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Health Education on Hypertension Crisis Recognition and Management for Hypertension Patients in RT 03 RW 05 Limo Village, Depok City Darmareja, Rycco; Mauliya, Nadiyyah; Maulida, Mutia; Alettha, Keyza Zie; Lestari, Arlynqa Siva; Priwardani, Khaerunisa; Almira, Dinda Marsha
Jurnal SOLMA Vol. 14 No. 1 (2025)
Publisher : Universitas Muhammadiyah Prof. DR. Hamka (UHAMKA Press)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/solma.v14i1.16767

Abstract

Background: Hipertensi menjadi salah satu kondisi kesehatan serius yang terjadi di masyarakat dan berpotensi mengalami fase lanjut menjadi krisis hipertensi. Krisis hipertensi merupakan masalah klinis yang dicirikan dengan tekanan darah yang meningkat drastis dan berpotensi menyebabkan masalah pada organ lainnya. Meningkatkan pemahaman masyarakat RT. 03 RW. 05 Kecamatan Limo mengenai krisis hipertensi menggunakan pendekatan KENANG (KENali-cegAh dan taNGani).  Metode: Metode yang digunakan yaitu pemberian edukasi kesehatan terkait krisis hipertensi. Partisipan kegiatan adalah warga RT. 03 RW.05 Kecamatan Limo dengan jumlah 16 orang. Data dikumpulkan menggunakan kuesioner melalui metode pre-test dan post-test yang kemudian dianalisis. Hasil: Analisis data menunjukkan adanya peningkatan dalam aspek pengetahuan pada warga RT. 03 RW. 05 Kecamatan Limo sebesar 19% dengan nilai signifikansi p 0,035. Kesimpulan: Kegiatan penyuluhan kesehatan mengenai krisis hipertensi memiliki pengaruh yang signifikan dalam meningkatkan pengetahuan partisipan.
ANALYSIS OF MODIFIABLE FACTORS ASSOCIATED WITH VENTILATOR-ASSOCIATED PNEUMONIA IN MECHANICALLY VENTILATED PATIENTS IN ICU Puspitasari, Nabiila; Darmareja, Rycco
Jurnal Keperawatan Vol 10 No 1 (2025): May
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v10i1.1960

Abstract

Ventilator-associated pneumonia (VAP) is reported as one of the highest nosocomial infection conditions in several countries. Risk factors can be classified into modifiable and non-modifiable factor. This study aims to analyze modifiable factors related to the incidence of VAP in patients using mechanical ventilation. This study used a prospective cohort observational analytic design with a quantitative involving 40 patients with mechanical ventilation in the ICU and selected using purposive sampling. Observation sheets and Clinical Pulmonary Infection Score (CPIS) were used as data collection tools. Hypothesis testing in this study utilized Somers’s d, contingency coefficient, and Kendall’s tau. The analysis revealed significant associations between the duration of mechanical ventilation (p=0.009), and level of consciousness (p=0.021) with the incidence of VAP. However, no significant associations were found between antibiotic use (p=0.075), ICU length of stay (p=0.135), and reintubation (p=0.253) with the incidence of VAP. The study showed that the length of time mechanical ventilation was used and the patient's level of consciousness were factors associated with the incidence of VAP in the ICU. Thus, special attention to modifiable factors can be one of the effective strategies in reducing the incidence of VAP in the ICU.
IMPLEMENTASI DIGITALISASI EWS DAN MEWS: KELENGKAPAN DATA DAN KESESUAIAN ESKALASI DI RUANG ALAMANDA RSUP DR. HASAN SADIKIN TAHUN 2022 Widianti Kuswara, Sani; Darmareja, Rycco
Jurnal Kesehatan An-Nuur Vol 2 No 2 (2025): Jurnal Kesehatan An-Nuur
Publisher : Yayasan Putra Sukamanah Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71023/jukes.v2i2.29

Abstract

Maternal mortality and morbidity in hospitals mostly occur in preventable cases. The early warning system, as one of the prevention efforts based on clinical findings, has not been implemented comprehensively. The large number of incomplete data and the inconsistency of the early warning system escalation are the basis for the development of electronic technology solutions. With an electronic system, it is expected that management can be carried out earlier, preventing life-threatening conditions because patients will be treated faster so that the expected output is better. Objective: This study aims to analyze the differences in the completeness of data entry and the appropriateness of the early warning system escalation before and after the digitalization of EWS and MEWS in the Alamanda Room of Dr. Hasan Sadikin Hospital, Bandung. Method: This study is a quantitative study using a pre-experimental design with a one-group pre-post test approach. The sampling technique with a total sampling of 648 datas, both before and after digitalization. Secondary data was taken from all data from the results of the filling responses that had been collected. Data analysis used univariate frequency distribution analysis and bivariate analysis using the Chi-Square and Fisher's Exact tests. Results: Based on the results of the study, it was found that according to the hospital's Standard Operating Procedure, the completeness of EWS data filling after the intervention increased to 97.2%, the appropriate EWS data escalation after the intervention became 56.61%. MEWS data also increased after the intervention to 91.2%, the appropriate MEWS data escalation after the intervention became 63.6%. The results of the bivariate data analysis showed a significant difference in the completeness of data filling and the appropriateness of escalation before and after digitalization with a p-value of 0.000. Conclusion: Digitalization can improve the completeness of data filling based on SOP and the appropriateness of the hospital's early warning system escalation. The appropriateness of escalation and rapid clinical response has an impact on the quality of maternal care, patient safety, and the quality of hospital services.
Penguatan Pengetahuan dan Sikap Masyarakat Melalui Deteksi Dini dan Penyuluhan Kesehatan Mengenai Hipertensi Emergensi sebagai Upaya Pencegahan Kondisi Kegawatdaruratan Darmareja, Rycco; Utami, Gamya Tri; Anggraeni, Diah Tika; Zahra, Nabila Tsamara; Isnainyah, Mar'atul; Mawaddah, Fauziah
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 2 (2024): Volume 7 No 2 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i2.13105

Abstract

ABSTRAK Tingginya prevalensi hipertensi sebagai silent killer disease setiap tahunnya perlu disertai dengan kewaspadaan akan kegawatdaruratan yang dapat terjadi, salah satunya adalah hipertensi emergensi. Kondisi ini dapat meningkatkan prevalensi kematian penderitanya, sehingga diperlukan program/ tatalaksana yang tepat untuk mengatasinya. Tujuan kegiatan ini yaitu meningkatkan pengetahuan dan sikap penderita mengenai hipertensi emergensi sebagai upaya pencegahan kegawatdaruratan melalui program deteksi dini dan penyuluhan kesehatan. Kegiatan pengabdian dilakukan menggunakan metode penyuluhan kesehatan secara langsung kepada 48 penderita hipertensi. Metode evaluasi dilakukan dengan pengisian kuesioner pre- and post- test design. Kegiatan berhasil dilaksanakan dengan antusiasme partisipan yang dibuktikan dengan kehadiran tepat waktu dan beragamnya pertanyaan serta aktivitas sharing session yang sangat positif. Hasil kegiatan pengabdian menujukan adanya peningkatan pengetahuan mengenai hipertensi dan sikap partisipan dalam manajemen hipertensi guna mencegah terjadinya hipertensi emergensi. Masyarakat diharapkan dapat terus berupaya mengoptimalkan status kesehatannya melalui kegiatan serupa guna menekan prevalensi terjadinya hipertensi emergensi. Hasil kegiatan ini juga mendasari perlu diselenggarakannya program lanjutan berupa pemberdayaan Masyarakat khususnya kader dalam mendeteksi hipertensi emergensi pada penderita di lingkungan tempat tinggalnya. Kata Kunci: Deteksi Dini, Hipertensi Emergensi, Kegawatdaruratan, Penyuluhan Kesehatan  ABSTRACT The high prevalence of hypertension as a silent killer disease every year needs to be accompanied by awareness of emergencies that can occur, one of which is hypertensive emergencies. This condition can increase the prevalence of death among sufferers, so appropriate management are needed to overcome it. This activity aims to increase sufferers' knowledge and attitudes regarding hypertension emergencies as an effort to prevent emergencies through early detection and health education programs. Community service activities were carried out using direct health education methods for 48 hypertension sufferers. The evaluation method is carried out by filling out a pre-and post-test design questionnaire. The activity was successfully carried out with the enthusiasm of the participants as evidenced by their timely attendance and a variety of questions as well as very positive sharing session activities. The results of service activities show an increase in knowledge about hypertension and participants' attitudes toward hypertension management to prevent hypertensive emergencies. It is hoped that the community will continue to strive to optimize their health status through similar activities to reduce the prevalence of hypertensive emergencies. The results of this activity also underlie the need to hold a follow-up program in the form of community empowerment, especially cadres, in detecting hypertensive emergenices in sufferers around where they live.  Keywords: Early Detection, Emergencies, Health Education, Hypertensive Emergency
Literature Review Protokol Pemberian VCO pada Anak dengan Ruam Popok Darmareja, Rycco; Jansen, Susiana
Jurnal Keperawatan Widya Gantari Indonesia Vol 7 No 2 (2023): JURNAL KEPERAWATAN WIDYA GANTARI INDONESIA (JKWGI)
Publisher : Nursing Department, Faculty of Health, Universitas Pembangunan Nasional "Veteran" Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52020/jkwgi.v7i2.5241

Abstract

Anak sangat rentan mengalami kerusakan integritas kulit karena kondisi kulit yang lebih sensitif dan tipis dibandingkan orang dewasa. Pemakaian popok sekali pakai yang menjadi tren dikalangan ibu pada balita dan anak semakin meningkatkan risiko dan kejadian kerusakan integritas kulit berupa ruam popok. Tujuan penulisan ini adalah memberikan gambaran protokol yang tepat dalam pemberian VCO pada anak dengan ruam popok sebagai Langkah pencegahan dan penanganan. Metode yang digunakan adalah literature review dengan pendekatan PICO. Hasil yang didapatkan bahwa protokol yang tepat dalam pemberian VCO pada anak dengan ruam popok terdiri dari 17 langkah. VCO terbukti mampu mencegah, mengurangi dan mengobati ruam popok pada anak.
Optimization of Airway Clearance in Pulmonary Tuberculosis Patients Through Chest Physiotherapy and Effective Cough Training: A Case Report Winanda Diany; Rycco Darmareja
Jurnal Keperawatan Duta Medika Vol. 6 No. 1 (2026): Jurnal Keperawatan Duta Medika
Publisher : Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/fqf2fp15

Abstract

Introduction: Pulmonary tuberculosis remains the leading cause of death globally. Many programs have been launched by the government, but the prevalence remains high. Ineffective airway clearance is one of the nursing problems that interfere with oxygenation needs.Objectives:  This study aims to identify the optimization of airway clearance status in patients with pulmonary TB through the application of chest physiotherapy interventions and effective cough training.Methods:  A case study was conducted on selected pulmonary tuberculosis patients, based on the criteria set by the researcher. Data were collected through interview procedures, physical and supporting examinations, observation and review of patient medical records. The application of evidence based practice in the form of chest physiotherapy and effective cough training was observed in depth for five days of treatment to assess optimization of the patient's airway clearance indicators and then recorded on the observation sheet provided.Results:  After the intervention, it was found that there was a decrease in respiratory frequency (towards normal), a decrease in the scale of tightness (towards improvement), a decrease in areas with abnormal breath sounds, and an improvement in the patient's sputum characteristics.Conclusions:  It is concluded that there is an effect of chest physiotherapy and effective cough training on improving indicators of airway clearance disorders.  The author hopes that nurses can optimize the application of this intervention as an airway clearance management strategy for patients with pulmonary Tb.Keyword:  chest physiotherapy, case study, effective cough, pulmonary tuberculosis Pendahuluan: Tuberkulosis paru masih menjadi penyebab kematian tertinggi global. Banyak program yang dicanangkan pemerintah, namun prevalensinya masih tetap tinggi. Bersihan jalan napas tidak efektif menjadi salah satu masalah keperawatan yang mengganggu kebutuhan oksigenasi.Tujuan: Studi ini bertujuan untuk mengidentifikasi optimalisasi status bersihan jalan napas pada pasien TB paru melalui penerapan intervensi fisioterapi dada dan latihan batuk efektif.Metode: Studi deskriptif kualitatif berupa case study di lakukan pada pasien Tb Paru terpilih, berdasarkan kriteria yang ditetapkan peneliti. Data di kumpulkan melalui prosedur wawancara, pemeriksaan fisik dan penunjang, observasi serta kajian pada rekam medis pasien. Penerapan evidance based practice berupa fisioterapi dada dan latihan batuk efektif di observasi mendalam selama lima hari perawatan untuk menilai optimalisasi pada indikator bersihan jalan napas pasien kemudian di catat pada lembar observasi yang disediakan.Hasil: Setelah dilakukan intervensi diperoleh hasil bahwa terjadi penurunan frekuensi napas (ke arah normal), penurunan skala sesak (ke arah perbaikan), penurunan area dengan suara napas abnormal, serta perbaikan karakteristik sputum pasien.Kesimpulan:  Terdapat pengaruh fisioterapi dada dan latihan batuk efektif terhadap perbaikan indikator gangguan bersihan jalan napas. Penulis berharap perawat dapat mengoptimalkan penerapan intervensi ini sebagai strategi manajemen bersihan jalan napas pasien Tb paru.Kata Kunci:  batuk efektif, fisioterapi dada, studi kasus, tuberkulosis paru
Manajemen Diri Terhadap Kesehatan Dan Keselamatan Kerja Pada Pekerja Tambang Febi Puspitasari; Reihana Zakiya; Anggi Mulyana Rahayu; Aghna Alfafa Mamnunia; Rycco Darmareja
Jurnal Kepemimpinan dan Manajemen Keperawatan Vol. 6 No. 1 (2023)
Publisher : Persatuan Perawat Nasional Indonesia Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jkmk.v6i1.2069

Abstract

Kecelakaan kerja di industri pertambangan masih sering terjadi disetiap tahunnya. Untuk menghindari bertambahnya jumlah korban kecelakaan industri, diperlukan manajemen yang menjamin keselamatan para penambang sebagai penanggulangan resiko. Berdasarkan fenomena yang didapat, maka disusunlah systematic review tentang keselamatan pekerja tambang yang bertujuan untuk mengetahui bagaimana cara melakukan manajemen diri terhadap kesehatan dan keselamatan kerja pekerja tambang. Sumber data yang didapat berasal dari database Pubmed, Scopus dan ScienceDirect yang dipilih dengan adanya kriteria inklusi dan eksklusi : Jurnal terkait kesehatan dan keselamatan kerja pekerja tambang, tahun publikasi artikel antara tahun 2018-2023 dan artikel selain systematic review/literature review. Setelah pencarian artikel berdasarkan kriteria yang ditentukan, selanjutnya dilakukan tahap evaluasi artikel dengan critical appraisal dan didapat sebanyak 8 artikel. Hasil menjelaskan bahwa terdapat unsur dari stres kerja, kelelahan, perlindungan diri, pengetahuan/pengalaman, perilaku serta pelatihan kesehatan dan keselamatan kerja menjadi manajemen dalam pengendalian terjadinya resiko cedera pada para pekerja tambang. Dari unsur tersebut sejalan dengan penelitian sebelumnya yang telah dilakukan sehingga hal ini perlu adanya peran dari manajer perusahaan pertambangan untuk meninjau program pelatihan agar angka cedera dapat berkurang dan lingkungan kerja menjadi lebih aman.
Central venous catheter care interventions for preventing central line-associated bloodstream infections in adult intensive care units: A systematic review Rycco Darmareja; Galuh Nurulita Fitriani; Nabilla Asmarany; Maulyda Azzahra
Jurnal Ners Vol. 21 No. 2 (2026): VOLUME 21 ISSUE 2 (MAY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Introduction: Central venous catheters (CVCs) are essential in the management of critically ill patients. However, their use may increase the risk of complications, particularly central line-associated bloodstream infections (CLABSIs). This systematic review aimed to evaluate evidence-based CVC care interventions for reducing the risk of CLABSIs in intensive care units. Methods: This review was conducted in accordance with the PRISMA 2020 guidelines. Specific keywords related to CVC care and CLABSI prevention were used to identify articles published between 2020 and 2024 in PubMed, ScienceDirect, and Google Scholar. A total of 48,541 records were identified and screened according to predefined criteria, including original research articles written in English and available in full text. Review articles, editorials, commentaries, abstract-only articles, and articles with restricted access were excluded. Nine articles met the eligibility criteria and were critically appraised using the Joanna Briggs Institute tool to assess the methodological quality of the included studies. Results: Daily bathing with 2% chlorhexidine, antisepsis of the insertion site using 1-2% chlorhexidine, timely dressing changes, polyhexamethylene biguanide (PHMB) dressings, and consistent adherence to central line care bundles were associated with reduced CLABSI incidence. Conclusions: These interventions emphasize the role of nurses in maintaining CVC care and preventing healthcare-associated infections. The implementation of evidence-based CVC care practices is therefore recommended to reduce the incidence of CLABSIs in the ICU.
Motor function, quality of life, and prevalence among children in a cerebral palsy community Mona Oktarina; Andy Sirada; Rycco Darmareja; Ghyffara Agathy Putri; Fadhira Citra Surya Anjani; Solagracia Sukatno Putri
Physical Therapy Journal of Indonesia Vol. 7 No. 1 (2026): January-June 2026
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v7i1.376

Abstract

Background: Cerebral palsy (CP) is the most common motor disability in children. It often causes motor impairments that reduce functional independence and participation, particularly in countries like Indonesia and low- and middle-income countries. The aim of this study was to assess motor function, quality of life, and prevalence of CP in a community-based population. Methods: A cross-sectional descriptive study was conducted on 80 children with CP from a community in Jakarta aged 5–18 years. They were selected through purposive sampling. All participants had a confirmed diagnosis of CP and consent from their parents or guardians. Children with other physical disabilities or who were unable to communicate were excluded. The Gross Motor Function Classification System (GMFCS) was used to assess motor function, and the Cerebral Palsy Module of the Pediatric Quality of Life Inventory (PedsQL) 3.0 was used to measure quality of life. Results: A total of 83.8% of participants were adolescents aged 13–18 years with spastic CP. With 46.3% at GMFCS level IV and 28.7% at level V, severe motor impairments were common, but 61.3% of children reported a good quality of life. Motor function and quality of life were positively and significantly correlated (r = 0.345, p = 0.002). Conclusion: The motor function of children with CP is strongly associated with their quality of life. This suggests that comprehensive and ongoing rehabilitation is necessary to improve functional participation and overall well-being.
PENERAPAN SWEDISH MASSAGE DALAM ASUHAN KEPERAWATAN UNTUK PERUBAHAN INDIKATOR NYERI PADA PASIEN HIPERTENSI: STUDI KASUS: IMPLEMENTATION OF SWEDISH MASSAGE IN NURSING CARE ON CHANGES IN PAIN INDICATORS OF HYPERTENSION PATIENTS: A CASE STUDY Rikani Rikani; Rycco Darmareja
JURNAL KEPERAWATAN TROPIS PAPUA Vol. 7 No. 2 (2024): DESEMBER 2024
Publisher : Poltekkes Kemenkes Jayapura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/jktp.v7i2.399

Abstract

Prognosis hipertensi menjadi penyebab kematian ketiga secara global. Swedish massage menjadi salah satu rekomendasi intervensi non farmakologi untuk penderita hipertensi. Intervensi ini memberikan stimulasi sirkulasi darah dan sistem syaraf yang berpengaruh pada respons berupa perasaan rileks serta dapat menurunkan tekanan darah. Studi dilakukan dengan tujuan untuk mengidentifikasi perubahan indikator nyeri pada pasien hipertensi setelah diberikan intervensi Swedish massage. Metode deskriptif analisis berupa single case study dilakukan kepada pasien hipertensi berusia 30-65 tahun. Data dikumpulkan melalui kegiatan wawancara, observasi, studi dokumen, pemeriksaan fisik dan instrumen evaluasi. Intervensi khusus yang dilakukan pada pasien adalah Swedish massage 1x sehari selama 10-20 menit dalam 4 hari berturut-turut berdasarkan standar operasional Evidence Based Nursing Practice. Hasil pengkajian awal menunjukkan pasien nyeri, seperti menahan beban berat di kepala yang menetap tidak menjalar, dengan skala 8, dengan durasi yang tidak menentu. Setelah dilakukan intervensi masalah nyeri akut teratasi di hari ke 4 dengan perubahan pada Mean Arterial Pressure (106 mmHG), frekuensi nadi (80x/ menit) serta keluhan nyeri pasien (skala 2). Direkomendasikan terapi Swedish massage menjadi salah satu intervensi komplementer yang dapat dilakukan untuk menurunkan nyeri pada pasien hipertensi. Hypertension prognosis is the third leading cause of death globally. Swedish massage is one of the recommended non-pharmacological interventions for individuals with hypertension. This intervention stimulates blood circulation and the nervous system, resulting in a relaxing response that can lower blood pressure. This study aimed to identify changes in pain indicators in hypertensive patients after receiving Swedish massage intervention. A descriptive-analytical method using a single case study was conducted on hypertensive patients aged 30-65. Data were collected through interviews, observations, document reviews, physical examinations, and evaluation instruments. The specific intervention involved administering Swedish massage once daily for 10-20 minutes over four consecutive days, following the standards of Evidence-Based Nursing Practice. Initial assessment results indicated the patient experienced pain, described as a persistent, heavy sensation in the head without radiating, with a pain scale of 8 and an indeterminate duration. After the intervention, acute pain was resolved by the fourth day, with changes observed in Mean Arterial Pressure (106 mmHg), pulse frequency (80 beats/minute), and the patient's pain complaint (scale 2). Swedish massage therapy is recommended as a complementary intervention to reduce pain in hypertensive patients.
Co-Authors Aghna Alfafa Mamnunia Agustiyawan Agustiyawan Alettha, Keyza Zie Alifa, Salsa Bila Almira, Dinda Marsha Anandita, Laura Andy Sirada Anggi Mulyana Rahayu Anggraeni, Diah Tika Anida Safitri Ayu Prawesti Priambodo Cecep Eli Kosasih Chintia Febriyanti Clarissa Carera Devina Dwi Aprillia Sari Diah Tika Anggraeni Dwi Suratmini Efan Kaesar Endah Yuliany Rahmawati Enny Fauziah Fadhira Citra Surya Anjani Febi Puspitasari Galuh Nurulita Fitriani Galuh Nurulita Fitriani Gamya Tri Utami Ghyffara Agathy Putri Hasan, Melani Meta Hermawati, Risma Indira Cahyani Iqbal Taufik Ismail Iqbal Taufik Ismail Iqbal Taufik Ismail Isnainyah, Mar'atul Izza, Nurul Jansen, Susiana Kiki Rezki Faradillah Lestari, Arlynqa Siva Lina Berliana Togatorop Lusiana Sandriani Dhua Mar'atul Isnainyah Maulida, Mutia Mauliya, Nadiyyah Maulyda Azzahra Mawaddah, Fauziah Mona Oktarina Nabila , Putri Rahma Nabila Tsamara Zahra Nabilla Asmarany Nabilla Asmarany Nadiya Fitriani Tanjung Nazhira, Fidyatul Ningtiyas, Astuti Nur Dewi Ros Septianingsih Pamungkas, Wahyu Putri Pangestu, Siti Yaasinta Dwi Priwardani, Khaerunisa Puspitasari, Nabiila Putri, Annisa Rahma Cahya Rachmat , Syafa Salsabila Meisya Rafli Rizqi Anugrah Reihana Zakiya Rikani Rikani Risa Kusuma Anggraeni Saidah Alawiyah Sani Widianti Kuswara Sani Widianti Kuswara Siti Aisyah Azzahra Solagracia Sukatno Putri Susiana Jansen Susianna Jansen Triana Dewi Safariah Vania Putri Felisia Widianti Kuswara, Sani Winanda Diany Winara Winara Yefta Primasari Zahra, Nabila Tsamara