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Analisis Pelaksanaan Clinical Pathway Berdasarkan Perspektif Pasien dan Tenaga Kesehatan Sihotang, Widya Yanti; Sitepu, Enda Menaisa; Girsang, Ermi
JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) Vol 9, No 2 (2024)
Publisher : Prodi Kesehatan Masyarakat Fakultas Kesehatan Masyarakat UIN Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/jumantik.v9i2.16079

Abstract

Penerapan clinical pathway di rumah sakit memberikan pelayanan yang aman, berkualitas, dan efektif kepada pasien dengan menjaga kepentingan mereka sesuai dengan standar pelayanan. Tujuan dari penelitian ini adalah untuk menganalisis pelaksanaan Clinical Pathway dari perspektif pasien dan tenaga kesehatan dengan metode mix-methods. Dalam metode kuantitatif, 361 pasien menjadi sampel penelitian yang dianalisis secara univariat, sedangkan metode kualitatif  menggunakan teknik wawancara mendalam terhadap informan  komite medik, manajemen, komite mutu, case manager, dokter, perawat, farmasi dan nutrisionis. Analisis data kualitatif dilakukan dengan teknik triangulasi. Hasil penelitian menggambarkan pelaksanaan Clinical Pathway menurut perspektif pasien secara umum berjalan dengan baik dengan persentase sebesar 66,5% akan tetapi masih banyak  pasien yang menjawab pelaksanaan Clinical Pathway kurang baik  dengan persentase sebesar 33,5%. Pelaksanaan Clinical Pathway berdasarkan perspektif tenaga kesehatan sudah berjalan dengan baik namun sering ditemukan beberapa kendala dalam pelaksanaaan terkhususnya dalam komunikasi, pelatihan, komitmen, serta monitoring dan evaluasi yang berkelanjutan terhadap pelaksanaan Clinical Pathway masih kurang.
Patient Satisfaction Level on Effect of Treatment Duration at Prima Medan Royal Hospital Lubis, Nurul Sri Finna; Girsang, Ermi; Nasution, Sri Lestari Ramadhani; Suyono, Tan
Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 5, No 4 (2022): Budapest International Research and Critics Institute November
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v5i4.7086

Abstract

Waiting time in patient care the treatment is a problem that often causes patient complaints in various health institutions. The time a patient remains at registration, examination, and drug taking reflects how the agency manages the service component tailored to the patient's situation and expectations. This research aims to see the waiting time with patient satisfaction. This study uses a research design analytic observational with a cross-sectional study approach conducted at the hospital Royal prima. The sampling technique uses purposive sampling with as many as 170 respondents. Analysis test with chi-square test with a significance level of p < 0.05. From the chi-square test results, the waiting time for registration and examination drug on patient satisfaction obtained p value = 0.000 and 0.021 <0.05 means Ho is rejected and Ha accepted, implying a relationship between the waiting time for registration and inspection with patient satisfaction. Meanwhile, the time of taking the drug on patient satisfaction is obtained p value = 0.400> 0.05 means Ho is accepted and Ha is rejected, meaning there is no relationship between the time Wait for taking medication and patient satisfaction. So, it is recommended that officers be more committed and disciplined in providing appropriate services with a predetermined schedule.
Analysis Influence of Mother's Behavior, Socio-Economic, and Physical Home Environment Putri, Dara Maulidya; Girsang, Ermi; Nasution, Sri Lestari
Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 4, No 4 (2021): Budapest International Research and Critics Institute November
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v4i4.3479

Abstract

Indonesia as a developing country is still facing this problem. It is very important to understand the related factors that influence several economic and environmental factors in the regulation of health conditions in Indonesia to find out which programs are more effective. Eco-nutrition has three main areas: public health (access to quality water, sanitation, and health services), socioeconomic (livelihood assets), and malnutrition. This study describes the relationship between socioeconomic factors and public health with malnutrition, stunting, and underweight in Indonesia. Data on the prevalence of malnutrition, stunting, wasting, education level, and public health factors (access to clean water, clean living behavior, utilization of posyandu, complete immunization coverage, the incidence of diarrhea, and incidence of acute respiratory infection (ARI) were obtained from previous research studies. socioeconomic status (poverty level and GRDP/capita) obtained from the Central Statistics Agency (BPS).
Are There Effects of Brand Equity Elements at Hospital Wirahusada Kisaran Hamsi, Quratul Aini; Girsang, Ermi; Nasution, Sri Lestari Ramadhani
Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 5, No 4 (2022): Budapest International Research and Critics Institute November
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v5i4.7087

Abstract

Brand equity will make it easier for the hospital to market and determine the patient's wishes. This research is to find out how the Brand Equity Elements at RSU Wira Husada Kisaran. The sample size in this study was 20 samples. Research time was conducted since the author surveyed in January 2022 until data collection, followed by a seminar on results. The results showed that only the brand loyalty variable did not affect the interest of patients in reusing Wira Husada Kisaran Hospital, for variables brand awareness, perceived quality, association, word of mouth, and marketing mix affect the patient's interest in reusing Wira Husada Kisaran Hospital. The suggestion is that RSU Wira Husada Kisaran should optimize patient satisfaction and meet patient needs by adding health services that are to patient needs and improving service quality.is the new face of Turkey under Erdogan's political management
Pengaruh daya tanggap dan kehandalan terhadap kepuasan pasien umum rawat jalan di RSU Royal Prima Medan Bu'ulolo, Christian Siuwandy; Edlin, Edlin; Suyono, Tan; Girsang, Ermi
Jurnal Prima Medika Sains Vol. 1 No. 1 (2019): Desember
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (329.144 KB)

Abstract

Data kunjungan pasien umum rawat jalan RSU Royal Prima Medan pada bulan Februari - Agustus 2018 menunjukkan bahwa adanya penurunan jumlah kunjungan pasien umum rawat jalan. Penurunan jumlah kunjungan pasien tersebut dipengaruhi berbagai faktor, salah satunya adalah mutu pelayanan kesehatan yang mengakibatkan ketidakpuasan pasien terhadap pelayanan rumah sakit. Penelitian ini bertujuan untuk menganalisis pengaruh daya tanggap dan kehandalan terhadap kepuasan pasien umum rawat jalan di RSU Royal Prima Medan dengan jenis penelitian kuantitatif dan pendekatan cross-sectional dan jumlah responden sebanyak 89 orang dengan menggunakan teknik accidental sampling. Analisis data dengan menggunakan uji regresi linear berganda. Hasil penelitian menunjukkan terdapat pengaruh yang signifikan antara mutu pelayanan sebesar 97,2 % kepuasan pasien dengan signifikansi sebesar 0.000 (p<0.05). Terdapat pengaruh positif dan signifikan antara variabel kehandalan dengan nilai signifikan 0,0028 terhadap kepuasan pasien umum rawat jalan di RSU Royal Prima Medan.
Pengaruh Pemberian Gel Ekstrak Daun Pegagan (Cantella asiatica) sebagai Peningkat Neovaskularisasi, Fibroblast dan Epitalisasi dalam Penyembuhan Luka Tikus Jantan Tambunan, Gempita Cahaya Aulia; Girsang, Ermi; Nasution, Ali Napiah
Health Information : Jurnal Penelitian Content Digitized
Publisher : Poltekkes Kemenkes Kendari

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

Abstract

Penyembuhan luka (wound healing) adalah suatu bentuk proses untuk memperbaiki kerusakan yang terjadi pada struktur jaringan kulit. Dalam proses penyembuhan luka diperlukan proses neovaskularisasi, epitalisasi dan fibroblas untuk mempercepat proses penyembuhan luka. Daun pegagan (Centella asiatica) berperan sebagai penyembuh luka yang mengandung senyawa antioksidan, agen antimikroba dan agen sintesis kolagen. Penelitian ini bertujuan untuk mengetahui bagaimana pemberian gel ekstrak daun pegagan dalam meningkatkan neovaskularisasi, epitelisasi, dan jumlah fibroblas pada tikus jantan. Penelitian ini menggunakan jenis penelitian eksperimental Post test Only Control Group Design. Populasi dalam penelitian ini adalah tikus putih (Rattus norvegicus) dewasa yang berjumlah 36 ekor berjenis kelamin jantan dan sehat, dengan umur 24 bulan dan berat 350-550 gram. Pada penelitian ini sampel dengan jumlah sebanyak 26 ekor tikur dibagi dua kelompok, yaitu kelompok perlakuan dan kelompok kontrol yang diadaptasi selama 10 hari. Hasil penelitian menunjukkan berdasarkan uji komparabilitas menunjukkan vaskularisasi diperoleh nilai sig 0,003 (0,003<0,05) dengan nilai rerata vaskularisasi setelah perlakuan 10 hari adalah 0.44±0.53, pada epitaliasi diperoleh nilai sig 0,003 (0,003<0,05) dengan nilai rerata epitaliasi setelah perlakuan 10 hari adalah 3.00±0.00, pada fibroblas diperoleh nilai sig 0,000 dengan nilai rerata fibroblast setelah perlakuan 10 hari adalah 0.56±0.53. berdasarkan hasil penelitian menunjukkan bahwa pemberian gel ekstrak daun pegagan dalam meningkatkan neovaskularisasi, epitelisasi, dan jumlah fibroblas pada tikus jantan.
Implementasi Kebijakan Akreditasi di Klinik Pratama Rushe, Rhesiwenny; Girsang, Ermi; Nasution, Sri Lestari Ramadhani
Journal of Telenursing (JOTING) Vol 6 No 2 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i2.11773

Abstract

Akreditasi merupakan pengakuan terhadap mutu fasilitas pelayanan kesehatan setelah dilakukan penilaian bahwa fasilitas pelayanan kesehatan telah memenuhi standar akreditasi yang ditetapkan oleh pemerintah. Berdasarkan Peraturan Menteri Kesehatan Republik Indonesia Nomor 34 Tahun 2022 setiap klinik wajib dilakukan akreditasi. Penelitian ini bertujuan untuk menganalisis implementasi kebijakan akreditasi di Klinik Pratama Polda Jambi dengan metode kualitatif deskriptif. Data primer dikumpulkan melalui wawancara mendalam terhadap 6 informan. Data sekunder diperoleh melalui telaah dokumen dan observasi. Hasil penelitian yang didapatkan adalah implementasi kebijakan akreditasi di Klinik Pratama Polda Jambi berjalan dengan baik ditinjau dari faktor komunikasi, sumber daya, disposisi dan struktur birokrasi. Disarankan kepada Biddokkes Polda Jambi sebagai pembina fungsi untuk tetap melaksanakan sosialisasi akreditasi secara berkesinambungan dan kepada Klinik Pratama Polda Jambi untuk mendata kelengkapan klinik secara berkala. Kata kunci : Implementasi Kebijakan, Akreditasi Klinik
Analisis Budaya Keselamatan Pasien terhadap Kepatuhan Penerapan SPO di Ruang Rawat Inap Dalimunthe, Candra Rukmana; Girsang, Ermi; Ramadhani, Sri Lestari
Journal of Telenursing (JOTING) Vol 6 No 2 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i2.11940

Abstract

This study analyzes patient safety and compliance with implementing SOPs in inpatient rooms. The research method used in this study is qualitative research with a phenomenological approach. The results of this study are that the manager's expectations and patient safety promotion actions have been implemented, organizational learning and improvements are evaluated in the form of online questionnaires, feedback, and communication about errors, and not all staff understand the procedures for reporting patient safety incidents, the openness of communication with superiors has been carried out well, and superiors provide positive reciprocal responses, there is no blaming response when reporting patient safety incidents from superiors or related parties, and the implementation of SOPs in the ward has not been carried out optimally and not all staff understand and implement them well. In conclusion, the implementation of SOPs on patient safety has been carried out well by all aspects of health workers in the hospital. Keywords: Patient Safety Culture, SOPs, Hospitals
Analysis of Medicine Procurement Planning using FIFO and FEFO Methods at West Pasaman Regional Hospital Daulay, Ayu Sasmita; Girsang, Ermi; Ramadhani Nasution, Sri Lestari
Buletin Farmatera Vol 9, No 2 (2024)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/bf.v9i2.20849

Abstract

Abstract: Planning in medicine procurement is carried out because inefficiency can harm the smooth procurement of drugs for pharmaceutical service activities in the provision of overall health services, both medical, social and economic. Therefore, careful planning and medicine procurement management is needed. Stock-outs and stagnation that occur can also be influenced by drug storage methods that do not apply the First Expired First Out (FEFO) and First In First Out (FIFO) principles. This research aims to analyze medicine procurement planning using the FIFO and FEFO methods at the West Pasaman Regional Hospital using a descriptive research design through a qualitative approach. The results of this research conclude that the human resources, budget, facilities and infrastructure as well as procedures included in the input picture for drug procurement planning using the FIFO and FEFO methods at the West Pasaman District Hospital are under need, as are the human resources that have been met, the available budget and the facilities and infrastructure that has been fulfilled. However, several things must be evaluated regarding facilities and infrastructure, namely in the warehouse section, where the West Pasaman Regional Hospital still has a warehouse that is not conducive to procuring medicines.
Liver Protection Effect of Red Rose Petal Methanol Extract in Copper-Induced Liver Injury in Male Wistar Rats Hutagalung, Caroline Febrina; Girsang, Ermi; Mutia, Maya Sari; Suhartina, Suhartina; Natali, Oliviti
Biology, Medicine, & Natural Product Chemistry Vol 12, No 2 (2023)
Publisher : Sunan Kalijaga State Islamic University & Society for Indonesian Biodiversity

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14421/biomedich.2023.122.507-513

Abstract

The human body requires low amounts of copper to maintain homeostasis, but high copper intake can cause various health problems. Many previous studies have been performed to look for natural products that can neutralize the excessive copper effect; one such natural product is a rose petal. Therefore, this study aims to investigate the liver protection effect of rose petals in copper-induced liver injury in male Wistar rats. This experimental study used thirty male Wistar rats that were grouped into five groups, including control, standard (quercetin), Rose Petal Methanol Extract-1 (400 mg/kg BW), 2 (800 mg/kg BW), and 3 (1,200 mg/kg BW). All groups were treated for 14 days, and all rats were given copper (II) sulfate suspension for the last three days. On the fifteenth day, all rats were sacrificed to obtain blood and liver tissue SGOT, SGPT, and liver histology study. The results showed that rose petal methanol extract significantly decreased SGOT and SGPT levels compared to the control group (P-value <0.05). The reduced area of ballooning degeneration and necrosis were in line with the increased dose of rose petal extract supported the liver protection effect of rose petal extract. Therefore, it can be concluded that rose petal methanol extract protects the liver against copper impacts.
Co-Authors ., Saprilliani A.F. Depari, Sania AA Sudharmawan, AA Abdi Eliezer Dakhi, Juang Achmad Noerkhaerin Putra Adelia Adelia, Adelia Aditya Jamin, Muhammad Adnan, Maco Chan Adrian Adrian Adrisya Lubis, Putri Anggie Afni Kartika, Ajeng Agatha, Callista Della Agung Abadi Kiswandono Ahmad Affandi Ahmad Nasir Pulungan Akbarinda, Zsizsi Albert Albert Alice Putri, Ivana Amanda, Silvia Rizki Anggita, Nindi Dwi Anggraini, Tri Lidya Anggraini, Wenti Angie, Evelyn Anjasari, Melati Salsabila Arianti, Rahmi Aris, Anita Armansyah, Adek Aulia, Dinda Rahmah Aulia, Kharina Rizki Azzahra, Siti Khumairah Bangbang Buhari Bangun, Henny Arwina Binarwan Halim Boas, Richie Ray Barry Br Pelawi, Riri Sri Hagana Br Pintubatu, Christina Delina BT Hasan, Riyani Susan Bu'ulolo, Christian Siuwandy Butar-Butar, Erika Fatrecia Marsaulina Cahya, Septian Dwi Candra Rukmana Dalimunthe Carles, Carles Cenggono, Melise Chiuman, Linda Cisca, Anita Merry Damanik, Marco Frans Hernandes Daulay, Ayu Sasmita Dedek Sucahyo Devi Arista Djohan Djohan Duha, Kristin Berlianta Dwi Siswanta Edlin, Edlin Edy Fachrial Elis Anggeria Elisabeth, Mariska Elizabeth, Riana Elvira, Cut Eprina Intami Erda, Roza Fahliza Ismar, Elza Farrasizdihar, Diaz Fatmasari Bangun, Nita Febrianty, Novita Dwi Ferdianti, Desy Lailani Ferdinand Ginting, Sahna Fieterson, Kriahan Joel Fioni, Fioni Fitrianto, Rahmad Fitrisia, Rina Geeta, Ginting, Chrismis Novalinda Ginting, Crismis Novalinda Ginting, Gabby Gabriela Ginting, Liani Ginting, Rafael Ginting, Randy Frananta Ginting, Sopianita Healthy Grace Rezeki, Naomi Grandis G. D., Lexandria Gultom, Yosephine Octaviana Gunawan, Herry Gusnawati, Gusnawati Hadiprasetyo, Dhanar Septyawan Hafizah, Nandani Zakia Haicha Pratama, Irza Halima, Piyanto Hamdi, Sintiya HAMSI, QURATUL AINI Handayani, Rr. Anisa Siwianti Harahap, S. Shelly Hazlina Harahap, Vinnie Hazriah Harjanti, Mathelda Weni Hartantio, Agnes Haryanti, Mathelda Weni Hasan Basri Nasution, Muhammad Hasibuan, Khairinnisa Hati Harefa, Lurusan Hermansyah Aziz Hilal, Zaimah HILMAN TADJOEDIN, HILMAN Hutagalung, Caroline Febrina I.N. Silangit, Silka Idariani, Idariani IKHTIARI, REFI Irwan, Mulia irza Haicha Pratama Isabella Silalahi, Marlinang Johannes Bastira Ginting Juanda, Lidya Sari Juniva Laila Sihombing, Juniva Laila Kaban, Kamelia Kaban, Lyta Imanti Kalimah, Kalimah Karmila, Erni Kesuma, Farah Shyfa Khairullah Sembiring, Firza Khoironissa, Analita Kosasih, Putri Peggy Yanti Kurniawan Purba, Abdi Kusumaningrum, Tri Siwi Laia, Dermawati Lawrence, Christopher Leli Khairani Leoditta Sitinjak, vivian Lestari Nasution, Sri Lestari Ramadhani Nasution, Sri Lestari Ramadhani, Sri Lie, Sukirman Lie, Veronica Liena, Liena Liester, I Nyoman Ehrich Lilies Lingkaran Linawaty, Linawaty Lingga, Imelda Lister, I Nyoman Ehrich Lister, I Nyoman Ehrich Lister, I. Nyoman Ehrich Lister, Nyoman Ehrich Lubis, Maas Lubis, Nurul Sri Finna Maler, Tangge Marcelino, Nico Mare A, Fauzan Margareta Pratiwi Maricella, Adrianie Marisca Evalina Gondokesumo, Marisca Evalina Marzuki, Marlinda Maulidin, Muhammad Maulina, Febby Mawarni, Evi Maywinsih Jauhari, Mutia Meliala, Juli Elisabet Mayen br Mendrofa, Trisman Basri Mendrofa, Tuho Konsultasi Michael Michael Milka Rositi Sianipar Minati, Tengku Nanda Edwina Muhammad Maulidin Mukti, Ade Indra Munazar Rahmat, Said Mutia, Maya Sari Naibaho, Iren Theresia Melati Br Napiah Nasution , Ali Napiah Nasution, Ali Napiah, Ali Nardi, Leo Nasuition, Ali Napiah Nasution, Ali N. Nasution, Ali Napiah Nasution, Muhammad Andriady Saidi Nasution, Sri Lestari Nasution, Sri Ramadhani Nasyushan, Sri Lestari Ramadhani Natali, Oliviti Natalia Desvalentina Lase NELDA, FITRI Nindya, Faradhina Salfa Njoto, Lina Novalinda, Chrismis Noviana, Amelia Nst, Sri Wahyuni Nurul Hidayat Aprilita Nurunnisa, Syarifah Nyoman Ehrich Lister, I Oktaviani, Emma Parapat, Winny G I Patriana, Dhona Poernomo, Dwi Hery Puspita, Sunny Putranto Manalu Putri Anggraini, Herisa Putri, Dara Maulidya Putri, Muna Soraya Putri, Nadya Nazimuddin Putri, Riri Virzan Putri, Seisarita Rachmi Yuana, Syafrina Rahmadana, Rizka RAHMAT, DENI Rahmiana Zein Rahmini, Elsi Raif, M. Rahmad Ramadhani, Sri Lestari Ramazata, Bayu Rapael Ginting Raveli , Kalvin Rehulina Br Purba, Farida Resmalita, Nelli Adelia Resmi Pangaribuan Rizki Maulidi, Risyad Rosar, Naufal Rushe, Rhesiwenny Saharman Gea Sahputra, Fajar Salovetian, Marcelino Samosir, Frans Judea Santy Deasy Siregar Santy, Darnedy Fatwa Mely Sari Mutia, Maya Sari, Diah Sekar Sarumaha, Abrianus Saufa, Zahra Qisthi Sembiring , Intan Permata Sari br. Sembiring , Jessyca Sembiring, Melyala Cristy Siahaan, Cory Oriensia Silaen, Mangatas Silalahi, Marlinang I. Simanjorang, Delpini Sinaga, Megasilvia Siregar, Fitria Desiana Siregar, Hafiz Hawari Siregar, Lidya Siregar, Lusyana Siregar, Novalina Sitanggang, Rido Aliberto Sitepu, Enda Menaisa Sitompul, Fernades Soraya, Annisa Sri Juari Santosa Sri Lestari Ramadhani Nasution Sri Rezeki, Dewi Stephan, Weldy Subang Aini Nasution Subrata, Mariany Puspita Suhartina Suhartina Suhartina, Suhartina Sumiati Sumiati Suryana, Kresna Dharma Suryono, Tan Suyono, Tan Suyono, Tan Syahputra, Nedi Syahputri, Nurul Apla Wizaya Takasenserang, Oktaviana Takashi Hayashita Tambunan, Gempita Cahaya Aulia Tambunan, Ridhona Tarigan, Almina Rospitaria Tarigan, Gracia Hosanna Evelyn Tarigan, Muliate Telaumbanua, O'ozisokhi Telaumbanua, Renjiro Howuhowu Teresa Liliana Wargasetia Tio, Susanthy Triharsiwi, Dwi Nur Tua, Vridian Mangara Turnip, Modesto Lam Ulido Putra Ummi Kalsum VERONICA VERONICA Vonikartika, Arie - WAHYU WIDOWATI Wahyuni Br Nababan, Agata Wahyuni Nasution, Sri Wau, Herberd Wibowo, Satrio Haryo Benowo Widodo, Wahyu Setia Widya Yanti Sihotang Wienaldi, Wienaldi Wijaya, Cindy Eka Wijaya, Franks Wijaya, Joshua Andre Wijayanti, Natasha Rismayana Y. Sihotang, Widya Yessica Putri H Yolanda Eliza Putri Lubis Yulidar Yulidar Yusuf, Lydia Zahiroh, Fadhilah Haifa Zebua, Sawato Zelvia, Sindy Zulkarnain Chaidir