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All Journal Jurnal Wiyata : Penelitian Sains dan Kesehatan Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Jurnal Keperawatan Widya Gantari Indonesia Adi Husada Nursing Journal Jurnal Aisyah : Jurnal Ilmu Kesehatan Babali Nursing Research Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Indonesian Health Science Journal JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Jurnal Pengabdian Masyarakat Mentari Jurnal Smart Keperawatan Jurnal Penelitian Keperawatan
Giovanni Iga Firmanda
Institut Ilmu Kesehatan Bhakti Wiyata Kediri
Religion Computer Science & IT Economics, Econometrics & Finance Education Health Professions Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Foot Exercise for Managing Neuropathic Pain in the Elderly Pratiwi, Wahyu Nur; Gayatri, Paramita Ratna; Isnaeni, Ely; Pratama, Yuan Guruh; Firmanda, Giovanni Iga; Lin, Chu-eh Ho
Adi Husada Nursing Journal Vol 10 No 1 (2024): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v10i1.528

Abstract

Elderly people often experience neuropathic pain in the extremities of the feet which is caused by decreased blood vascularization in the feet. One effort that can be made to increase blood vascularization in the feet is by doing foot exercises. This study aims to determine the effect of foot exercises on pain conditions due to neuropathy experienced by the elderly. This research was Quasi-experimental research with 22 elderly people who met certain criteria and then divided into control and intervention groups. Variable which is pre and post-test neuropathic pain data were obtained using the Numeric Rating Scale instrument in the observation sheet. The Wilcoxon signed-rank test in the intervention group showed a p-value = 0.003, while in the control group the p-value= 0.643. These results indicate that the change in neuropathic pain was significant in the intervention group after being given foot exercises. Foot exercise movements have a relaxing effect on the feet, thereby stimulating the production of endorphin hormones. Endorphin hormones play a role in blocking substance P which plays a role in triggering pain. This blocked substance P results in the transmission of pain impulses in the spinal cord being hampered so that the intensity of neuropathic pain in the lower extremities can decrease.
PENINGKATAN PENGETAHUAN PENATALAKSANAAN DEHIDRASI PADA IBU DENGAN BALITA RIWAYAT DIARE Margaretta, Sheylla Sheylla; Gayatri, Paramita Ratna; Isnaeni, Ely; Santosa, Winanda Rizki Bagus; Firmanda, Giovanni Iga; Aprilita, Niken Ayu
Jurnal Wiyata Penelitian Sains dan Kesehatan Vol 11, No 1 (2024)
Publisher : LP2M IIK (Lembaga Penelitian dan Pengabdian Masyarakat Institut Ilmu Kesehatan) Bhakti Wiy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56710/wiyata.v11i1.820

Abstract

Latar Belakang: Diare menjadi penyebab kematian balita di dunia. Komplikasi yang terjadi dari diare adalah dehidrasi. Dehidrasi akan memburuk jika kehilangan air dan elektrolit terjadi secara terus menurus dan tidak segera digantikan bisa menyebabkan syok hipovolemia yang dapat membuat gagal organ, hingga kematian. Salah satu upaya untuk menurunkan angka kematian dan kesakitan diare adalah dengan edukasi kesehatan.Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh edukasi penatalaksanaan dehidrasi di rumah terhadap pengetahuan ibu dengan balita riwayat diare. Metode: Metode penelitian ini adalah Quasi Experimental Design dengan bentuk desain penelitian Nonequivalent Control Group Design. Populasi adalah ibu yang mempunyai balita dengan riwayat diare. Sempel yang digunakan 68 responden kelompok eksperimen (booklet dan demonstrasi) dan 68 responden kelompok kontrol. Teknik pengambilan sampel secara purposive. Pengumpulan data menggunakan kuisoner pengetahuan. Analisis data menggunakan Uji Mann Whitney. Hasil: Hasil Uji Mann Whitney diperoleh nilai ρ 0,000 ( ρ < 0,05). Artinya H0 ditolak dan H1 diterima terdapat pengaruh edukasi penatalaksanaan dehidrasi di rumah terhadap pengetahuan ibu. Kesimpulan: Terdapat pengaruh edukasi penatalaksanaan dehidrasi di rumah terhadap pengetahuan ibu.
Penerapan Teknologi Media Audiovisual untuk Meningkatkan Proses Orientasi Pasien Baru di Rumah Sakit Swasta di Kediri Firmanda, Giovanni Iga; Wahyuningsih, Aries
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 8, No 3 (2024)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.99347

Abstract

Introduction: New patient orientation is an important step in ensuring that patients understand hospital services, rights, and procedures. Effective orientation can increase patient satisfaction, reduce anxiety, and speed up the process of patient adaptation in the hospital environment, but it has not been implemented optimally in several hospitals in Indonesia. During patient orientation, conventional media, such as leaflets, is often considered less effective in conveying complex information thus audiovisual media may bring more effective result. Objective: To evaluate the effectiveness of audiovisual media technology in improving the understanding of new patients at the one of Private Hospital in Kediri during the orientation process. Method: This was quantitative research with a one-group approach pre-experiment pre and post-design. A total of 30 new patients randomly selected (proportionate stratified random sampling). Data was collected through a questionnaire created by the researcher himself which referred to aspects of communication and patient safety to measure patient understanding before and after orientation. Instrument validity test result was 0,85-0,93 and reliability was 0,62-0,76. Respondents were given an orientation using an audiovisual media lasting 5-10 minutes. Statistical test analysis used paired t-test to compare comprehension scores before and after intervention.Results: There was knowledge improvement from 48,33 to 79,33 in hospital orientation among respondents. Significant improvement in respondents’ comprehension scores after orientation using audiovisual media had p-value = 0,000 (p<0,05). Conclusion: The use of audiovisual media is more effective in increasing patient understanding during the orientation process at the hospital. This technology can replace or complement conventional on boarding methods to improve the quality of service to new patients.INTISARI Latar belakang: Orientasi pasien baru merupakan langkah penting dalam memastikan bahwa pasien memahami layanan, hak, dan prosedur di rumah sakit. Orientasi yang efektif dapat meningkatkan kepuasan pasien, mengurangi kecemasan, dan mempercepat proses adaptasi pasien di lingkungan rumah sakit. Namun, hal ini belum terlaksana secara optimal di beberapa rumah sakit di Indonesia. Saat melakukan orientasi pasien, penggunaan media konvensional, seperti leaflet, sering kali dianggap kurang efektif dalam menyampaikan informasi yang kompleks. Oleh karena itu media audiovisual diharapkan memberikan hasil yang lebih baik.Tujuan: Penelitian ini bertujuan untuk mengevaluasi efektivitas teknologi media audiovisual dalam meningkatkan pemahaman pasien baru di salah satu rumah sakit swasta di Kediri selama proses orientasi. Metode: Penelitian ini merupakan penelitian kuantitatif dengan pendekatan one group pre-experiment pre and post design. Responden sebanyak 30 pasien baru yang dipilih secara acak (proportionate stratified random sampling). Data dikumpulkan melalui kuesioner yang dibuat sendiri oleh peneliti, yang mengacu pada aspek komunikasi dan keselamatan pasien untuk mengukur pemahaman pasien sebelum dan sesudah orientasi. Hasil uji validitas instrumen (0,85-0,93) dan reliabilitas (0,62-0,76). Pasien diberi orientasi menggunakan media audiovisual berdurasi 5-10 menit. Analisis uji statistik menggunakan paired t-test untuk membandingkan skor pemahaman sebelum dan sesudah intervensi. Hasil: Hasil penelitian menunjukkan peningkatan pengetahuan mengenai rumah sakit selama orientasi, dari 48,33 menjadi 79,33 dalam kategori baik. Terdapat peningkatan signifikan pada skor pemahaman pasien setelah orientasi menggunakan media audiovisual dengan p-value = 0,000 (p < 0,05). Simpulan: Penggunaan media audiovisual terbukti efektif dalam meningkatkan pemahaman pasien selama proses orientasi di rumah sakit. Teknologi ini dapat menggantikan atau melengkapi metode orientasi konvensional, untuk meningkatkan kualitas pelayanan kepada pasien baru. 
Empowering Post-Stroke Patients to Improve Self-Care and Prevent Recurrent Stroke Using Stroke Empowerment Education Prasetyowati, Christina Dewi; Firmanda, Giovanni Iga
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 5 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i5.721

Abstract

Aims: Stroke can lead to varying outcomes, ranging from recovery with disability, death, to surviving with recurrent strokes. Post-stroke patients require special attention to improve self-care behaviors. Stroke empowerment education is an educational approach given to stroke patients with an empowerment-focused approach centered on the patient. This study aimed to determine the effect of stroke empowerment education on the self-care of post-stroke patients as an effort to prevent recurrent strokes at RSUD Gambiran Kota Kediri. Methods: The research design used was a Quasi-Experiment with a pre-post test design with a control group. Sampling was done using accidental sampling technique, resulting in 98 respondents. Data collection on self-care was conducted using the modified version of The Subjective Self-Care Performance Scale questionnaire. Results: The results of the Wilcoxon Signed Ranks Test showed significant improvement (p = 0.000) in self-care among post-stroke patients after Stroke Empowerment Education. Conclusion: This study concluded that there was an effect of stroke empowerment education on improving self-care among post-stroke patients as an effort to prevent recurrent strokes at RSUD Gambiran Kota Kediri. As a recommendation, the results of this study can be continued as an intervention in hospitals to enhance services for post-stroke patients to improve self-care as an effort to prevent recurrent strokes.
Pengaruh Edukasi terhadap Pengetahuan dan Kepatuhan Obat pada Penderita TB di Karanganyar Firmanda, Giovanni Iga; Pratiwi, Wahyu Nur; Sunarno, Rita Dewi; Wahyuningsih, Aries
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 9, No 1 (2025)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.104297

Abstract

Introduction: Pulmonary Tuberculosis (TB) is one of infectious diseases which remains as significant health issue in communities. The increasing cases of TB are often caused by medication non-adherence.Objective: To evaluate the effect of educational intervention toward medication knowledge and adherence among TB patients in Karanganyar.Method: This study was pre-experimental research with a One Group Pretest-Posttest design involving 30 TB patients as respondents, which were selected using purposive sampling. The respondents were provided with education in the form of direct counseling on TB disease, the importance of medication adherence, and the consequences of non-adherence behavior. The education was conducted in one group session lasting 30-45 minutes, where all participants engaged together in the session. Data were collected through questionnaires measuring medication knowledge and adherence before and after the education. Statistical analysis was performed using a paired t-test to compare the knowledge and adherence scores before and after the intervention.Results: The results showed a significant increase in the knowledge score and adherence of respondents’ treatment after education. The average knowledge score before education increased from 6,53 to 7,93 points. Likewise, the average adherence score before education increased from 8,97 to 17,27. The paired t-test obtained a p-value of 0,000 for both variables.Conclusion: Direct health education significantly improves the knowledge and treatment adherence of TB patients.INTISARILatar belakang: Penyakit menular menjadi masalah kesehatan yang signifikan di masyarakat dan Tuberkulosis Paru (TB) menjadi salah satu penyakit menular yang paling mengkhawatirkan. Peningkatan jumlah kasus TB sering kali disebabkan oleh ketidakpatuhan terhadap pengobatan.Tujuan: Penelitian ini bertujuan untuk menganalisis pengaruh dampak edukasi terhadap pengetahuan dan kepatuhan pengobatan pada pasien TB di Karanganyar.Metode: Penelitian ini merupakan penelitian pra-eksperimental dengan desain One Group Pretest-Posttest dan melibatkan 30 pasien TB yang dipilih menggunakan metode purposive sampling. Responden diberikan edukasi dalam bentuk penyuluhan langsung mengenai penyakit TB, pentingnya kepatuhan pengobatan, dan dampak ketidakpatuhan. Edukasi dilakukan dalam satu sesi kelompok dengan durasi 30-45 menit, semua responden berpartisipasi secara bersama-sama dalam sesi yang dilaksanakan di balai desa. Data dikumpulkan melalui kuesioner yang mengukur pengetahuan dan kepatuhan pengobatan pasien TB sebelum dan sesudah dilakukan edukasi. Analisis uji statistik menggunakan paired t-test untuk membandingkan skor pengetahuan dan kepatuhan sebelum dan sesudah intervensi.Hasil: Hasil penelitian menunjukkan peningkatan yang signifikan pada skor pengetahuan dan kepatuhan pengobatan pasien TBC setelah pemberian edukasi. Rata-rata skor pengetahuan sebelum diberikan edukasi dari angka 6,53 meningkat menjadi 7,93. Demikian halnya dengan rata-rata skor kepatuhan sebelum diberikan edukasi adalah 8,97 meningkat menjadi 17,27 setelah diberikan edukasi. Hasil uji paired t test diperoleh nilai p = 0,000 untuk kedua variabel.Simpulan: Edukasi yang diberikan dengan penyuluhan secara langsung terbukti dapat meningkatkan pengetahuan dan kepatuhan pengobatan pada pasien TB secara signifikan.
Edukasi Perilaku Hidup Bersih dan Sehat Pada Anak Usia Dini sebagai Upaya Meningkatkan Kesehatan Lingkungan dan Diri Sunarno, Rita Dewi; Firmanda, Giovanni Iga; Pratiwi, Wahyu Nur
Jurnal Pengabdian Masyarakat Mentari Vol. 1 No. 8 (2025): Maret
Publisher : Amirul Bangun Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59837/jpmm.v1i8.60

Abstract

Pendahuluan: Anak usia dini merupakan kelompok usia yang sangat rentan terhadap masalah kesehatan, baik fisik maupun psikologis. Perilaku hidup bersih dan sehat (PHBS) sejak dini merupakan salah satu cara untuk mencegah masalah kesehatan. Tujuan: Kegiatan pengabdian masyarakat untuk meningkatkan pengetahuan anak usia dini, orang tua, guru, dan pengasuh tentang pentingnya perilaku hidup bersih sehat. Metode: Pengabdian masyarakat ini dilakukan dengan edukasi yang berbasis pada pendekatan yang menyenangkan dan interaktif agar anak-anak dapat lebih mudah memahami dan mempraktikkan perilaku hidup bersih dan sehat. Edukasi dilaksanakan di TKK Soyus Madiun. Hasil: Anak usia dini melalui pendekatan yang menyenangkan, seperti permainan edukatif, cerita, dan demonstrasi lebih mudah memahami dan menerapkan kebiasaan PHBS dalam kehidupan sehari-hari. Selain itu, orang tua dan pendidik juga berperan penting dalam mendukung implementasi PHBS ini dengan memberikan contoh dan menciptakan lingkungan yang mendukung. Program edukasi PHBS ini terbukti efektif dalam meningkatkan kesehatan diri anak serta menciptakan lingkungan yang lebih bersih dan sehat. Diskusi: Edukasi PHBS pada anak usia dini tidak hanya berfokus pada kesehatan diri anak itu sendiri, tetapi juga pada peningkatan kualitas lingkungan tempat anak tinggal dan beraktivitas. Program edukasi ini dapat membantu menciptakan lingkungan yang lebih bersih dan sehat, baik di rumah, sekolah, maupun komunitas sekitar. Hal ini diharapkan dapat mengurangi prevalensi penyakit yang disebabkan oleh perilaku tidak sehat, serta menciptakan budaya kebersihan dan kesehatan yang berkelanjutan dalam masyarakat.
IMPROVING SELF-MANAGEMENT FOR POST STROKE PATIENTS THROUGH STROKE EMPOWERMENT EDUCATION AS PREVENTION OF RECURRENT STROKE AT RSUD GAMBIRAN KEDIRI CITY Christina Dewi Prasetyowati; Giovanni Iga Firmanda
Jurnal SMART Keperawatan Vol. 12 No. 1 (2025): JUNE 2025
Publisher : Universitas Karya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34310/4sqarv13

Abstract

Introduction : Stroke can result in a wide range of outcomes, including recovery with disabilities, death or survival with the risk of reccurent strokes. Post-stoke patients require special attention to improve self-management behaviors. Stroke empowerment education is an educational approach given to stroke patients with an empowerment focus that centers on the patient. Objective : This study aimed to determine the impact of stroke empowerment education on the self-management of post-stroke patients as a strategy to prevent recurrent strokes at RSUD Gambiran Kota Kediri. Methods : The research design used was a Quasi-Experiment with a pre-post test design with a control group. The sampling method used was accidental sampling technique, resulting in 98 respondents. Self-management data were gathered through the The Southampton stroke self-management questionnaire (SSSMQ). Results : The results of the Wilcoxon Signed Ranks Test showed a p-value of 0.000, meaning p < 0.05, thus rejecting H0. Conclusion : This study concluded that stroke empowerment education had a positive impact on enhancing self-management in post-stroke patients as a preventive measure against recurrent strokes at RSUD Gambiran Kota Kediri.
Creating a Healthy Workplace in a Private Hospital: A Focus on Nursing and Job Satisfaction Firmanda, Giovanni Iga; Wahyuningsih, Aries
Babali Nursing Research Vol. 6 No. 2 (2025): April
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.62441

Abstract

Introduction: A healthy working environment (HWE) is essential for nurse well-being, job satisfaction, and overall healthcare quality. However, in Indonesia, the conditions of the work environment and the implementation of professional nursing practices in private hospitals remain underexplored. This scoping review aims to identify, evaluate, and propose strategies for improving HWE in private hospitals. Method: A total of 14 studies met the inclusion criteria and were analyzed from ProQuest, NCBI, CINAHL, and SpringerLink from 2013 to 2023. Three major themes emerged: Organizational Support – Policies ensuring nurse welfare, workplace safety, and professional development significantly reduce burnout and enhance job satisfaction. Fair compensation, performance assessments, human resource fulfillment, and nurse engagement in decision-making contribute to a more sustainable work environment; Management and Teamwork – Effective communication, strong leadership, and collaboration are crucial in improving nurse performance and motivation. Hospitals that emphasize nurse-physician cooperation and conflict resolution report higher retention rates and improved patient outcomes; Individual Factors – Workplace relationships, personal resilience, and professional recognition directly affect nurses' mental well-being and job commitment. However, verbal harassment, workplace violence, seniority-based discrimination, and lack of engagement opportunities negatively impact nurse retention. Result: The findings confirm that a strong HWE enhances nurse satisfaction, retention, and patient care quality. Therefore, creating and maintaining a positive work environment requires joint efforts from hospital administrators, policymakers, and healthcare professionals. Conclusion: Future strategies should prioritize comprehensive assessments, communication skills training, ethical practice reinforcement, and continuous professional development to support nurse well-being and optimize healthcare services.
The Audiovisual-Based Health Education as a Therapeutic Modality for Managing Anxiety in CKD Patients Facing Fluid Intake Limitations Firmanda, Giovanni Iga; Wahyuningsih, Aries
Adi Husada Nursing Journal Vol 11 No 1 (2025): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v11i1.619

Abstract

Chronic Kidney Disease (CKD) patients undergoing hemodialysis often experience heightened levels of anxiety due to complex treatment regimens and strict fluid intake restrictions. This study aimed to evaluate the effectiveness of an audiovisual intervention in reducing anxiety levels among CKD patients. A pre-experimental one-group pretest-posttest design was employed, involving 60 CKD patients selected through purposive sampling. The intervention consisted of a five-minute audiovisual presentation combining fluid restriction education and relaxation techniques. The independent variable was the audiovisual intervention, while the dependent variable was the patients' anxiety levels. Anxiety was assessed using the standardized Generalized Anxiety Disorder-7 (GAD-7) questionnaire, administered both before and after the intervention. Data analysis was conducted using paired t-tests to compare mean anxiety scores, with a significance threshold set at p < 0,05. Prior to the intervention, the majority of participants (56.6%) experienced moderate anxiety, while 41,6% had mild anxiety, and 1.8% had severe anxiety. After the intervention, a notable shift occurred: 91,6% of patients reported mild anxiety, and only 8,4% experienced moderate anxiety, with no cases of severe anxiety. The average anxiety score significantly decreased from 11,03 to 7,57, resulting in a mean difference of 2,466 and a p-value of 0,000, indicating a statistically significant improvement. These findings suggest that audiovisual media are effective in reducing anxiety in hemodialysis patients by improving their understanding of fluid management and promoting relaxation. The engaging and accessible nature of the intervention empowered patients and helped alleviate emotional distress, supporting its use in clinical settings as a complementary therapeutic tool.
Beyond the Stigma: Leveraging Education and Empathy for Effective Tuberculosis Care Wahyuningsih, Aries; Probandari, Ari; Sumardiyono; I Wayan Gede Artawan Putra; Firmanda, Giovanni Iga
Babali Nursing Research Vol. 6 No. 3 (2025): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.63485

Abstract

Introduction: Tuberculosis (TB) remains a major global health issue, with stigma continuing to hinder effective prevention, diagnosis, and treatment. Stigma can discourage patients from seeking care, adhering to treatment, and engaging with healthcare providers. This systematic review aims to identify stigma-related issues in TB and explore practical strategies to reduce stigma.Methods: A scoping literature search was conducted for studies published between 2012 and 2024  using ProQuest, PubMed, and ScienceDirect databases. Articles were selected based on predefined inclusion and exclusion criteria, and the review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The Joanna Briggs Institute (JBI) methodology was used for critical appraisal and synthesis.Results: A total of 15 articles were included in the final analysis. The findings indicate that key strategies to reduce TB stigma include health education to correct misconceptions, promoting empathy, and non-discriminatory attitudes among healthcare providers. Educational interventions raise awareness and dispel myths, while empathetic care fosters trust and reduces negative perceptions. Cultural understanding enhances communication and patient engagement. Despite these efforts, TB-related stigma remains pervasive and continues to be a barrier to effective care.Conclusion: The review concludes that current interventions are insufficient and that sustained, targeted strategies focusing on education, empathy, and cultural competence are essential to reduce stigma and improve TB outcomes. A long-term commitment to these approaches is critical to advancing TB control efforts globally.
Co-Authors Ahsan Ahsan Aprilita, Niken Ayu Ari Probandari Aries Wahyuningsih Aries Wahyuningsih I Wayan Gede Artawan Putra Isnaeni, Ely Lin, Chu-eh Ho Margaretta, Sheylla Septina Margaretta, Sheylla Sheylla Paramita Ratna Gayatri Prasetyowati, Christina Dewi Prasetyowati, Christina Dewi Pratama, Yuan Guruh Pratiwi, Wahyu Nur Retno Lestari Rita Dewi Sunarno SUJATMIKO Sumardiyono Wahyu Nur Pratiwi Winanda Rizki Bagus Santosa, Winanda Rizki Bagus Yuan Guruh Pratama