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All Journal Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) KONSELI: Jurnal Bimbingan dan Konseling (E-Journal) Elkawnie Abdimas Talenta : Jurnal Pengabdian Kepada Masyarakat International Journal of Nursing and Health Services (IJNHS) Jurnal Kesehatan Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan Al-Asalmiya Nursing: Journal of Nursing Sciences Jurnal Ners Journal of Telenursing (JOTING) Indonesian Journal of Global Health research OISAA Journal of Indonesia Emas Caring : Indonesian Journal of Nursing Science MAHESA : Malahayati Health Student Journal JUKESHUM: Jurnal Pengabdian Masyarakat Holistik Jurnal Kesehatan Holistik Jurnal Kesehatan Indonesian Journal of Global Health Research
Nur Asnah Sitohang, Nur Asnah
Universitas Sumatera Utara, Fakultas Keperawatan, Jl. Prof. T. Maas No. 3, Medan, Sumatera Utara 20155, Indonesia
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Engineering Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences

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The Prevention of Ulcers Decubitus with Mobilization and The Usage of Olive Oil on Stroke Patients Siti Cahaya Meliza; Kiking Ritarwa; Nur Asnah Sitohang
Elkawnie Vol. 6 No. 2 (2020)
Publisher : Faculty of Science and Technology Universitas Islam Negeri Ar-Raniry

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22373/ekw.v6i2.6925

Abstract

Abstract: Decubitus ulcers are one of the problems experienced by bed rest patients, such as stroke patients, caused by immobilization. Prevention of decubitus ulcers can be done with mobilization and topical application of olive oil. Olive oil contains saturated fatty acids, unsaturated fatty acids, vitamin E, and phenols which are healthy for the skin. This research aims to identify the effects of mobilization and application of olive oil on the prevention of decubitus ulcers in stroke patients. A control group pretest-posttest quasi-experimental design was used in the research. Convenience (non-probability) sampling was also carried out, resulting in 64 research samples. Mobilization intervention of right-left oblique positions and application of olive oil on the area prone to decubitus ulcers were then executed for seven days. Data analysis using the Wilcoxon signed-rank test showed the effects of mobilization and application of olive oil on the preventions of decubitus ulcers in stroke patients with a value of P= <0,05. Abstrak: Ulkus dekubitus merupakan salah satu masalah yang dialami pasien tirah baring seperti pasien stroke, dengan faktor penyebabnya adalah immobilisasi, tindakan pencegahan ulkus dekubitus dapat dilkukan dengan mobilisasi dan pemberian bahan oles seperti minyak zaitun, minyak zaitun kandungannya terdiri dari asam lemak jenuh, asam lemak tak jenuh, vitamin E dan fenolik yang baik untuk kesehatan kulit. Penelitian ini bertujuan untuk mengidentifikasi pengaruh mobilisasi dan penggunaan minyak zaitun terhadap pencegahan ulkus dekubitus pada pasien stroke. Penelitian menggunakan desain Quasi-experimental dengan pretest- posttest with countrol gruopdesign.Convenience (Non-probability) dilakukan untuk pengambilan sampel, jumlah sampel penelitian 64. Intervensi mobilisasi miring kanan dan kiri kemudian bagian yang akan terjadi ulkus dekubitus diolesi minyak zaitun,intervensi dilakukan selama tujuh hari. Analisa data wilcoson signed -rank test menunjukan adanya pengaruh mobilisasi dan penggunaan minyak zaitun terhadap pencegahan ulkus dekubitus pada pasien stroke dangan nilai P= <0,05. Mobilisasi miring kanan dan kiri penggunaan minyak zaitun dapat mencegah ulkus dekubitus.
Hubungan pengetahuan dengan sikap tentang proteksi radiasi perawat kamar operasi dan kateterisasi jantung Bungaria, Sri; Tarigan, Mula; Sitohang, Nur Asnah
Holistik Jurnal Kesehatan Vol. 20 No. 2 (2026): Volume 20 Nomor 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i2.2240

Abstract

Background: Nurses working in operating rooms and cardiac catheterization units may be exposed to radiation exceeding threshold levels, which can have serious health impacts. Knowledge of radiation protection forms the basis for attitudes and implementation of radiation safety practices to anticipate the hazards and impacts of radiation. Purpose:To analyze the relationship between knowledge and attitudes regarding radiation protection among operating room and cardiac catheterization nurses. Method: This study used a quantitative approach with a correlational design. A sample of 43 operating room and cardiac catheterization nurses at Royal Prima General Hospital (RSU) in Medan City was selected using a total sampling technique, and data collection used the Health Professional Knowledge of Radiation Protection (HPKRP) questionnaire and an attitude questionnaire regarding radiation protection. Data analysis was performed using the Spearman Rank test to analyze the relationship between knowledge and attitudes regarding radiation protection. Results: Knowledge regarding radiation protection was categorized as sufficient (69.8%), with attitudes categorized as good (97.7%). There was a positive relationship between knowledge and attitudes (p = 0.001) with an r value of 0.474, indicating that knowledge is significantly related to nurses' attitudes regarding radiation protection. Conclusion: Operating room and cardiac catheterization nurses require structured and ongoing educational interventions to improve occupational safety, reduce the risk of radiation exposure, and improve the quality of healthcare. Suggestion: Operating room and cardiac catheterization nurses require structured and ongoing educational interventions to improve occupational safety, reduce the risk of radiation exposure, and improve the quality of healthcare.   Keywords: Attitudes; Cardiac Catheterization; Knowledge; Operating Room Nurses; Radiation Protection.   Pendahuluan: Perawat yang bekerja di unit kamar operasi dan kateterisasi jantung dapat terpapar radiasi melebihi ambang batas dengan dampak yang serius terhadap kesehatannya. Pengetahuan tentang perlindungan radiasi menjadi dasar bersikap dan melaksanakan praktik keselamatan radiasi untuk mengantisipasi bahaya dan dampak radiasi. Tujuan: Untuk menganalisis hubungan antara pengetahuan dan sikap tentang proteksi radiasi perawat kamar operasi dan kateterisasi jantung Metode: Penelitian ini menggunakan pendekatan kuantitatif dengan desain korelasional. Sampel sebanyak 43 perawat kamar operasi dan kateterisasi jantung di Rumah Sakit Umum (RSU) Royal Prima di Kota Medan. Sampel dipilih dengan teknik total sampling dan pengumpulan data menggunakan kuesioner Healthcare Professional Knowledge of Radiation Protection (HPKRP) serta kuesioner sikap tentang perlindungan radiasi. Analisis data dilakukan menggunakan uji Spearman Rank untuk menganalisis hubungan pengetahuan dengan sikap tentang proteksi radiasi. Hasil:Tingkat pengetahuan tentang perlindungan radiasi pada kategori cukup (69.8%) dengan kategori sikap pada ketegori baik (97.7%). Terdapat hubungan hubungan positif antara pengetahuan dengan sikap (p= 0.001) dengan nilai r= 0.474 yang bermakna pengetahuan berhubungan secara signifikan dengan sikap perawat dalam perlindungan radiasi. Simpulan: Perawat kamar operasi dan kateterisasi jantung memerlukan intervensi pendidikan yang terstruktur dan berkelanjutan untuk meningkatkan keselamatan kerja, menurunkan risiko paparan radiasi, dan meningkatkan kualitas pelayanan kesehatan. Saran: Perawat kamar operasi dan kateterisasi jantung memerlukan intervensi pendidikan yang terstruktur dan berkelanjutan untuk meningkatkan keselamatan kerja, menurunkan risiko paparan radiasi, dan meningkatkan kualitas pelayanan kesehatan.   Kata Kunci: Kateterisasi Jantung; Pengetahuan; Perawat Kamar Operasi; Proteksi Radiasi; Sikap.
Efektifitas Teknik Relaksasi Otot Progresif Terhadap Intensitas Nyeri Akut Pascaoperasi Fraktur Tulang Panjang Syah Fara Dillasani Sirait; Dudut Tanjung; Dedi Ardinata; Tasrif Hamdi; Nur Asnah Sitohang
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.57243

Abstract

Abstract Acute postoperative pain following long bone fractures is a common clinical problem that may hinder the healing process and delay early patient mobilization. This study aimed to analyze the effectiveness of Progressive Muscle Relaxation (PMR) techniques in reducing the intensity of acute postoperative pain in patients with long bone fractures. A randomized controlled trial with a pretest–posttest control group design was employed. The sample consisted of 72 respondents, who were divided into an intervention group (NSAIDs + PMR) and a control group (NSAIDs only). Univariate analysis showed that the mean pain intensity in the intervention group decreased from 68.2 ± 8.5 mm before the intervention to 32.4 ± 7.6 mm after the intervention, while in the control group, mean pain intensity decreased from 67.9 ± 8.1 mm to 48.6 ± 8.9 mm. Bivariate analysis using the paired t-test demonstrated a statistically significant reduction in pain intensity before and after treatment in both the intervention group (p = 0.000) and the control group (p = 0.001). Furthermore, the independent t-test revealed a significant difference in post-intervention pain intensity between the intervention and control groups (p = 0.000). These findings indicate that Progressive Muscle Relaxation is effective as a complementary therapy in reducing acute postoperative pain following long bone fractures and is recommended for integration into postoperative nursing care. Keywords: Progressive Muscle Relaxation Technique, acute pain, long bone fracture, postoperative, NSAID
Efektivitas Manajemen Tekanan Cuff ETT terhadap Aspirasi Sekret dan VAP pada Pasien Ventilasi Mekanik di ICU RS Murni Teguh Medan Sartika Hutahaean; Nur Asnah Sitohang; Mula Tarigan
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.57806

Abstract

Ventilasi mekanik merupakan sistem bantuan napas untuk mempertahankan pertukaran gas pada pasien dengan gangguan pernapasan berat, yang memerlukan pengendalian jalan napas buatan secara terstandar dalam keperawatan kritis. Pengelolaan tekanan cuff Endotracheal Tube (ETT) oleh perawat ICU penting untuk menjaga airway seal, karena tekanan yang tidak optimal dapat menyebabkan kebocoran mikro, aspirasi sekret, dan meningkatkan risiko Ventilator-Associated Pneumonia (VAP). Oleh karena itu, pemantauan tekanan cuff menggunakan manometer perlu dievaluasi efektivitasnya dalam praktik klinik. Penelitian ini bertujuan mengetahui efektivitas manajemen tekanan cuff ETT terhadap aspirasi sekret dan VAP pada pasien ventilasi mekanik. Desain penelitian menggunakan quasi-experimental dengan post-test only with control group design. Sampel sebanyak 82 pasien diambil dengan teknik consecutive sampling dan dibagi menjadi kelompok intervensi dan kontrol (masing-masing 41 pasien). Pengumpulan data menggunakan lembar observasi aspirasi sekret dan Clinical Pulmonary Infection Score (CPIS). Hasil penelitian didapatkan bahwa ada perbedaan pengaruh manajemen tekanan cuff ETT terhadap aspirasi sekret pada kelompok intervensi dan kelompok kontrol dengan nilai p<0,001 (p<0,05) serta ada perbedaan pengaruh manajemen tekanan cuff ETT terhadap angka kejadian VAP pada kelompok intervensi dan kelompok kontrol dengan nilai p<0,001 (p<0,05). Manajemen tekanan cuff ETT yang terkontrol secara rutin efektif dalam mencegah aspirasi sekret dan menurunkan risiko VAP.
Efektivitas Inspiratory Muscle Training (IMT) Terhadap Weaning ventilator pada Pasien ICU Di RS Murni Teguh Medan Normi Hotriani Purba; Nur Asnah Sitohang; Mula Tarigan
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.57932

Abstract

Weaning ventilator merupakan proses pelepasan ventilasi mekanik secara bertahap hingga pasien mampu mempertahankan pernapasan spontan secara adekuat tanpa bantuan alat selama minimal 48 jam setelah ekstubasi. Proses ini berperan penting dalam menentukan luaran klinis pasien ICU, namun masih menjadi tantangan karena tingginya angka kegagalan, reintubasi, serta komplikasi seperti ventilator-associated pneumonia yang berkaitan dengan kelemahan otot pernapasan. Intervensi seperti Inspiratory Muscle Training (IMT) diperlukan untuk meningkatkan kekuatan otot inspirasi dan mendukung keberhasilan weaning ventilator. Penelitian ini bertujuan untuk mengetahui efektivitas IMT terhadap keberhasilan weaning ventilator pada pasien ICU. Desain penelitian menggunakan kuasi eksperimen dengan rancangan pre test–post test control group design. Teknik pengambilan sampel menggunakan consecutive sampling dengan jumlah sampel 78 pasien ventilasi mekanik yang dibagi menjadi dua kelompok, yaitu 39 kelompok intervensi yang diberikan IMT dan 39 kelompok kontrol dengan perawatan standar. Instrumen pengumpulan data menggunakan lembar observasi fisiologis (HR, RR, TD, SpO₂, suhu, dan RSBI), dengan analisis data menggunakan uji t dependen atau Wilcoxon serta t independen atau Mann–Whitney sesuai distribusi data. Hasil penelitian didapatkan bahwa ada perbedaan rerata parameter fisiologis (TD, HR, RR, suhu, SpO₂, dan RSBI) sebelum dan sesudah intervensi pada kelompok intervensi dengan nilai p < 0,05, yang menunjukkan adanya pengaruh signifikan IMT. Pada kelompok kontrol juga terjadi perubahan rerata parameter fisiologis, namun tidak signifikan dan tidak sebesar kelompok intervensi. Selain itu, terdapat perbedaan bermakna antara kelompok intervensi dan kontrol (p < 0,05), yang menunjukkan bahwa IMT lebih efektif dalam meningkatkan kondisi fisiologis dan keberhasilan weaning ventilator pada pasien ICU. IMT disarankan sebagai intervensi pendukung dalam praktik keperawatan ICU untuk meningkatkan parameter fisiologis dan keberhasilan weaning ventilator pada pasien kritis.
Effectiveness of Information–Motivation–Behavioral (IMB) Skills Model on Diabetes Mellitus Patients Knowledge Exodus Maruaba Barutu; Dudut Tanjung; Nur Asnah Sitohang
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): 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.v7i2.5543

Abstract

Diabetes mellitus (DM) is characterized by increased blood glucose levels caused by insulin deficiency or insulin resistance. Knowledge of diabetes mellitus plays an important role in reducing diabetes-related complications and improving its prevention.Knowledge about diabetes influences decision-making related to physical activity, diet, medication use, and health monitoring, including diabetes assessment and foot care. Model Information-Motivation-Behavioral Skills (IMB) is effective in being implemented in providing health education to patients.The purpose of the research is toanalyzing the effectiveness of the information–motivation–behavioral (IMB) skills model on the knowledge of diabetes mellitus patients. The research design was quasi-experimental nonequivalent control group design. The sampling technique was purposive sampling. The number of samples was 66 respondents. The instruments used are DKQ-24 (Diabetes Knowledge Questionnaire). Data analysis used dependent t-test and independent t-test. The results of data analysis showed the influence of the IMB skills model on pre- and post-test knowledge in the intervention and control groups with a p value = 0.000 (<0.05). The results of statistical tests also showed that there was a difference in the influence of the intervention between the intervention and control groups with a p value = 0.000 (<0.005). This study proves that the IMB skills model is effective in improving the knowledge of diabetes mellitus patients.
The Effectiveness of the Phase II Cardiac Rehabilitation Program on the Functional Capacity of the Heart and Quality of Life of Post-CABG Patients Deddy Wandra Maraksa; Nur Asnah Sitohang; Mula Tarigan
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): 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.v7i5.6600

Abstract

The Coronary Artery Bypass Graft (CABG) procedure is a form of surgical intervention carried out to treat coronary heart disease (CHD). Cardiac rehabilitation programs are training and education programs that aim to improve patients' heart health, especially after surgery. One of the goals of cardiac rehabilitation is to return patients to achieve optimal conditions, increase the functional capacity of the heart, and improve the quality of life. The purpose of the study was to test the effectiveness of the phase II cardiac rehabilitation program on increasing cardiac functional capacity and quality of life of post-CABG patients at H. Adam Malik Hospital Medan. The research design is a quasi-experimental one group pre-test and post-test design. The sampling technique is purposive sampling. The number of samples was 33 respondents. Data analysis was conducted using dependent t tests for heart rate (HR), systolic blood pressure, and diastole blood pressure. Data on respiratory rate (RR), METs, oxygen saturation (SpO2), and quality of life variables were used to test the wilcoxon. The results of the data analysis showed that there was no effect of the phase II cardiac rehabilitation program on HR and RR (p>0.05 value) because the majority of respondents took beta-blocker drugs. However, the results of statistical tests showed that there was an effect of the phase II cardiac rehabilitation program on systole and diastole blood pressure, METs, SpO2, and the quality of life of the respondents (p value <0.05). This study proves that the phase II cardiac rehabilitation program is effective in improving the functional capacity of the heart and the quality of life of post-CABG patients.
Application of Cold Packs to Reduce Pain and Hematoma After Percutaneous Coronary Intervention Procedures in Posterior Stenosis Patients: A Case Study Nur Asnah Sitohang; Santi Sihombing
Indonesian Journal of Global Health Research Vol. 7 No. 6 (2025): 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.v7i6.1153

Abstract

Percutaneous coronary intervention (PCI) is the standard reperfusion therapy in ST-Elevation Myocardial Infarction (STEMI) patients, but local complications such as pain and hematoma in the access area, especially femoral access, are still common. Non-pharmacological interventions in the form of cold packs are known to have benefits in reducing inflammation and reducing hematoma formation through local vasoconstriction mechanisms. This study aims to describe the application of cold packs in reducing pain and hematoma in posterior STEMI patients after PCI procedures. Method: This study used a single-case design on a 58-year-old female patient post-PCI through femoral access at Haji Adam Malik Hospital Medan. The cold pack intervention was wrapped in a towel or sterile gauze and applied for 15-20 minutes with the patient in a supine position. Pain assessment was performed using the Numeric Rating Scale (NRS), while hematoma was evaluated through diameter and skin discoloration. Monitoring was done before and after the intervention and for three days. There was a significant reduction in pain from NRS 5 to 1-2 and hematoma shrinkage from ±5 cm to ±2 cm without active bleeding or side effects. Cold pack is effective, safe, and easy to apply as a nursing intervention in reducing pain and hematoma post-PCI. Cold packs are recommended as a nonpharmacologic nursing intervention that can reduce pain and hematoma post-PCI.
The Effectiveness of Sitting Position with Dangling Legs on Dyspnea in Chronic Heart Failure Patients Nur Asnah Sitohang; Nurul Huda Afifah
Indonesian Journal of Global Health Research Vol. 7 No. 6 (2025): 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.v7i6.1154

Abstract

Chronic Heart Failure (CHF) is one of the leading causes of morbidity and mortality worldwide, with dyspnea being the most common symptom resulting from increased pulmonary venous pressure and pulmonary edema. Non-pharmacological interventions such as positioning, particularly the sitting position with legs hanging down, have been reported to effectively reduce dyspnea in patients with CHF. This manuscript aims to analyze the effectiveness of the sitting position with legs hanging down in reducing dyspnea perception and improving vital parameters. The research method used a single case study design with interventions applied to one CHF patient. Data were collected through interviews, observations, physical examinations, and medical documentation studies. Pain intensity was measured using a Visual Analog Scale (VAS), while respiratory and oxygenation parameters were assessed descriptively. The intervention results showed a decrease in respiratory rate from 24 to 18 breaths per minute and an increase in oxygen saturation from 96% to 98% within three days, accompanied by reduced dyspnea scores and improved breathing comfort. These findings indicate that the sitting position with legs hanging down is a simple, effective intervention that can be integrated into evidence-based nursing practices for patients with CHF.
Effectiveness of Foot Reflexology to Reduce Anxiety in A Patient with Coronary Artery Disease after Cabg: A Case Study Nur Asnah Sitohang; Evelina Naibaho
Indonesian Journal of Global Health Research Vol. 7 No. 6 (2025): 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.v7i6.1155

Abstract

Coronary Artery Disease (CAD) remains a leading cause of mortality worldwide and often requires Coronary Artery Bypass Graft (CABG) surgery. Patients undergoing CABG are at high risk of experiencing postoperative anxiety, which can negatively affect haemodynamic stability, delay recovery, and impair overall clinical outcomes. Therefore, effective non-pharmacological nursing interventions are needed to manage anxiety during the postoperative period. This study aimed to describe the effectiveness of foot reflexology as a complementary nursing intervention in reducing anxiety in a post-CABG patient using an Evidence-Based Nursing (EBN) approach. Method: This study employed a single-case study design with an Evidence-Based Nursing approach. The subject was a 67-year-old male with a history of hypertension and type 2 diabetes mellitus who underwent three-graft off-pump CABG. Foot reflexology was administered for three consecutive days from postoperative day two to day four, for 30 minutes per foot in each session. Data were collected through comprehensive nursing assessment and analysed descriptively by comparing pre- and post-intervention anxiety levels using the Templer Death Anxiety Scale (DAS), along with changes in vital signs and observed behavioural responses. The patient initially presented with moderate to high anxiety, with a DAS score of 52. Following the intervention, anxiety scores gradually decreased to 45 on the second postoperative day and further to 36 on the fourth postoperative day. Improvements were also observed in vital signs, sleep quality, and overall relaxation, with no adverse effects reported. The application of foot reflexology was proven effective as a complementary nursing intervention in reducing anxiety in post-CABG patients.
Co-Authors Adela, Cut Adeya Adela, Cut Adeya Amnita Anda Yanti Ginting Boiolifu Lafau Bungaria, Sri CUT ADEYA ADELLA, CUT ADEYA Deddy Wandra Maraksa Dedi Ardinata Dedi Ardinata Dewi Elizadiani Suza Dharmajaya, Ridha Diah Lestari Nasution Dudut Tanjung Effendy De Lux Putra, Effendy De Lux Evelina Naibaho Exodus Maruaba Barutu Icceng Sidabutar Ikhwansyah Isranuri Indira Mastura Pulungan Karo, Evi Indri Br Kiking Ritarwa Kiking Ritarwan M. Harwansyah Putra Sinaga Manullang, Evi Sara Hotmauli Manurung, Romatua Juliana Marbun, Agnes Putri S Mula Tarigan Nasution, Diah Lestari Nasution, Diah Lestari Normi Hotriani Purba Nur Asiah Nur Asiah Nurmaini Nurmaini Nurul Huda Afifah Nurwijayanti Oktabina, Rizki Wan Oktari, Rina Suryani Purba, Jenny Marlindawani Rizaldi Nanda Wiguna Santi Sihombing Sara Hotmauli Br Manullang, Evi Saragih, Maria Uli Marselina Sari, Dewi Keumala Sari, Farida Linda Sartika Hutahaean Sianipar, Helpvina Lestari Sinaga, M. Harwansyah Putra Sirait, Diyan Marsella Siti Cahaya Meliza Syah Fara Dillasani Sirait Tamba, Darwin Tasrif Hamdi Tasrif Hamdi Wiguna, Rizaldi Nanda Yannis, Nafi Yeni Rimadeni