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All Journal Jurnal NERS MEDISAINS JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Jendela Nursing Journal (JNJ) BAGIMU NEGERI : JURNAL PENGABDIAN KEPADA MASYARAKAT Jurnal Keperawatan BSI Jurnal Keperawatan Padjadjaran Belitung Nursing Journal Journal Of Nursing Practice Jurnal Keperawatan Silampari Jurnal Keperawatan Muhammadiyah The Indonesian Journal of Infectious Diseases NUSANTARA : Jurnal Ilmu Pengetahuan Sosial Jurnal Kreativitas PKM Manuju : Malahayati Nursing Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) International Journal of Nursing and Health Services (IJNHS) Journal of Nursing Care Jurnal Perawat Indonesia Seminar Nasional Keperawatan J-Dinamika: Jurnal Pengabdian Kepada Masyarakat Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal Media Karya Kesehatan JPP Jurnal Kesehatan Poltekkes Palembang Malahayati International Journal of Nursing and Health Science Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research Majalah Kesehatan Indonesia MAHESA : Malahayati Health Student Journal Journal of Health and Nutrition Research SENTRI: Jurnal Riset Ilmiah Padjadjaran Acute Care Nursing Journal (PACNJ) Bagimu Negeri : Jurnal Pengabdian Kepada Masyarakat Prosiding Seminar Nasional Keperawatan Universitas Muhammadiyah Surakarta Holistik Jurnal Kesehatan Medical-Surgical Journal of Nursing Research Journal of Multidisciplinary Research Holistik Jurnal Kesehatan Jurnal Info Kesehatan

Ristina Mirwanti

Department Of Critical Care And Emergency Nursing, Faculty Of Nursing, Universitas Padjadjaran, Bandung

Author-ID : 617086

Religion Aerospace Engineering Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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The Effectiveness of Prone and Supine Nesting Positions on Changes of Oxygen Saturation and Weight in Premature Babies Ayu Prawesti; Etika Emaliyawati; Ristina Mirwanti; Aan Nuraeni
Jurnal Ners Vol. 14 No. 2 (2019): OCTOBER 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v14i2.7755

Introduction: Stress experienced by the baby will affect the body’s function by increasing the body’s metabolism. Nesting is used to reduce stress in premature babies. Nesting can be done in a supine or prone position. Few studies have examined the effects of body position on body weight and oxygen saturation. The objective of the study was to determine the difference in oxygen saturation and weight change on the use of nesting in the prone and supine positions in premature babies.Methods: The research used a quasi-experimental design. The sample consisted of 30 premature babies, which was obtained using a consecutive sample technique. The independent variables were nesting positioning (supine and prone), and the dependent variables were oxygen saturation and body weight. The data of oxygen saturation and the baby’s weight were collected using pulse oximetry; the baby’s weight scale used observation sheets. The data was analysed using the t-test, Wilcoxon Sign Ranks Test, and Mann Whitney U Test.Results: The results showed that there was a difference in oxygen saturation before and after the use of nesting in the supine (p=0.001) and prone position (p=0.000). There was a weight difference before and after the use of nesting in both supine (p=0.000) and prone position (p=0.000). There was no difference in oxygen saturation value and infant weight, before or after, between the supine position and the prone position (p=0.18; p=0.9).Conclusion: The use of nesting in both positions (supine or prone) can increase oxygen saturation and infant weight. Researchers recommend the use of nesting with supine or prone positions routinely in premature babies.

Emergency Nurses’ Perceptions of Supportive Behaviors and Burdens in Providing End-Of-Life Care Santi Ariyanti; Etika Emaliyawati; Ristina Mirwanti
Journal of Nursing Care Vol 2, No 1 (2019): Journal of Nursing Care
Publisher : Universitas Padjadjaran

The high mortality rate in the Emergency Department (ED) is consistent with the high demand for the end of life (EOL) care. However, ED work system required to live-saving quickly and precisely. It affects the quality of EOL care. The purpose of this study was to determine nurses’ perceptions in ED related to supportive behaviors (SB) and burdens in providing EOL care to dying patients. The descriptive-quantitative method was used with a cross-sectional approach in 50 nurses Emergency Department at one of the tertiary hospitals in Indonesia. The samples were chosen using the total sampling technique. Data collection used emergency nurse perceptions of end of life care questionnaire. Data were analyzed using univariate analysis in the form of distribution, frequency, and mean. The result of the study showed that the three largest obstacles in EOL care were: ED nurses’ work loads (mean=10.626), intra-family disagreements (mean=9.802), and deal with angry of family members (mean=9.472). The three largest supportive behaviors were teaching families how to act (mean=11.962), allowing family members adequate time with the patient after a patient died (mean=11.09), and good collaboration from health professionals (mean=10.886). According to this research, further studies are needed to minimize obstacles and improve supportive behaviors related to the nurse’s workload, the provision of spiritual teams, special training for the nurse and the provision of special rooms for EOL patients and their families.

Knowledge And Self-Efficacy On “First Responder” In Giving First Aid Nadiya Miftah Karima; Aan Nuraeni; Ristina Mirwanti
Journal of Nursing Care Vol 2, No 1 (2019): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Introduction: “First responder” is a lay person who get trained to do first aid. Doing first aid is influenced by knowledgeand self-efficacy of the helper. However, the study of knowledge and self-efficacy of first aid providers is limited. Thisstudy aimed to asses the knowledge and self-efficacy of first responders in doing first aid. Method: This research usedquantitative description method with cross sectional approach towards 65 first responder in a University in Bandung.The samples were selected using total sampling technique. The data were gathered using questionnaire of FirstAid Knowledge and Wilderness First Self-efficacy Scale. The data were analyzed through quantitative descriptionanalysis, including mean and frequency distribution. Result : The research found that 57 respondents (87,7%) hadlimited knowledge of first aid, in particular about health problems related to environment aspects. Meanwhile 62respondents (95,5%) %) had high self-efficacy especially on the ability to assess vital signs, yet they had low selfefficacy on conduct a spinal assessment (4.5%). Conclusion: There is needs for increasing knowledge about healthproblem related to the environment and self-efficacy about spinal assessment by providing materials and other kindsof learning methods aside from lectures, educational practice as well as experimental learning and simulations.In addition, first responders also need to improve their ability related environment aspects and spinal assessment.

SCOPING REVIEW: DAMPAK COGNITIVE BEHAVIOUR THERAPY BAGI PASIEN DENGAN PENYAKIT JANTUNG KORONER YANG MENGALAMI DEPRESI Aan Nuraeni; Nur Oktavia Hidayati; Anita Setyawati; Ristina Mirwanti
Proceeding Seminar Nasional Keperawatan Vol 7, No 1 (2021): Proceeding Seminar Nasional 2021
Publisher : Proceeding Seminar Nasional Keperawatan

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

Kebutuhan terhadap manajemen depresi pada pasien PJK dinilai tinggi, mengingat dampak buruk depresi terhadap peningkatan morbiditas dan mortalitas pasien PJK. Salah satu terapi yang digunakan adalah Cognitive Behaviour Therapy (CBT). Selain depresi terdapat outcomes lain perlu diidentifikasi, sehingga potensi terapi terhadap dampak PJK yang luas dapat diidentifikasi. Review ini bertujuan untuk mengeksplorasi dampak intervensi CBT pada pasien PJK yang mengalami depresi. Review ini menggunakan metode berdasarkan scoping review frameworks Arksey dan O'Malley. Pencarian literatur yang komprehensif dilakukan untuk mengidentifikasi studi. Kriteria yang tepat digunakan untuk menyeleksi artikel yang relevan dengan tujuan review. Pencarian dilakukan di beberapa database: PubMed, CINAHL, dan Academic search complete. Data yang dikumpulkan dianalisis oleh tiga reviewer independen, data kemudian disintesis dan disajikan dalam tabel dan format naratif. Sebanyak 10600 artikel teridentifikasi pada tahap pencarian, dan setelah proses seleksi menggunakan duplikasi, judul, abstrak dan kriteria inklusi eklusi didapatkan 6 artikel yang masuk dalam analisis. Tiga penelitian dilakukan di Swedia, serta masing-masing satu study di Amerika Serikat, Kroasia dan Italia. Empat artikel menggunakan RCT, sedangkan dua lainnya dengan study prospektif tanpa kelompok control. CBT secara umum terbukti memperbaiki depresi, kecemasan somatic, biomarkers, kualitas hidup, dan cardiovascular events yang tidak diharapkan. Namun demikian untuk mendapatkan hasil yang signifikan dibutuhkan beberapa pertimbangan dalam pemberian terapinya, seperti keahlian therapist, kepatuhan pasien dan lain-lain.Kata Kunci: Cognitive Behaviour Therapy, Depresi, PJK

RELATIONSHIP OF SPIRITUAL-WELLBEING WITH ANXIETY AND DEPRESSION IN PATIENTS WITH CARDIAC HEART DISEASE Aan Nuraeni; Ristina Mirwanti; Anastasia Anna
Belitung Nursing Journal Vol. 4 No. 1 (2018): January - February
Publisher : Belitung Raya Foundation, Indonesia

Background: Anxiety and depression are problems faced by patients with chronic diseases such as patients with Coronary Heart Disease (CHD). Both of these can also worsen the condition of CHD patients, thus needs to be prevented and handled. It is stated that spirituality can enhance constructive coping skills in patients with chronic diseases. But how it relates to anxiety and depression in patients with CHD in Indonesia is still unknown. Objective: The study purpose was to identify the relationship of spiritual wellbeing with the incidence of anxiety and depression in CHD patients. Methods: The research used descriptive correlative quantitative with cross sectional approach. The instruments used to measure the variables were Zung Self-rating Anxiety Scale, Beck Depression Inventory II, and Spirituality Index of Well-Being scale. Data were taken on 100 respondents within three months in outpatient cardiac unit with the consecutive sampling technique and analyzed by Spearman correlation test. Results: The mean of anxiety, depression, and spiritual well-being respectively were 47.66, 43, and 60. Based on Spearman test, spiritual wellbeing was correlated with anxiety significantly p= 0.000(r=-0.371) and so was depression p= 0.000 (r=-0.571). Conclusions: There was a significant relationship between spiritual well-being with anxiety and depression with negative correlation direction. The higher the spiritual well-being, the lower the level of anxiety and depression will be. Thus, nurses need to strengthen the spiritual aspects of CHD patients to prevent psychosocial problems.

CORONARY HEART DISEASE PATIENTS' LEARNING NEEDS Aan Nuraeni; Ristina Mirwanti; Anastasia Anna
Belitung Nursing Journal Vol. 4 No. 3 (2018): May - June
Publisher : Belitung Raya Foundation, Indonesia

Background: Patients with coronary heart disease (CHD) should have good self-management capabilities. This is determined by the effective of health education which is based on the assessment of patients’ learning needs and consideration of health personnel. On the other hand, the study of perceptions of CHD patients’ learning needs in Indonesia is little known. Objective: This study aimed to identify the CHD patients’ learning needs. Methods: This study was a descriptive quantitative with cross-sectional approach. Population was CHD patients in one of the referral hospitals in West Java Indonesia. Samples were recruited using consecutive sampling technique for a 2-month period (n=106). Data were collected using TR-CPLNI instrument and analyzed using descriptive quantitative and Kruskal Wallis test. Results: The order of learning needs based on the highest to the lowest mean was anatomy and physiology of heart (4.42); medication information (4.33); cardiopulmonary information (4.32); life style (4.28); dietary information (4.19); symptom management (4.08); psychology (4.07); and physical activity (3.64). The significant differences (p<0.05) based on ward categories were learning needs of dietary information (p=0.002); physical activity (p=0.009) and symptom management (p=0.037), with the highest needs respectively were in High Care Unit (HCU); HCU; and non-intensive care unit. Conclusions: These eight learning needs were important for CHD patients. However, the priority of the patients’ learning needs were seen by category of ward or recovery phase and illness duration different from each other. Therefore, this can be a consideration in providing education to CHD patients.

PREVALENCE, PREVENTION, AND WOUND CARE OF PRESSURE INJURY IN STROKE PATIENTS IN THE NEUROLOGY WARD Rini Riandini; Etika Emaliawati; Ristina Mirwanti
Belitung Nursing Journal Vol. 4 No. 6 (2018): November - December
Publisher : Belitung Raya Foundation, Indonesia

Background: Stroke patient has a risk of experiencing pressure injury, which could affect patient’s life and quality of life; therefore, optimum pressure ulcer prevention should be done. Patients experiencing pressure ulcer should be given appropriate care, to prevent infection and worse conditions. Objective: To identify the prevalence, prevention and treatment of pressure injury of stroke patients in the neurological ward. Methods: This research was a quantitative descriptive research using Landelijke Prevalentiemeting Zorgroblemen instrument. The samples were collected using consecutive sampling method with inclusion criteria of stroke patients experiencing paraplegia, which obtained 30 respondents. Data were presented in frequency distribution format. Results: The result showed that the prevalence of pressure injury was 3.3% of degree III and brought from home. Based on risk assessment, 43.3% of patients had a very high risk of getting pressure injury, and 56.7% had changed position, 100% had received nutritional support but 80% of patients had not received health education and 83.3% did not get a pillow on their heels, and 100% did not get pressure injury mattress, massage, moisturizing cream and oil. Treatment of pressure injury was using 0.9% NaCl liquid with hydrocolloid dressing. Conclusion: It can be concluded that there are still some patients experiencing pressure injury and in terms of items of pressure injury prevention, which often done is malnutrition prevention, the least are the changes of position in using pillows, and in health education. The one that have never been done are the use of oil, moisturizing cream, massage and pressure air mattress. The injury treatment provided to the patient has been adequate. The suggestion that can be given is the preparation of standard operating procedure, leaflets and the provision of pressure air mattress.

EFFECT OF A WORKBOOK IN HEALTH EDUCATION ON SELF-EFFICACY AND QUALITY OF LIFE OF PATIENTS WITH CORONARY HEART DISEASE Aan Nuraeni; Ristina Mirwanti; Anastasia Anna
Belitung Nursing Journal Vol. 5 No. 6 (2019): November - December
Publisher : Belitung Raya Foundation, Indonesia

Background: Coronary Heart Disease (CHD) has a high recurrence in Indonesia. This condition may occur as a result of the failure of compliance with post-acute management following a heart attack by CHD patients. One of the causes is the lack of effective health education. Objective: The aim of this study was to identify the feasibility of the workbook in improving patients’ self-efficacy (SE) and quality of life (QoL). Methods: This research used a quasi-experimental with pretest-posttest control design. A pretest was done to the patients who were treated in the cardiac intensive unit, and a posttest was carried out at the end of the first and second month after the pretest. The population was all post-acute CHD patients who were admitted to the cardiac intensive unit in one of the referral hospitals in West Java, Indonesia. A purposive sampling was used and obtained 39 respondents who were divided into control and intervention groups. The intervention group was given a health education using a workbook, and the control group was given a direct health education. Self-efficacy was measured using a questionnaire developed by the authors, with high validity and reliability. A SF-12 instrument was used for measuring the quality of life. Data were analyzed using a descriptive quantitative analysis such as mean, Mann Whitney test, and Independent t-test. To estimate the effects of the intervention to QoL and SE, Kruskal Wallis test and One-way ANOVA were used. Results: The results showed that there was an increase in SE and QoL in both groups, either in the posttest 1 or posttest 2. The comparison of QoL in the pretest, posttest I and II obtained p=.452, .741, and .826, while SE between and within groups obtained p = .732, .220, and .009, respectively. Conclusions: Health education using the workbook was significantly more effective to increase SE than QoL of the CHD patients.

DIFFERENCE OF BOWEL SOUND RETURN TIME AMONG POST-LAPARATOMY SURGERY PATIENTS AFTER CHEWING GUM Warisya Miftah Amanda; Chandra Isabella Hostanida Purba; Ristina Mirwanti
Belitung Nursing Journal Vol. 5 No. 5 (2019): September - October
Publisher : Belitung Raya Foundation, Indonesia

Background: A surgical procedure using general anaesthesia in laparotomy surgery results in reduced bowel sound. A large number of patients who experience a delay in returning bowel sound after laparotomy surgery become the reason to give proper intervention in order to increase bowel sound return time. One of the non-pharmacological interventions that can be used is chewing gum. Objective: The purpose of this study is to identify the difference of bowel sound return time between groups of intervention and control after being given chewing gum intervention among post-laparotomy surgery patients. Methods: This quasi-experimental study used post-test only control group design. Thirty respondents were selected by purposive sampling technique. Data were collected through observation by calculating the bowel sound return time among post laparotomy surgery patients in the intervention group (n=15) and control group (n=15), and were analyzed using the Mann Whitney test. The intervention group was asked to chew the gum once for 30 minutes, and bowel sound was measured every 30 minutes for 120 minutes. Results: The results showed that bowel sound return time in the intervention group was 90 minutes and the control group was 150 minutes, and p-value was 0.005. Conclusion: There was a difference in the return time of bowel sound between the intervention and control groups. Therefore, the intervention of chewing gum could become one of the non- pharmacological interventions that can be considered in increasing the bowel sound return time among post-laparotomy surgery patients.

DAMPAK PANDEMI COVID-19 BAGI KESEHATAN MENTAL PERAWAT ICU Nunik Wijayanti; Yanny Trisyani Wahyuningsih; Ristina Mirwanti
NUSANTARA : Jurnal Ilmu Pengetahuan Sosial Vol 8, No 5 (2021): NUSANTARA : Jurnal Ilmu Pengetahuan Sosial
Publisher : Universitas Muhammadiyah Tapanuli Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31604/jips.v8i5.2021.1243-1256

Sejak dinyatakan sebagai pandemi oleh WHO pada bulan Maret 2020, Covid 19 menjadi masalah yang sangat ditakuti semua orang termasuk perawat. Salah satu dampaknya adalah masalah kesehatan mental perawat, termasuk perawat ICU. Dengan begitu banyaknya jumlah pasien Covid 19 yang membutuhkan ICU menyebabkan beban kerja dan kelelahan pada perawat ICU yang dapat menyebabkan masalah kesehatan mental. Tujuan dari studi literatur ini adalah untuk meningkatkan pengetahuan peneliti tentang dampak dari: identifikasi, skrining dan kriteria inklusi. PRISMA flowchart digunakan untuk menampilkan alur pencarian evidence. Hasil dari review menunjukkan terdapat 6 artikel yang didapatkan dari proses pencarian. Studi literatur ini menunjukkan bahwa dampak psikologis pandemic Covid-19 pada perawat ICU, yaitu stres, kecemasan, depresi, PTSD dan insomnia. Rekomendasi untuk manajemen RS adalah dengan mempertimbangkan beban kerja dan kesejahteraan perawat ICU. Implikasi untuk Rumah Sakit dapat dijadikan acuan untuk mencegah dampak psikologis pada perawat ICU agar tidak terjadi berkepanjangan.

Co-Authors Aan Nur'aeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Abdullah, Dirman Agustini Muzalifah AI MARDHIYAH, AI Aini, Astri Mufti Aldiano Alham Alex Setiawan Ali, Samin M. Amalia, Selly Nurhasanah Ananda, Rahmatika Anastasia Anna Anastasia Yovita Anissa, Lisa Mutiara Anissa, Lisa Mutiara Anita Setyawati Ashamar Puri Apsari Asmara, A Danang Asti Oktavianti Cahyani, Gita Cahyo, Firman Dwi Cecep Eli Kosasih Chandra Isabella Hostanida Purba Christina, Mikha Deris Riandi Setiawan Donny Nurhamsyah Donny Nurhamsyah Dylla Istiazahra Efri Widianti Eka Afrima Sari Elsa Egawati Sonandar Elsadai, Elsadai Etika Emaliawati Etika Emaliyawati Farah Nibras Farly Ihsan Fikriya, Aeni Firman Dwi Cahyo Firman Sugiharto Freitas, Lurdes Acorta Hana Rizmadewi Agustina Handayani, Audia Harlasgunawan, Alia Rahmi Hartiah Haroen Heriyansyah, Heriyansyah Iduliah Fitriani Ikeu Nurhidayah Intan Nurbaiduri Iriani, Nitha Putri Irma Mawarni Putri Irman Somantri Jabareen, Raifa Jemi Rahmani Abdullah Khoirunnisa, Fadila Kintan Komala Kurhayati, Kurhayati Kusman Ibrahim Laili Rahayuwati Larasati, Adhisti Sophia Larashati, Defa Lia Puji Astuti Lilis Mamuroh M Reza Saputra Maria komariah Masruroh, Rurin Maulana, Sidik Meisha Nurlianti Hidayat Melinda Ardian Dwi Cahya Moch. Didik Nugraha Muhamad Gustaf Al Fajar Muhammad Iqbal Mulya, Adelse Prima Mulyani, Tita N Nunik Virgianty Nada Shofi Nadiya Miftah Karima Nancy Veronica Nasrullah, Kurnia Nenden Nur Asriyani Maryam Neng Anisa Purnama Cahya Nida, Shoffatun Nidya Fildza Niken Ambarwati, Niken Nintyas, Felantina Restyar Nita Fitria Noor, Farisha Noya, Fricilia Nunik Wijayanti Nur Azmi, Nur Nur Oktavia Hidayati Nuraeni, Aan Nuraeni, Aan Nuraeni Nuraeni, Aan Nuraeni Nurazizah, Auliyaurrahmah Nurdiansyah Nurdiansyah Nurdiansyah Nurhayati, Resti Nurhidayat, Reski Nurlaeci Nurlaeci Nurlatifah, Novie Nursyafaat, Anastia Nur’aeni, Aan Oktaviana, Mariska Oktaviani, Dwi Putri Palo, Daud Pamungkas, Sultan Muhammad Wahyu Pen, Inggried Angelica Valentina Wiliyams Permana, Septa Prakhasa, Zivanka Aurelia Sheva Pratitis, Izzati Adha Priambodo, Ayu Prawesti Purnama, Anita Putri Karisa Putri, Hani Amelia Putri, Tegar Wulandari Rachmi, Fitria Rachmi, Fitria Rahayu Merdekawati Rahman, Lutfi Rahmi Fitriyani Rahmi Fitriyani Raini Diah Susanti Raissa Fatimah Ramadani, Regina Cahya Ramdhaniati, Thusiani Rausanfikra, Syiffa Salsabila Reis, Silvestre Dos Restuning Widiasih Rini Riandini Risma Dwiriyanti Risnandar, Mochammad Wisnu Roulita Roulita, Roulita Rukmasari, Ema Ryan Hara Permana Ryan Hara Permana Salsabila, Syifa Sandra Pebrianti Sandra Restuti Santi Ariyanti Santi Ariyanti Saparingga Dasti Putri Sari, Wulan Puspita Selly Nurhasanah Amalia Septiani, Indri Sesilia, Fitri Silvia Azkhari Sinta Dwi Ananda Siti Ulfah Rifa’atul Fitri Sri Hartati Pratiwi Sri Hendrawati Sugiharto, Firman Sukmawati Sukmawati Sulistiani, Eka Sunita, Elni Suryani Suryani Syahida Ayu Tambunan, Natalia Taqiyya, Azizah Vella Theresia Eriyani Titin Sutini Trisyani , Yanny Verawaty, Rotua Rina Wahyu Pratiwi Warisya Miftah Amanda Wijayanti, Nunik Wiliastuti, Ulfah Nasti Wina Supriatna Yanny Trisyani Yanny Trisyani Yanny Trisyanni Wahyuni Yanti Hermayanti Yuliandani, Erin Yupira Dera Sopyanti Yusanti, Irma Yusshy Kurnia Herliani Yusshy Kurnia Herliani, Yusshy Kurnia

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