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Titin Sutini

Fakultas Keperawatan Universitas Padjadjaran

Author-ID : 583308

Religion Aerospace Engineering Agriculture, Biological Sciences & Forestry Arts Humanities Computer Science & IT Dentistry Economics, Econometrics & Finance Education Engineering Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Self-help skills improve independence of activities daily living in pre-school children with child abuse Lusty, Junita; Sutini, Titin; Purwati, Nyimas Heny; Srisantyorini, Triana
Riset Informasi Kesehatan Vol 14 No 2 (2025): Riset Informasi Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30644/rik.v14i2.1034

Background: Children who are abused are prone to delayed growth and development, including the development of independent Activities Daily Living (ADL). Self-help skills are motor skills that can help children to fulfill basic needs independently through Activities Daily Living (ADL). Therefore, adults around them, including caregivers in orphanages, need to teach self-help skills to improve children's ADL independence. Objectives: This study aims to determine the effect of self-help skills on Activities Daily Living (bathing, brushing teeth, personal hygiene, toileting, dressing, and eating) independence in pre-school children with child abuse which is measured by ADLIC (Activities of Daily Living Iranian Children). Methods: Respondents in this study were pre-school children with child abuse who were given self-help skills with a total of 36 respondents divided into intervention and control groups. The research design used a quasi-experimental design with a non-equivalent control group pre-post test. The bivariate analysis used in bathing, brushing teeth, personal hygiene, and toileting variables was paired t-test, while the variables of dressing and eating was used Wilcoxon Signed Rank Test. Results: The p-value result in the intervention group is 0.000 (<0.05) which indicates that there is a difference in ADL ability from before and after the intervention. In the control group, the p-value> 0.05 was obtained, indicating that there was no difference between ADL abilities before and after. There is a significant average increase in the intervention group compared to the control group. Conclusion: The results of this study indicate that there are average increase in the independence of Activities Daily Living (ADL) in pre-school children with child abuse in the intervention group after being given treatment in the form of self-help skills. Therefore, it is hoped that all parties involved in the care of children with a history of child abuse are able to minimize the impact that occurs due to child abuse and understand the concept of self-help skills that support the development of the independence of ADL.

Adolescent Education as a Strategy to Enhance Knowledge on Iron Supplementation Ermiati, Ermiati; Widiasih, Restuning; Emaliyawati, Etika; Sutini, Titin; Srimurni, Nita Ayu
Media Karya Kesehatan Vol 8, No 1 (2025): Media Karya Kesehatan
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/mkk.v8i1.61851

Iron Supplementation is a crucial intervention for adolescent girls, both in the present and for their future health. Adolescents, particularly females, are at a higher risk of developing anemia compared to other age groups, primarily due to increased blood loss during menstruation. This community engagement initiative aimed to enhance adolescent knowledge regarding the role of iron supplementation in the prevention of anemia. The intervention employed a structured health education program delivered through PowerPoint presentations, informational leaflets, and educational videos. The program was conducted among 36 female students. Data were collected using pre- and post-intervention knowledge assessments, and analyzed by comparing the mean scores before and after the educational session. The findings demonstrated a significant improvement in knowledge, with the mean score increasing from 57.78 in the pre-test to 83.06 in the post-test. Based on these results, it is recommended that iron supplementation education be sustained and integrated into routine school-based supplementation programs to optimize awareness and compliance among adolescent girls.Keywords: Adolescent girls, anemia, blood supplement tablet, health eduacation.

Peningkatan Persepsi Positif Pasien Bipolar Affective Disorder Current Episode Depressive dengan Harga Diri Rendah Kronis: Case Report Khoirunnisa, Fadila; Sutini, Titin; Maulana, Indra
Jurnal Keperawatan Profesional Vol 13, No 1 (2025): Determinants of Health
Publisher : Nurul Jadid University, Probolinggo, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/jkp.v13i1.11700

Harga diri rendah kronis merupakan salah satu gangguan jiwa yang ditandai dengan penilaian negatif terhadap diri sendiri dan adanya perasaan tidak berharga sehingga berdampak terhadap kesulitan membangun hubungan sosial dengan orang lain. Penelitian ini bertujuan untuk menggambarkan asuhan keperawatan berfokus pada peningkatan persepsi positif pasien Bipolar Affective Disorder yang mengalami masalah keperawatan utama harga diri rendah kronis menggunakan metode case report. Implementasi yang diberikan meliputi membina hubungan saling percaya dengan menggunakan teknik komunikasi terapeutik, mengidentifikasi kemampuan dan aspek positif yang dimiliki pasien, membantu pasien menilai aspek positif yang dapat dilatih, serta membantu pasien dalam membuat jadwal latihan dan harian. Hasil penelitian ini menunjukkan bahwa setelah pasien mendapatkan asuhan keperawatan, terdapat perbaikan kemampuan pasien dalam menilai diri secara positif, membangun hubungan sosial dengan orang lain, serta meningkatkan produktivitas kegiatan sehari-hari hingga pasien dinyatakan boleh pulang oleh dokter. Meskipun intervensi tidak sepenuhnya selesai karena pasien dipulangkan lebih awal, dukungan berkelanjutan dari keluarga memegang peranan penting dalam proses pemulihan. Asuhan keperawatan yang diberikan terbukti efektif dalam membantu pasien meningkatkan persepsi positif dalam mengatasi harga diri rendah kronis.

Family support and quality of life among stunted preschool-aged children: A cross-sectional study Handayani, Fitri; Anwar, Syamsul; Sutini, Titin
The Journal of Palembang Nursing Studies Vol. 4 No. 2 (2025): May 2025
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55048/jpns106

Background: Stunting remains a major public health problem that not only impairs physical growth but also compromises children’s emotional, social, and cognitive development, ultimately reducing quality of life. Families play a critical role in the prevention and management of stunting by providing adequate caregiving, ensuring proper nutrition, and facilitating access to healthcare services. Understanding the association between family support and quality of life is essential for guiding effective interventions. Objective: This study aimed to examine the correlation between family support and quality of life among preschool children with stunting. Methods: A cross-sectional design with a quantitative approach was applied, involving 66 parents or caregivers of preschool children aged 36–72 months diagnosed with stunting. Respondents were selected using purposive sampling. Family support was measured across emotional, instrumental, appreciation, and informational domains, while children’s quality of life was assessed using standardized questionnaires. Data were analyzed using chi-square tests and multivariate logistic regression to identify potential confounding factors. Results: The analysis demonstrated a significant relationship between family support and quality of life (p < 0.001). Children from families providing strong support were 65.9 times more likely to experience good quality of life compared with those from families with inadequate support. Multivariate analysis revealed parental education as a confounding factor (p = 0.011), with higher educational attainment contributing to stronger family support and improved child outcomes. Conclusions: Strengthening family support and improving parental education are crucial strategies to enhance the quality of life of stunted preschool children

Pengaruh teknik relaksasi benson terhadap fatigue pada remaja dengan thalasemia yang menjalani transfusi darah Farizal, Rinezia Rinza; Anwar, Syamsul; Sutini, Titin; Purwati, Nyimas Heny
Holistik Jurnal Kesehatan Vol. 19 No. 7 (2025): Volume 19 Nomor 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i7.1530

Background: Fatigue is one of the most common chronic symptoms experienced by adolescents with thalassemia major as a consequence of the disease and routine blood transfusions. This condition negatively affects quality of life, daily activities, and psychological well-being. Benson relaxation technique, as a non-pharmacological intervention, has the potential to reduce fatigue by lowering stress and anxiety while promoting relaxation.Purpose: To examine the effectiveness of Benson relaxation technique in reducing fatigue among adolescents with thalassemia undergoing blood transfusion.Methods: A quasi-experimental design with a pre-post test control group approach was employed. The sample consisted of 30 adolescents (15 in the intervention group and 15 in the control group) selected through purposive sampling. The intervention group practiced Benson relaxation twice a week for four weeks (15–20 minutes), while the control group received standard care. Fatigue levels were measured using the Visual Analogue Scale for Fatigue (VAS-F). Data were analyzed using paired t-test and General Linear Model Repeated Measure (GLM-RM).Results: A significant difference was found in fatigue scores before and after the intervention in the treatment group (p<0.05), as well as between the intervention and control groups. GLM-RM analysis demonstrated that Benson relaxation technique effectively reduced fatigue consistently up to the fourth week.Conclusion: Benson relaxation technique is proven to be effective in reducing fatigue among adolescents with thalassemia undergoing blood transfusion. Keywords: Adolescents; Benson Relaxation Technique; Blood Transfusion; Fatigue; Thalassemia. Pendahuluan: Fatigue merupakan salah satu gejala kronis yang paling sering dialami remaja dengan thalasemia mayor akibat kondisi penyakit dan prosedur transfusi darah rutin. Kondisi ini dapat menurunkan kualitas hidup, membatasi aktivitas sehari-hari, serta berdampak pada kesehatan psikologis. Teknik relaksasi Benson sebagai intervensi non-farmakologis diyakini mampu menurunkan fatigue melalui mekanisme pengurangan stres, kecemasan, dan peningkatan rasa relaksasi.Tujuan: Untuk mengetahui efektivitas teknik relaksasi benson dalam menurunkan tingkat fatigue pada remaja dengan thalasemia yang menjalani transfusi darah.Metode: Penelitian desain quasi-experimental dengan rancangan pre-post test with control group. Sampel terdiri dari 30 remaja (15 kelompok intervensi dan 15 kelompok kontrol) yang dipilih dengan purposive sampling. Kelompok intervensi menjalani teknik relaksasi Benson dua kali seminggu selama empat minggu (15–20 menit), sedangkan kelompok kontrol hanya memperoleh perawatan standar. Tingkat fatigue diukur menggunakan Visual Analogue Scale for Fatigue (VAS-F). Analisis data dilakukan dengan paired t-test dan General Linear Model Repeated Measure (GLM-RM).Hasil: Terdapat perbedaan signifikan skor fatigue sebelum dan sesudah intervensi pada kelompok perlakuan (p<0.05), serta perbedaan bermakna antara kelompok intervensi dan kontrol. Analisis GLM-RM menunjukkan bahwa teknik relaksasi Benson efektif menurunkan fatigue secara konsisten hingga minggu keempat.Simpulan: Teknik relaksasi Benson terbukti efektif menurunkan tingkat fatigue pada remaja dengan thalasemia yang menjalani transfusi darah. Kata Kunci: Fatigue; Remaja; Teknik Relaksasi Benson; Thalasemia; Transfusi darah.

Indonesian HIV women's perception about HIV- transmitted prevention in pregnancy intention: a peer support group survey Koeryaman, Mira Trisyani; Melinda, Yuyun; Sutini, Titin
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.v9i2.2802

In Bandung city, the prevalence of HIV-positive women increased annually. It can potentially produce an infected fetus if they are pregnant because HIV (human immunodeficiency virus) can pass through the placenta and transmit to the fetus. With women's awareness, preventing transmission risk may be beneficial to achieve a safe conception, pregnancy and birth for women who are planning to have a baby. Aims. This study aims to identify HIV women's perception of the perinatal spread of HIV in pregnancy and highlights their role in managing transmission prevention. Method. Fifty-two women with diagnosed HIV belonging to active members of a peer support group (PSG) in Bandung city, Indonesia, answered survey questionnaires. The questions covered behaviors components on perceived HIV-transmitted risk, benefits and obstacles and self-confidence in HIV-transmitted prevention (5-point scale). The data collection was carried out about two months. Results. Participants generally have a positive perception of HIV-transmitted prevention. Of the 52 women, 51.4% (n=27) showed positive perceptions of HIV-transmitted susceptibility, 60% (n=30) felt no barriers to HIV-transmitted prevention, and 51.4% (n=27) had positive self-confidence in HIV-transmitted prevention. In contrast, 54.3% of women (n=28) indicated that they negatively perceive the benefits of HIV- transmitted prevention. Conclusions. These findings provide important clues for planning HIV management before pregnancy, highlighting the domains that health professionals should seriously focus on in giving proper intervention. Health professionals should use specific strategies to promote the benefits of HIV-transmitted prevention to achieve the demands of safe conception, pregnancy and postpartum.

Family and Peer Group Support Related to The Quality of Life of Thalassemic Adolescents in Outpatient Settings Komariah, Elis; Sutini, Titin; Fauziah, Munaya; Sasmito, Priyo; Sumartini, Sri
International Journal of Public Health Excellence (IJPHE) Vol. 4 No. 1 (2024): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v4i1.1037

Thalassemia in Indonesia is dominated by teens. Thalassemic adolescents often experience psychosocial problems. The role of family and peer group support in the quality of life of thalassemic adolescents is still inconclusive. This study aim to determine the association between family and peer group support on the quality of life of thalassemic adolescents in one government hospital in Jakarta, Indonesia. An analytical observational study with a cross-sectional approach on β-thalassemia sufferers aged 12-18 years who came to the Children's Polyclinic and intervention room in November-December 2023. Family and peer group support was measured using the Social Support Scale, while quality of life was measured using the validated Generic Pediatric Quality of Life Inventory Version 4.0 (PedsQL). The data obtained were analyzed using Chi-Square and logistic regression tests. Forty-three patients were involved in this study. The average age of respondents was 14.4 years (range 13.8 – 15.1), the average time of diagnosis was 9.49 years (range 8.0 – 11.0), the average hemoglobin (Hb) level was 9.2 gr/dl (range 8.7 – 9.6 gr/dl). The majority of respondents were male (65.1%), had low education (60.5%), and had a good adherence to iron chelation therapy (100%). The association between family and peer group support on quality of life obtained a p-value of 0.014 and 0.006 with an Odd Ratio (OR) of 4.976 and 7.333 respectively. There is a significant relationship between family and peer group support on the quality of life of thalassemic adolescents. It is recommended for health workers to improve the quality of life of thalassemic adolescents with a family and peer group support approach. Further studies are needed to confirm the results of this study.

Interventions of Body Image Disorder among Adolescent: A Literature Review Hidayati, Nur Oktavia; Sutini, Titin; Nurhidayah, Ikeu
Indonesian Journal of Global Health Research Vol 6 No 1 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i1.2790

Adolescence represents the transition from childhood to adulthood and is associated with physical and social changes. Adolescence is a critical period in the development of body image. Critical events or sequences of events such as temptation and rejection can cause body image misperceptions or disturbances. The aim of this literature review is to identify interventions that nurses can do to overcome the problem of body image disorders in adolescents. The method used in the search is the literature study method with a series that includes searching for journal articles using certain keywords from the PubMed and CINAHL databases in the 2018 - 2023 period. The search results obtained 445 articles discussing body image disturbance interventions in adolescents, but only five articles that can meet the inclusion criteria. The results of the study showed that five interventions can be used to treat body image disorders in adolescents, namely application-based interventions (BodiMojo), Healthy Body Image (HBI) interventions, puberty education based on health belief models, application-based Cognitive-behavioral Therapy (CBT), and universal wellness programs. The five interventions proved to be effective in overcoming body image disorders in adolescents.

Causal Factors of Violent Behavior in Patients with Schizophrenia: Literatur Review Sutini, Titin; Emaliyawati, Etika; Hidayati, Nur Oktavia; Widiasih, Restuning; Ermiati, Ermiati
Indonesian Journal of Global Health Research Vol 6 No 2 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i2.3015

Schizophrenia causes distortion of thoughts, perception distortions, emotions, and behavior so that patients with schizophrenia have a higher risk of aggressive behavior where dramatic changes in behavior occur within a few days or weeks so that violent behavior is often associated with schizophrenic patients. Violent behavior is a situation where a person performs an action that can harm physically, both to himself and others. Although violent behavior is often associated with schizophrenic patients, not many studies have shown what factors can trigger violent behavior in schizophrenic patients. Aim this study was conducted to determine the factors causing the emergence of violent behavior in patients with schizophrenia. Method. This study uses Qualitative descriptive research approach to find out the description and problems in detail. The source of article data is done using databases and search engines, namely EBSCO, Springer, and Garuda. The strategy used to search the literature is to use the keywords Schizophrenia, Violent Behavior, and Factors. Inclusion criteria in this study were free full text and the year of article published in the range 2012-2022, in Indonesian and English, settings for various geographic locations and settings using the keyword cognitive behavior therapy. Results. Found 383 articles that have a theme according to the keywords entered. Furthermore, full-text article filtering and duplication filtering were carried out to obtain 219 articles. By using the inclusion and exclusion criteria, 6 research articles were obtained which were then analyzed in this study. Article analysis using PRISMA and PICO as the approach.Conclusion. Two main factors cause violent behavior in schizophrenic patients. These factors are predisposing factors such as the patient's personality and history of violence, as well as precipitating factors such as genetics, loss of self-concept, and disharmony in the patient's living environment.

Overview of Sleep Quality in Elementary School Children with Online Game Addiction Pebriana, Tika Rifa Luthfiyah; Sutini, Titin; Setyorini, Dyah
Indonesian Journal of Global Health Research Vol 6 No 3 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i3.3064

Excessive use of online games can lead to online game addiction behavior. This affects the circadian rhythm and the quality of sleep you will have. Poor sleep quality will affect children's growth and development. The purpose of this study was to determine the description of sleep quality in children with online game addiction at SDN Jati 03. This research is a quantitative descriptive research. The sample of this study was 72 elementary school children with online game addiction with the sampling technique, namely total sampling. This research instrument uses the PSQI questionnaire to assess sleep quality which is translated into Indonesian with the results of the validity test of the calculated r of all items (r = 22) with n = 528 and a reliability test of 0.72. The data analysis used is univariate analysis and the results are displayed in the form of frequency distribution tables. The results of this study found that the majority of elementary school-age children with online game addiction had poor sleep quality, namely 44 children (61.1%) while 28 children (38.9%) had good sleep quality. Special attention is needed to overcome online game addiction behavior and improve.

Co-Authors Aan Nuraeni Aat Sriati Agustine, Eska Madya Ai Mardhiyah AI MARDHIYAH, AI Ajeng Dwi Retnani Alfiyah, Nur Andis Pratama Anggraeni, Atika Dhiah Anita Apriliawati Anita Setyawati Anita, Apriliawati Annantusia Annantusia Anwar, Syamsul Apriliawati, Anita Apriliawati, Anita Asri Wahyu Candrawati Astrid Kizy Primadani Awaliah Ayu Prawesti Priambodo Beri, Edo Septa Budi Anna Keliat Caswandi Caswandi Dais, Exsos Grend Damayanti Palopa Dayana Noprida Desy Indra Yani Deviana Indriyanti Dewi Gayatri Dewi Hayati Didi Satiadi Dyah Setyorini Efri Widianti Elmi Susanti ENDAH NESTITI URIP RAHAYU Endah Wahyuni Ermiati Ermiati Ermiati Ermiati Eska Madya Agustine Esrha Theresya Siagian Eti Karwati Etika Emaliyawati Etika Emaliyawati Farizal, Rinezia Rinza Fatimah, Anugrah Nur Fernandes, Intan Agusti Firdaus, Rifqii Daiatul Fitri Handayani Fitriana, Anantusia Fitriyati, Fitriyati Gilang Purnama, Gilang Grisela Parisa Rahim Handayani, Annisa Yuniar Haryanto, Rohadi Hasna Nurul Naafiah Jamaludin Hendrawati H Henny Suzana Mediani Hermin Setiorini Hikmat Pramajati Hikmat, Rohman Hilmi Adillah Iceu Amira Iceu Amira D.A Iceu Amira DA Ika Novika Ikeu Nurhidayah Imas Rafiah Imas Rafiyah Indah Mentari Artani Siagian Indra Maulana Indra Maulana Indra Maulana` Indra Maulana Indrayati, Novi Indriyanti, Deviana Intan Nurul Khofifah Irma Permatasari Iskawati, Melda Iwan Shalahuddin Iyus Yosep Jani, Devi Triana Kadewi, Ami Kartika Alifah Karwati, Eti Khoirunnisa, Fadila Komariah, Elis Kurniawan Kurniawan Kurniawan Kurniawan Kusman Ibrahim Lameky, Vernando Yanry Laurentza Rikma Manika Lestari, Popy Lindayani, Emi Lumbatoruan, Astuti Lusty, junita Maimunah, Ai Mamat Lukman Marwasariaty Masruroh, Riri Maya Sari Medya Aprilia Astuti Melinda, Yuyun Mira Trisyani Muhammad Zikri Munaya Fauziah Mursiah, Mursiah Mutiarasani, Anjani Nina Sumarni Novia Rahmawati Nur Oktavia Hidayati Nur Oktavia Hidayati Nur Oktavia Hidayati Nuraeni, Nopi Nuraidah Nuraidah, Nuraidah Nurhabibatulkamil, Alivia Nurhuda, Puspa Madya Nurohmah, Endah Nuryani, Reni Nuryati Nuryati Nyimas Heny Purwati Oktovianti, Asti P, Nyimas Heny Pebriana, Tika Rifa Luthfiyah Pipit Fitri Setiawati Pratiwi, Yayu Prihartono, Maulidya Ninda Purnawati, Tri Purwati, Nyimas Heni Purwati, Nyimas Heny Qonnayda, Umi Rahim, Grisela Parisa Reihana Rofilla Renhoran, Farida Restiani Paripurna Sari Restuning Widiasih Rica Nur Aprilia Lantang Rifqii Daiatul Firdaus Rini - Anggraeni Ristina Mirwanti Rizky Maulana Rohadi Hariyanto Rohadi Haryanto Ruriwinita, Ruriwinita Sahariah Sahariah Sahureka, Marthina Sahureka, Marthine Sarah Rahmania Sari, Denny Novita Mayang Sarini Sarini Sasmito, Priyo Sejati, Femmy Aditya Purnama Setiawan Setiawan Setiawati, Dewi Nur Setiorini, Hermin Shania Desi Pangestu Sinthia Rosanti Maelissa Siti Nuraeni Sofyan, Evi Sri Hendrawati Sri Sumartini Srimurni, Nita Ayu Srisantyorini, Triana Suci Dewi Utami Sugiharto, Firman Suharsiwi, Suharsiwi Suhendar Sulaeman Suhendar Sulaeman Suherman Suherman Sukaesih, Nunung Siti Sukma Senjaya Sulistiani, Eka Sulistiawati, Helda Sulistiawati, Reni Sumarni - Sumarni Suryani S Suryani Suryani Suryani Suryani Syafitri, Ardyanti Syamsul Anwar, Syamsul Syifa Melya Fauziyah Tasijawa, Fandro Armando Taty Hernawati Taty Hernawaty Tazkiah Aulia Tetti Solehati Toha Muhaimin Tri Imroatun Triana Srisantyorini Tuti Pahria Urip Rahayu Wahyuni Agustina Wahyuni, Emmy Putri Windy Rachmawati Wini Resna Novianti Wiwi Mardiah, Wiwi Wulan Lindasari, Sri Yanny Trisyani Yanny Trisyani Yesa Junita Sari Yuke Liza Fitri Dhadila Yusnika Damayanti Zein, Jus Yuly Evi Zein

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