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Self-Management and Relating Factors among Chronic Kidney Disease Patients on Hemodialysis: An Indonesian Study Fitri Mailani; Emil Huriani; Rahmi Muthia; Rahmiwati Rahmiwati
Nurse Media Journal of Nursing Vol 13, No 1 (2023): (April 2023)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v13i1.48708

Abstract

Background: The latest approach to managing chronic kidney disease (CKD) involves the implementation of self-management methods. Nonetheless, numerous previous studies indicate that self-management behaviors remain inadequate among hemodialysis patients in Indonesia. Therefore, a deeper comprehension of the factors that affect a patient’s self-management should be studied.Purpose: This study aimed to examine self-management among CKD patients undergoing hemodialysis and its relating factors.Methods: The study used a cross-sectional approach. A convenience sample of 164 patients undergoing hemodialysis determined using a table of power analysis was recruited from two hemodialysis centers in Padang, Indonesia, from May to July 2022. Hemodialysis self-management instrument-18 (HDSMI-18), the scale of self-efficacy for chronic diseases, and the hemodialysis knowledge questionnaire were used as the instruments. T-tests, ANOVA, Spearman correlation test, and multiple linear regression were used to analyse the data.Results: Self-management, knowledge, and self-efficacy mean scores were 48.62(8.45), 17.77(2.96), and 43.05(10.08), respectively. There was a significant positive correlation between self-management with education (p=0.000), employment status (p=0.025), monthly income (p=0.003), knowledge (p=0.000), and self-efficacy (p=0.004). Multiple linear regression analyses for overall self-management indicated that knowledge and education were the main influencing factors of self-management.Conclusion: Hemodialysis patients had a subpar degree of self-management. Furthermore, knowledge and education were the most significant influencing factors of self-management. Nurses are expected to be able to provide structured education to increase patient knowledge which will later yield good self-management.
Persepsi Mahasiswa Tentang Donor Darah: Sebuah Studi Kualitatif Emil Huriani; Putri Suhaini; Dally Rahman
JIK-JURNAL ILMU KESEHATAN Vol 7, No 1 (2023): JIK-April Volume 7 Nomor 1 Tahun 2023
Publisher : STIKes ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v7i1.615

Abstract

Ketersediaan darah di Kota Padang mengalami krisis, namun kebutuhan darah setiap harinya meningkat. Hal ini dikarenakan jumlah pendonor berkurang, dimana rendahnya minat untuk donor darah terutama dikalangan mahasiswa. Penelitian ini bertujuan untuk mengeksplorasi persepsi mahasiswa Universitas Andalas tentang donor darah. Metode penelitian yang digunakan yaitu penelitian kualitatif dengan pendekatan deskriptif. Teknik pengumpulan data menggunakan wawancara mendalam. Partisipan dipilih menggunakan purposive sampling dengan mendatangi tempat perkumpulan mahasiswa dan sekitaran kampus didapatkan sebanyak 7 orang mahasiswa Universitas Andalas yang pernah atau belum pernah donor darah. Teknik pengolahan data yang digunakan adalah teknik 7 langkah Colaizzi. Hasil dari penelitian ini didapatkan 6 tema yaitu pengetahuan terkait donor darah, persepsi ambivalen terkait donor darah, niat terkait donor darah, respon fisik dan psikologi terkait donor darah, hambatan internal dan eksternal terkait donor darah, dan upaya untuk melakukan donor darah. Saran agar Unit Transfusi Darah (UTD) Palang Merah Indonesia (PMI) Kota Padang melakukan penyuluhan tentang persepsi, respon dan hambatan partisipan terkait donor darah.
Hubungan Karakteristik Responden dengan Maturitas Diameter dan Aliran AV Shunt pada Post Operasi Cimino Fety Septia Feronika; Lili Fajria; Emil Huriani
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 14 No 1 (2024): Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal: Januari 2024
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v14i1.1549

Abstract

Penyakit ginjal kronik (PGK) merupakan masalah kesehatan masyarakat diseluruh dunia. Tujuan penelitian ini adalah mengetahui Hubungan karakteristik responden dengan maturitas diameter dan aliran av shunt pada post operasi cimino  di RSUP dr. M Djamil Padang. Desain penelitian ialah studi korelasi. Proses pengumpulan data dilakukan melalui pencatatan dari rekam medis pasien pada 3 tahun terakhir. Populasi dalam penelitian ini adalah sebanyak 52 pasien post operasi cimino. Sampel yang digunakan sebanyak 32 pasien post operasi cimino. Teknik sampel yang digunakan adalah purposive sampling. Data dalam penelitian ini didapatkan menggunakan lembar observasi dan di analisis menggunakan uji chi square. Hasil analisis dari  penyakit penyerta dan lokasi pembedahan dengan p value > 0,05 sehingga dinyatakan tidak memiliki hubungan antara karakteristik pada responden dengan diameter AV shunt. sedangkan hubungan karakteristik pasien dengan aliran AV shunt pada post operasi cimino di RSUP Dr. Mdjamil Padang yang mendominasi berdasarkan usia dewasa, jenis kelamin perempuan, penyakit penyerta dan lokasi pembedahan dengan p value > 0,05 sehingga dinyatakan tidak memiliki hubungan antara karakteristik responden dengan aliran AV shunt. Berdasarkan hal tersebut, maka dapat dinyatakan maturasi diameter dan aliran AV shunt masih tergolong rendah.
Kajian Hubungan Komponen Beban Kerja Dengan Kinerja Perawat Pelaksana Di Ruang Rawat Inap Rumah Sakit Harapan Bunda Batam Didi Yunaspi; Zulkarnain Edward; Emil Huriani
Jurnal Keperawatan Muhammadiyah Vol 5 No 1 (2020): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v5i1.3983

Abstract

In the inpatient room of the Harapan Bunda Batam hospital nurses complained of excessive workloads and the number of nurses that did not match the number of patients who had to be served. High workload will reduce nurse performance. A good nursing performance will create quality implementation of a quality nursing process. The purpose of this study was to determine the relationship of workload components with the performance of implementing nurses in the inpatient room at Harapan Bunda Hospital in Batam. Descriptive analytic research design, "cross sectional" approach. Data collection was carried out from 5 to 17 January 2015 in total sampling. Data was collected by observation and using a questionnaire. Data were analyzed using Chi-Square Test. The results showed the number of patients treated was not in accordance with the number of nurses, the type of nurse nursing activities were productive, the average time for nursing nurses implementing activities was effective, the performance of implementing nurses was good for, there was a significant relationship between the number of patients, types of activities nursing with nurse nurse performance, but there is no significant relationship between the average time of nursing activities with the performance of nursing nurses in the inpatient room of the hospital. Hope Mother. Suggestions for the nursing field that the system of providing professional nursing services in inpatient installations.
Psychological Changes in Post Kidney Transplant Recipients: Phenomenology Study Aisya Rahmadhanty; Yevri Zulfiqar; Devia Putri Lenggogeni; Meri Neherta; Emil Huriani; Fitri Mailani; Susmiati Susmiati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 9 No. 3 (2023): 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.v9i3.535

Abstract

Aims: Kidney transplantation can have a big impact on recipients, so they must be able to adapt to many changes, including psychological changes. Psychological changes are the most complained about by post- kidney transplant recipients. Psychological changes including feelings of anxiety and worry after kidney transplantation, these feelings arise due to post-transplant complications, feelings of guilt and fear of rejection, treatment regimens and uncertainty about the future. Therefore, recipients must be able to deal with psychological changes after kidney transplantation. Objective: To explore the psychological changes of post-kidney transplant recipients. Methods: A qualitative study using a phenomenological approach. This study was conducted on 6 participants who were undergone kidney transplantation. Purosive sampling was performed and data was collected through 35 to 60 min. Data collection in this study was carried out through in-depth interviews, audio recording and field notes.  The data analysis technique uses the Collaizi method (1978). Result: This study obtained results including: psychological adaptation transitions and post-transplant anxiety control strategies. Conclusion: Kidney transplant provide better psychological changes if the recipients can implement strategies to control emotions. Therefore, it is important to have family, social and nurses support in controlling the psychological changes of post-kidney transplant recipients.
The Relationships between Physical and Emotional Symptoms and Health-Related Quality of Life of Patients after Percutaneous Coronary Intervention Emil Huriani; Fitri Mailani
Nurse Media Journal of Nursing Vol 13, No 2 (2023): (August 2023)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v13i2.49987

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Background: Percutaneous coronary intervention (PCI) for myocardial infarction patients has been shown to provide outstanding results, yet research has shown that patient quality of life varies. However, few studies have been done on the physical and emotional symptoms that impact health-related quality of life (HRQoL) of patients who have undergone PCI.Purpose: This study aimed to identify physical (fatigue, angina, dyspnea) and emotional (stress, anxiety, depression) symptoms related to HRQoL of myocardial infarction patients after PCI.Methods: This study used a cross-sectional approach. A total of 154 patients, who were recruited using a purposive sampling method, participated in this study. The Fatigue Assessment Scale (FAS), the Seattle Angina Questionnaire-7 (SAQ-7), the Dyspnea scale (modified MRC score), the Depression, Anxiety, Stress Scale 21 (DASS-21), and the MacNew Quality of Life Questionnaire were all used to collect the data. Linear regressions were used to analyze the data.Results: The mean of the global HRQoL score was 5.11(0.90). Results on physical symptoms showed that a total of 49.4% of participants reported fatigue; the mean angina score was 69.6(12.06), and the mean score of dyspnea level was 0.63(0.92). Emotional symptoms reported that stress was at an average level (83.1%), anxiety was at a moderate level (63%), and depression was at a standard level (72.7%). The multiple linear regression analyses revealed fatigue (β=-0.22), angina (β=0.30), and anxiety (β=-0.32) as the factors related to HRQoL.Conclusion: Despite having a PCI after an acute myocardial infarction, the patients’ HRQoL was above the middle score. It was discovered that anxiety, angina, and fatigue predicted HRQOL in patients with myocardial infarction after PCI.
Pemeriksaan Kesehatan dan Pembentukan Kader Lansia Melati di Nagari Sungai Buluh Selatan, Padang Pariaman Fitri Mailani; Rahmi Muthia; Emil Huriani; Elvi Oktarina; Vebby Fitri Nur’arita
Warta Pengabdian Andalas Vol 30 No 4 (2023)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.30.4.780-788.2023

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The causes of diseases in the elderly come from within the body (endogenous), as this occurs due to a decline in the function of various organs inside the body, resulting in reduced production of hormones, enzymes, and substances needed for the immune system. Providing related activities in the form of health checks for older people and the formation of elderly cadres is expected to impact improving the health of older people. This activity aims to provide community service by conducting health checks and forming Melati elderly cadres in the Sungai Buluh Selatan Village. The method of this activity is to perform health checks, including blood pressure, blood sugar levels, cholesterol, and uric acid checks, followed by providing education related to the examination results and the formation of Melati elderly cadres. The results of this activity showed that 22 (33.3%) of the elderly had prehypertension in systolic blood pressure, 19 (28.8%) of the elderly had hypertension in diastolic blood pressure, 11 (16.7%) of the elderly had blood sugar levels >200 mg/dL, 22 (33.3%) of the elderly had uric acid levels >7 mg/dL, and 40 (60.6%) of the elderly had cholesterol levels >200 mg/dL. To organize social activities and as peer educators for the elderly, five older adults were selected as cadres in the MELATI elderly community. Health examination activities for older people will continue as a routine activity and improve the quality of training for cadres.
PEMERIKSAAN KESEHATAN SEBAGAI UPAYA DETEKSI RISIKO PENYAKIT STROKE PADA MASYARAKAT Fitri Mailani; Hema Malini; Rahmi Muthia; Elvi Oktarina; Dally Rahman; Tiurmaida Simandalahi; Emil Huriani; Devia Putri Lenggogeni; Vebby Fitri Nur'arita
JMM (Jurnal Masyarakat Mandiri) Vol 8, No 3 (2024): Juni
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v8i3.22350

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Abstrak: Stroke merupakan suatu penyakit yang menyebabkan kematian nomor dua setelah penyakit jantung iskemik dan merupakan penyebab kecacatan di seluruh dunia. Peningkatan angka kejadian penyakit stroke dapat dipengaruhi oleh faktor yang dapat dimodifikasi dan yang tidak dapat dimodifikasi, namun masih banyak masyarakat yang tidak mengetahui pentingnya untuk menentukan faktor risiko dan mengetahui upaya yang perlu dilakukan untuk menurunkan risiko terjadinya stroke. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk melakukan pemeriksaan kesehatan, mengidentifikasi faktor risiko dan menentukan tingkat risiko penyakit stroke pada masyarakat di Nagari Sungai Buluh Selatan, Padang Pariaman, Sumatera Barat, sebanyak 78 orang. Metode pelaksanaan kegiatan pengabdian masyarakat meliputi pemeriksaan kesehatan, penentuan tingkat risiko penyakit stroke, dan edukasi individual mengenai cara menurunkan risiko terjadinya penyakit stroke. Intrumen yang digunakan untuk penentuan tingkat risiko penyakit stroke adalah Stroke Risk Scorecard. Hasil evaluasi dilakukan menggunakan lembar kuisioner yang langsung diberikan kepada masyarakat setelah dilakukan pemeriksaan kesehatan. Hasil skrining penyakit stroke menggunakan Stroke Risk Scorecard didapatkan hampir seluruh masyarakat memiliki risiko rendah terkena stroke yaitu sebanyak 83,3% dan sebagian kecil masyarakat memiliki risiko tinggi terkena stroke sebanyak 16,7%. Diharapkan tindak lanjut puskesmas untuk melakukan skrining tingkat risiko dan edukasi pengurangan risiko penyakit stroke kepada masyarakat dalam pencegahan dan penurunan risiko stroke.Abstract: Stroke is a disease that causes death second only to ischemic heart disease and is a cause of disability throughout the world. The increase in the incidence of stroke can be influenced by factors that can be modified and cannot be modified. However, there are still many people who do not know the importance of determining risk factors and understanding the efforts that need to be made to reduce the risk of stroke. This community service activity aims to carry out health checks, identify risk factors, and determine the level of risk of stroke in the community in Nagari Sungai Buluh Selatan, Padang Pariaman, West Sumatra, with as many as 78 people. Methods for implementing community service activities include health checks, determining the risk of stroke, and educating individuals on how to reduce the risk of stroke. The stroke risk scorecard is the instrument used to determine the stroke risk level. The evaluation results were carried out using a questionnaire sheet immediately given to the public after a health examination. The results of stroke screening using the Stroke Risk Scorecard showed that almost all people had a low risk of stroke, namely 83.3%, and a small percentage of people had a high risk of stroke, 16.7%. It is hoped that follow-up at the community health center will carry out risk-level screening and education on reducing the risk of stroke to the community in preventing and reducing the risk. 
Pengurangan Nyeri dan Cemas dengan Teknik Relaksasi Genggam Jari pada Pasien Pasca Intervensi Koroner Perkutan: Studi Non-randomized Controled Trial Rachmania, Filosofie; Huda, Nurul; Huriani, Emil
Jurnal Kesehatan Metro Sai Wawai Vol. 16 No. 1 (2023): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsw.v16i1.3920

Abstract

Introduction: Pain and anxiety are problems in patients undergoing Percutaneous Coronary Intervention (PCI) which can be treated with non-pharmacological therapy. However, the fact that this problem still occurs in patients. Various non-pharmacological techniques can be performed, including the finger-holding technique without causing side effects. Purpose: This study aims to evaluate the effectiveness of the finger grip technique in reducing pain and anxiety after removing the transradial sheath after IKP procedures. Methods: Non-randomized clinical trial with a pretest posttest with control group design as the study method, was carried out in March 2023 – May 2023. Participants were patients who were hospitalized with IKP. The study consisted of 18 intervention group participants and 18 control group participants. The intervention group was given non-pharmacological therapy with finger grip relaxation techniques and the control group was given standard nursing care. Pain was measured using the Numerical Rating Scale (NRS) questionnaire and the anxiety variable was measured using the Visual Analog Scale for Anxiety (VAS-A) which has been tested for validity and reliability. Data were analyzed using paired-sample t-tests and independent-sample t-tests to answer the research objectives. Results: There was a decrease in the pain scale from a score of 4.56 (moderate pain) after intervention 2.39 (mild pain) and a reduction in anxiety from a score of 4.17 and after intervention 2.39. The results of the analysis showed that there was a significant effect of the finger grip relaxation technique on reducing pain (p=0.001) and anxiety in patients with PCI (p=0.001). Conclusion: PCI patients after removal of the transradial sheath who experience complications from pain and anxiety and are given the finger-hold relaxation technique, the results are effective, and there is a decrease in pain and anxiety. Latar Belakang: Nyeri dan cemas menjadi masalah pada pasien yang dilakukan Intervensi Koroner Perkutan (IKP) yang dapat ditangani dengan terapi non-farmakologi. Namun, kenyataan masalah ini masih terjadi pada pasien. Berbagai teknik non-farmakologi yang dapat dilakukan, diantaranya teknik gegngam jari yang tanpa menimbulkan efek samping. Tujuan: Penelitian ini bertujuan mengevaluasi efektifitas teknik genggam jari terhadap pengurangan nyeri dan cemas setelah pelepasan sheath transradial pasca tindakan IKP. Metode: Non-randomized clinical trial dengan rancangan pretest posttest with control group design sebagai metode studi ini, dilaksanakan di pada bulan Maret 2023 – Mei 2023. Partisipan adalah pasien yang dirawat di rumah sakit dengan IKP. Studi terdiri atas 18 partisipan kelompok intervensi dan 18 partisipan kelompok kontrol. Kelompok intervensi diberikan terapi nonfarmakologi teknik relaksasi genggam jari dan kelompok kontrol diberikan asuhan asuhan keperawatan standar. Nyeri diukur menggunakan menggunakan kuesioner Numerik Rating Scale (NRS) dan variabel cemas diukur menggunakan Visual Analog Scale for Anxiety (VAS–A) yang sudah diuji validitas dan reabilitasnya. Data dianalisis menggunakan paired-sample t-test dan independent sample t-test untuk menjawab tujuan penelitian. Hasil: Ditemukan penurunan skala nyeri dari skor 4,56 (nyeri sedang) dan setelah intervensi 2,39 (nyeri ringan) dan pengurangan cemas dari skor 4,17 dan setelah intervensi 2,39. Hasil analisis menunjukkan ada pengaruh secara bermakna efek teknik relakasi genggam jari terhadap penurunan nyeri (p=0,001) dan cemas pada pasien dengan IKP (p=0,001). Simpulan: Pasien IKP setelah pelepasan sheath transradial yang mengalami komplikasi nyeri dan cemas diberikan teknik relaksasi genggam jari diperoleh hasil efektif, terjadi penurunan nyeri dan cemas.
Gambaran Rerata Kelelahan pada Pasien Kanker yang Menjalani Kemoterapi Indah Marzalia Putri; Nelwati Nelwati; Emil Huriani
Jurnal Keperawatan Silampari Vol 5 No 1 (2021): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (115.14 KB) | DOI: 10.31539/jks.v5i1.3059

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This study aims to determine the average fatigue score in cancer patients undergoing chemotherapy treatment at RSUP. Dr. M. Djamil Padang. The type of research used is descriptive quantitative. The results of this study indicate that the average value of the respondent's level of fatigue is 28.78, with a minimum value of 19 and a maximum of 37 using 95% CI. If categorized as 66.6% of respondents experienced moderate fatigue, and as many as 33.4% experienced severe fatigue. In conclusion, the average value of the respondents' fatigue level mainly was in the intermediate fatigue category, and almost half of them were extreme fatigue. Keywords: Cancer, Fatigue, Chemotherapy
Co-Authors Abdul Malik Abdul Malik Abdullah, Khatijah Lim Adliah Wulan Sari Affim, Yonna Aisya Rahmadhanty Amanda Rahma Yunita Arina Widya Murni Atikah Hazimah Aulia Mahesa Avit Suchitra Basmanelly Basnelly - Chan, Chong Mei Dally Rahman Darmawidyawati Darmawidyawati Debby Sinthania Delta Meda Aba Dian Agusti Tanjung Dian Novita Putri Dini Tryastuti Dwi Novrianda Eka Rhestifujiayani, Eka Elvia Donny Harida Ema Julita Endang Sulistyowati Era Prajayati Esi Afriyanti Fahmy, Rahmi Farma, Ritta Feki Surya Ardica Feri Fernandes Fety Septia Feronika Fitri Mailani Fitri, Tiya Rama Fitria, Yola Gusti Sumarsih Gusti Sumarsih Gusti Surmasih Hamzah Hamzah Harningsih, Nurfa Rahim Hema Malini, Hema Hendra - Hendra Hendra Hendria Putra Heni Pujiastuti Herien, Yelly Ilfa Khairina Indah Marzalia Putri Inka Selvia Karmiza Karmiza Khatijah Binti Abdullah Khatijah Lim Abdullah Krisdianto, Boby Febri Kristanti Wahyuningtyas Lenggogeni, Devia Putri Leni Merdawati Lili Fajria Lina Febrianti Lina Manda Sari Mahatir, Mahatir Maisa, Esthika Ariany Mery sepriani Mia Cahyati MISTATI NOVITASARI Muhammad Saleh Muharriza Muharriza Muharriza Muharriza, Muharriza Muliantino, Mulyanti Roberto Muthmainah Muthmainah Mutia Dwi Sagita Nasution, Salmi Dianita Neherta, Meri Nelwati Nelwati Nia Mitra Agustin Nofrizon Nofrizon Nurfa Rahim Harningsih Nurul Huda Oktarina, Elvi P. Eko Prasetyo Putra, Ifon Driposwana Putri Suhaini R.Ade Sukarna Rachmania, Filosofie Rahmi Meilani, Fitria Rahmi Muthia Rahmi Muthia Rahmi, Hidayatul Rahmiwati Rahmiwati Rahmiwati Reni Prima Gusty Rifdatul Jannah Rika Fatmadona Rika Sabri Rika Sarfika Rike Gussanti Handayani Nasution Roni Eka Saputra Rosalina Primarta Mesuri Selvi Marcellia Setiawan Shinta Herlina Shinta Kencana Sidaria, Sidaria Siska Prima Olimviani Sovia Susianty Sri Idawati Sri Idawaty Suharizal, Suharizal Sumarsih, Gusti Susmiati Susmiati Tiurmaida Simandalahi Tri Nadia Putri Ucip Sucipto Vebby Fitri Nur'arita Vebby Fitri Nur’arita Vebby Fitri Nur’arita Wirdhatul Vier Marza Yanti Puspita Sari Yesni, Marnila Yevri Zulfiqar Yonrizal Nurdin Yunaspi, Didi Yutika Jasvita Zulkarnain Edward