Hasil sosialisasi, setelah dilakukan pre tes dan post tes, dari 15 peserta sosialisasi diperoleh hasil semuanya dari 15 peserta telah paham dalam mengelola keuangan rumah tangga, dapat melakukan pengelolaan keuangan rumah tangga, dan melakukan pencatatan keuangan rumah tangga dengan baik.
Pendidikan kesehatan dengan pendekatan psikologis pada penderita tuberculosis yang introvert Jipri Suyanto; Fery Surahman Saputra; Yance Hidayat; Zumadir Ahad; Nur Aida Siti Karomah; Priti Sinta; Suriyani; Monica Dwi Hartanti
JOURNAL OF Public Health Concerns Vol. 4 No. 4 (2024): JOURNAL OF Public Health Concerns
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerja sama dengan: Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/phc.v4i4.434

Abstract

Background: Tuberculosis (TB) continues to be one of the most significant public health problems worldwide. According to World Health Organization estimates, around 10.6 million people were diagnosed with the disease in 2021. Managing tuberculosis is becoming more difficult due to the fact that drug-resistant strains are becoming more common. This makes most tuberculosis patients withdrawn and less social, making them introverted. Introverted patients face their own set of problems in managing tuberculosis (TB), especially related to the level of participation in health services and health literacy. A health education strategy based on personal health psychology techniques is needed as an effort to approach health understanding to introverted tuberculosis patients. Purpose: To provide emotional support and improve health literacy in introverted tuberculosis patients. Method: This approach is implemented through a house-to-house visit method. Providing education about health, treatment, and providing social insight on how to behave towards the community. Evaluation using a questionnaire (emotional contingency theory) as a record of behavioral responses and patient facial expressions. Evaluation of facial expressions is grouped into 2 categories, namely positive = if the response is depicted with a bright and smiling face and responding to conversations well and negative = if the patient responds with less responsive, uncommunicative, and closed behavior. Results: More than eighty percent of patients showed symptoms of positive emotions that increased after the educational intervention. Most patients gained increased knowledge and understanding of tuberculosis. Positive patient expressions after the intervention showed that increased knowledge made tuberculosis patients better at interacting with the community. Conclusion: Community service activities with a psychological health approach by making direct home visits are very effective as an application of health education to introverted tuberculosis patients. With this concept, we have high hopes that patients will be able to gain a more comprehensive understanding of tuberculosis and increase compliance with their healing therapy. Awareness of psychological needs is part of mental health support for tuberculosis sufferers. Keywords: Emotional; Health education; Introvert; Personal health psychology; Tuberculosis Pendahuluan: Tuberculosis (TB) terus menjadi salah satu masalah paling signifikan bagi kesehatan masyarakat di seluruh dunia. Menurut perkiraan Organisasi Kesehatan Dunia, sekitar 10,6 juta orang didiagnosis menderita penyakit tersebut pada tahun 2021. Mengelola tuberculosis menjadi lebih sulit karena fakta bahwa strain yang resisten terhadap obat menjadi lebih umum. Hal ini menjadi sebagian besar penderita tuberculosis menjadi tertutup dan kurang berinteraksi dengan sosial, sehingga menjadikan penderita tuberculosis berperilaku introvert.   Pasien introvert menghadapi serangkaian masalah tersendiri dalam hal penanganan tuberculosis (TB), khususnya terkait tingkat partisipasi dalam layanan kesehatan dan literasi kesehatan. Diperlukan sebuah strategi pendidikan kesehatan yang didasarkan pada teknik psikologi kesehatan pribadi sebagai upaya pendekatan pemahaman tentang kesehatan kepada penderita tuberculosis yang introvert. Tujuan: Untuk memberikan dukungan emosional dan meningkatkan pemahaman kesehatan pada penderita tuberculosis yang introvert. Metode: Pendekatan ini diterapkan melalui metode kunjungan dari rumah ke rumah. Memberikan edukasi tentang kesehatan, pengobatan, dan memberikan wawasan sosial bagaimana bersikap kepada masyarakat. Evaluasi menggunakan kuesioner (teori kontingensi emosional) sebagai pencatatan tanggapan perilaku dan ekspresi wajah pasien. Evaluasi ekspresi wajah dikelompokkan dalam 2 kategori yaitu positif=apabila tanggapan digambarkan dengan wajah yang cerah dan tersenyum serta menanggapi percakapan dengan baik dan negatif=apabila pasien menanggapi dengan perilaku yang kurang responsif, tidak komunikatif, dan tertutup. Hasil: Lebih dari delapan puluh persen pasien menunjukkan gejala emosi positif yang meningkat setelah dilakukan intervensi edukasi. Sebagian besar pasien mendapatkan peningkatan pengetahuan dan pemahaman tentang tuberculosis. Ekspresi positif pasien setelah intervensi menunjukkan bahwa peningkatan pengetahuan menjadikan pasien tuberculosis dalam berinteraksi dengan masyarakat menjadi lebih baik. Simpulan: Kegiatan pengabdian masyarakat dengan pendekatan kesehatan psikologis dengan melakukan kunjungan ke rumah langsung sangat efektif sebagai penerapan edukasi kesehatan kepada pasien tuberculosis yang introvert. Dengan konsep ini, kami memiliki harapan besar bahwa pasien akan mampu memperoleh pemahaman yang lebih komprehensif tentang tuberculosis dan meningkatkan kepatuhan terhadap terapi penyembuhannya. Kesadaran akan kebutuhan psikologis adalah bagian dari dukungan mental kesehatan bagi penderita tuberculosis.  
Factors Related To The Occurrence Of Hypertension At Telaga Dewa Health Center In Bengkulu City Wilantara, Anggi; Rohani, Tuti; Saputra, Fery Surahman; Sari, Fikitri Marya; Habibi, Julius
Journal Hygeia Public Health Vol 3 No 1 (2024): December
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/jhph.v3i1.7511

Abstract

Intoduction: Hypertension or high blood pressure is a chronic condition characterized by increased blood pressure on the walls of the arterial blood vessels. According to Riskesdas data, the prevalence of hypertension in Indonesia is 34.1%. Bengkulu Province ranks 26th nationally with a prevalence of 28.14%, with the highest estimated number of cases in individuals aged ≥15 years at Telaga Dewa Health Center, totaling 3,852 cases. This study aims to identify the risk factors associated with hypertension incidence at Telaga Dewa Health Center, Bengkulu City in 2024. Method: This research is quantitative with a cross- sectional design. The sample size is 58 respondents, using accidental sampling techniques with a questionnaire instrument and data processing using SPSS 20. Result and Discussion: The results showed that the majority experienced hypertension, with 39 respondents (67.2%), most were not obese, with 38 respondents (65.6%), nearly half experienced severe stress, with 26 respondents (44.8%), and nearly half had insufficient knowledge, with 31 respondents (53.4%). There was no significant relationship found in the obesity variable (p-value = 0.251 < α 0.05), but there was a significant relationship in the stress variable (p-value = 0.006 < α 0.05) and knowledge (p-value = 0.025 < α 0.05). Conclusion: In this study it can be concluded that there is a significant relationship between stress levels and the incidence of hypertension and there is a significant relationship between the level of knowledge and the incidence of hypertension.
Hubungan Lingkungan Fisik Rumah Terhadap Kejadian Tb Paru Di Puskesmas Telaga Dewa Kota Bengkulu Tahun 2023 Tranado, Hengki; Saputra, Fery Surahman; Hasanudin, Yalta; Habibi, Julius; Sinaga, Maylina Dewi
Jurnal Multidisiplin Dehasen (MUDE) Vol 4 No 3 (2025): Juli
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/mude.v4i3.8974

Abstract

Globally, in 2016 there were 10.4 million cases of TB incidents, equivalent to 120 cases per 100,000 population. The five countries with the highest incidence of cases in the world are India, Indonesia, China, the Philippines, and Pakistan (Ministry of Health., 2018). In 2017 there were around 558,000 new cases of rifampicin-resistant TB (RR TB). Where almost half of these cases occurred in three countries, namely India (24%), China (13%), and Russia (10%) (Ministry of Health, 2021). In 2018, globally the largest percentage of TB cases occurred in Southeast Asia (44%) and the smallest percentage in Europe (3%). And in 2019, the largest number of TB cases were in Southeast Asia (44%), Africa (25%), and the West Pacific (18%) (WHO., 2020). The methods used in this study were bivariate and multivariate. The results are as follows: 1. The results of the study show that more than half of the respondents 42 (63.6%) have adequate home lighting, more than half of the respondents 37 (56.1%) have adequate home ventilation, more than half of the respondents 40 (60.6%) have adequate home floor types, more than half of the respondents 44 (66.7%) have inadequate home density and more than half of the respondents 39 (59.1%) have adequate home humidity. 2. The results of the study showed that there was a relationship between lighting, ventilation, floor type, residential density and humidity with the incidence of Pulmonary TB at the Telaga Dewa Health Center, Bengkulu City in 2023. 3. The results of the study showed that lighting obtained an OR value of 3.946 (95% CI: 1.343-11.600), lighting obtained an OR value of 3.121 (95% CI: 1.133-8.603), floor type obtained an OR value of 5.041 (95% CI: 1.707-14.890), residential density obtained an OR value of 0.236 (95% CI: 0.077-0.722) and humidity obtained an OR value of 3.200 (95% CI: 1.145-8.944).
Early Marriage and Mental Health: A Case-Control Study of Psychological Outcomes Hartanti, Monica Dwi; Adiningsih, Setyo; Isnawati, Rina; Poetranto, Anna Lystia; Puetri, Nona Rahmaida; Desem, Muhammad Ibrahim; Saputra, Fery Surahman; Hidayat, Yance
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 9, No 2 (2024): September
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v9i2.2847

Abstract

Background: Bengkulu Province is one of the provinces in Indonesia that has the greatest incidence of early marriages. It is well knowledge that women in this province are more likely to be victims of crimes such as domestic violence, problems during pregnancy, and even death during childbirth. It is possible for moms who enter into early marriages to develop psychiatric illnesses, which can not only be a forerunner to a variety of health impacts in later life but also have the potential to have a detrimental impact on their children and families. Objective: This study seeks to examine the factors related to psychological issues in early marriage in Bengkulu Province. Method: For this investigation, a case-control study design is utilized, and the groups are separated according to geography. The group under consideration is a rural region with a greater rate of marriages occurring at a younger age. The control group, on the other hand, is urban. One hundred and thirty-seven mothers who had been married off at a young age made up the study's target sample. Each of the groups had 137 responses, ensuring that the ratio was one to one. The research instrument that was utilized in this study was a questionnaire, and the application Stata 14 was utilized for both univariate test analysis and logistic regression. Results: The husband's perspective (OR: 6.5; 95% CI: 2.1–13.2; P-value: less than 0.001) and societal stigma (OR: 6.4; 95% CI: 1.1–13.4; P-value: less than 0.001) were significant factors associated with elevated stress levels, correlating with the highest scores. The control group comprised quality of life (OR: 6.7; 95% CI: 2.1-11.9; P-value: 0.001) and family support (OR: 6.2; 95% CI: 2.1-11.4; P-value: less than 0.001). In the depressed symptoms component, the variables that exhibited a significant conclusive association with the highest score were the spouse's perception (OR 6.4; 95% CI: 2.1-11.7; P-value: less than 0.001) and quality of life (OR: 6.2; 95% CI: 1.6-13.1; P-value: less than 0.001). The control group exhibited poor health literacy (OR: 4.3; 95% CI: 1.3-7.7; P-value: 0.0033) and inadequate family support (OR: 4.1; 95% CI: 2.1-7.5; P-value: less than 0.001). Conclusion: As a conclusion, the findings of this study highlight the critical importance of implementing comprehensive strategies to address the issue of child marriage and the mental health repercussions that it can have. In order to effectively address the complex interaction of socioeconomic, cultural, and psychological variables that contribute to early marriage, these approaches need to prioritize prevention, intervention, and support services.
Pelatihan Literasi Kesehatan Digital Bagi Kader Posyandu Untuk Deteksi Dini Penyakit Hipertensi Di Desa Kunduran Kecamatan Ulu Musi Kabupaten Empat Lawang Hengki Tranado; Saputra , Fery Surahman; Juita, Rina; Habibi , Julius; Hidayat , Yance
Jurnal Semarak Mengabdi Vol 5 No 1 (2026): Januari
Publisher : STIA Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56135/jsm.v5i1.328

Abstract

Hypertension is a non-communicable disease whose prevalence continues to increase globally and nationally. According to the World Health Organization (WHO), hypertension is a condition where systolic blood pressure reaches ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg. It is known as a silent killer because it often has no symptoms in its early stages. According to the World Health Organization (WHO), by 2024, an estimated 1.4 billion adults aged 30–79 worldwide will suffer from hypertension, representing approximately 33% of the population in that age range. Based on the 2023 Indonesian Health Survey (SKI), the prevalence of hypertension among people aged 18 years and over reached 30.8%, indicating that nearly one-third of adults live with high blood pressure. According to the "2023 Profile" from the Empat Lawang Regency Health Office, data from 2023 indicates that in Empat Lawang Regency, there are an estimated 52,374 residents aged 15 years and over with hypertension. Of this number, 28,164 hypertension sufferers received healthcare services. According to the data, approximately 53.8% of the estimated hypertension sufferers in Empat Lawang received healthcare. According to data from the Padang Tepong Community Health Center (Puskesmas), in 2024, there were 80 hypertension cases. The number of Posyandu (Integrated Health Post) cadres at the Padang Tepong Community Health Center was 70. There were 5 Posyandu cadres in Kunduran village. Digital health literacy training for Posyandu cadres can be theoretically justified through the concept of eHealth literacy, which is the ability to search for, find, understand, and evaluate health information from electronic sources, and apply that knowledge to solve health problems. This literacy is crucial in the digital era because much health information is now available online, and access alone is insufficient without the ability to assess the quality of sources and the relevance of the information. Therefore, digital health literacy training for Posyandu cadres for early detection of hypertension in Kunduran village, Ulu Musi District, Empat Lawang Regency, is crucial to strengthening early detection efforts.
Edukasi Pemanfaatan Jahe Merah Pada Penyakit Infeksi Saluran Pernafasan Akut (Ispa) Anggraini, Novita; Maharani, Sri Pamilia; Novitri, Dewi Caya; Saputra, Fery Surahman
Jurnal Dehasen Untuk Negeri Vol 5 No 2 (2026): April
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/jdun.v5i2.10514

Abstract

Acute Respiratory Tract Infection (ARI) is an infectious disease that can affect the human respiratory system. ARI is an infection of the upper respiratory tract caused by microorganisms, including the nasal cavity, pharynx, and larynx, which lack gas exchange (Mustafa et al., 2023). An estimated 13 million people die from ARI. The disease burden varies widely, ranging from approximately 4 million of the 13 million people in India (48%), Indonesia (38%), Ethiopia (4.4%), Pakistan (4.3%), China (3.5%), Sudan (1.5%), and Nepal (0.3%). New ARIs occur in almost every region of the world. In 2022, Southeast Asia had the highest number of ARI cases worldwide. Approximately 30 countries contributed to the number of cases. (WHO, 2022) The incidence of acute respiratory infections (ARI) in Indonesia is relatively high, reaching 166,702 in 2022. This figure reaches 53% of the 50% target. Of this 53%, 31.4% of ARTI cases occur in toddlers. ARI is the second leading cause of death in children under five (12-59 months), accounting for 9.4%. This disease is an acute respiratory infection with symptoms of fever, cough lasting less than two weeks, runny nose/nasal congestion, and/or sore throat (Ministry of Health, 2022). In addition to medical treatment, ARTI treatment can also be supported by the use of natural ingredients. The combination of ginger and honey has been shown to have a synergistic effect in relieving ARTI symptoms. Red ginger (Zingiber officinale var. rubrum) is a herbal plant long known and used by Indonesians as a traditional medicine. Red ginger contains active compounds such as gingerol, shogaol, and zingerone, which have anti-inflammatory, antioxidant, and antimicrobial properties. These ingredients are useful in helping relieve symptoms of ARI, such as reducing inflammation in the respiratory tract, relieving coughs, and increasing the body's immune system.
Analysis of Service Quality on Patient Satisfaction at the Small Bridge Health Center, Bengkulu Province Fery Surahman Saputra
Jurnal Ekonomi, Manajemen, Bisnis dan Akuntansi Review Vol. 1 No. 2 (2021): DESEMBER
Publisher : Penerbit Jurnal Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53697/emba.v1i2.434

Abstract

The purpose of this study was to determine what factors are related to the quality of Puskesmas services with the level of patient satisfaction. In this case, of course, it will provide enormous benefits for the internal health office, especially the Bengkulu Provincial Health Office, in improving the quality of health services for patients, especially general patients at the Jembatan Kecil Health Center in Bengkulu Province. The type of research used is survey research, namely research that uses a sample from a population, questionnaires are used as a data collection tool (Singarimbun and Effendi, 1999). In this study, data was collected by means of a questionnaire, then the questionnaire was distributed to respondents. The distribution of questionnaires is usually carried out to obtain existing data or facts and to seek actual information that can support this research. Physical evidence, reliability, responsiveness and empathy are variables used in the study. Multiple correlation analysis to determine the degree or strength of the relationship between all independent variables (X) to the dependent variable (Y) simultaneously. By using the SPSS program, a multiple correlation value was obtained between the independent variables (reliability, responsiveness, assurance, empathy and physical evidence) to the dependent variable (patient satisfaction) of 0.827, meaning the relationship between the independent variables (reliability, responsiveness, assurance, empathy and physical evidence) ) to the dependent variable (patient satisfaction) with a very close category.
Co-Authors Adiningsih, Setyo Danur Azisssah Roesliana SOfais Daud, Tarmizi Desem, Muhammad Ibrahim Dilfera Hermiati Ekaguspita, Dwi Fikitri Marya Sari Guspita, Dwi Eka Habibi , Julius Habibi, Julius Handi Rustandi Hasanudin, Yalta Hengki Tranado Hidayat , Yance Hidayat, Yance Jipri Suyanto Juita, Rina Maharani, Sri Pamilia Monica Dwi Hartanti Monica Dwi Hartanti, Monica Dwi Nona Rahmaida Puetri, Nona Rahmaida Novita Anggraini Novitri, Dewi Caya Nur Aida Siti Karomah Pebriani, Emy Poetranto, Anna Lystia Priti Sinta Rina Isnawati, Rina Sinaga, Maylina Dewi Sulastri Sulastri Suriyani Suyanto, Jipri Tranado, Hengki Tuti rohani Wilantara, Anggi Yalta Hasanudin Yance Hidayat Yessi Mardiana Zumadir Ahad