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Implementasi Emergency Geriatric Assessment pada Pasien Lansia di Ruang Instalasi Gawat Darurat RSUD. Dr. R. Goeteng Taroenadibrata Purbalingga: Case Study Emilia Eka Purti; Sidik Awaludin; Dani Tri Santosa
Journal of Bionursing Vol 2 No 3 (2020): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (498.752 KB) | DOI: 10.20884/1.bion.2020.2.3.79

Abstract

Background. The higher number of morbidity and emergency department visits for persons aged 75 years compared with the people under 65 years were the basic reason needed for a multidimensional and rapid assessment in the emergency department. The Emergency Geriatric Assessment may effective to be used to identify geriatric problems in the emergency department. Methods. This kind of implementation was a case study. This implementation was done on July 11st - 17th, 2019. The total respondent of this implementation was 11 elderly. The criteria of the respondent were all of the elderly aged ≥60 years who were waiting for admission or being observed, and didn’t have an acute stroke, an acute myocardial infarction, or was awaiting surgical intervention and admission. The instrument used a questionnaire named Emergency Geriatric Assessment, which consisted of twenty-two possible problems in the elderly. Results. The results of the Emergency Geriatric Assessment showed that the majority of the elderlies were 60-74 years, were male, had a medical decisions and had an ability to care for self by themselves. The majority of the identified problems were dementia, sleep, polypharmacy, pain, nutrition, use of medical resources, caregiver, family meeting, need for comfortable care, and long term bedridden. Conclusion. The Emergency Geriatric Assessment was effective to be used for identifying at least two geriatric problems in elderly, in order to help emergency department physicians to manage such patients.
Implementasi Oral Care Hygiene untuk Mengurangi Risiko Ventilator Associated Pneumonia (VAP) di Ruang Intensive Care Unit (ICU) Rumah Sakit Prof. Dr. Margono Soekarjo: Case Study Nur Rizky Amalia Shidiq; Sidik Awaludin; Aji Kurniawan
Journal of Bionursing Vol 3 No 2 (2021): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (432.682 KB) | DOI: 10.20884/1.bion.2021.3.2.97

Abstract

Background. The insertion of an Endotracheal Tube (ETT) can trigger the occurrence of Ventilator Associated Pneumonia (VAP) due to bacterial colonization of secretions in the oral or tracheal area of ​​the patient. One of the prevention of VAP can be in the form of providing oral hygiene in intubated patients. The purpose of the implementation is to find out the application of the use of oral hygiene guidelines from the Beck Oral Assessment Scale (BOAS) in intubated patients in the ICU Room of Prof. Hospital. Dr. Margono Soekarjo Method. Implementation was carried out using a case study method with a total of 10 patients divided into 2 groups. Both groups were assessed for BOAS at the time the patients were intubated and extubated. Evaluation was carried out using the Mucosal-Plaque Score (MPS). Results. Characteristics of respondents have an age range of 37-66 years. It is known that the average difference in the decrease in BOAS scores is the intervention group. While the MPS Score in the two groups did not have a difference. Conclusion. Oral care hygiene with the guidance of the Beck Oral Assessment Scale (BOAS) can be used to reduce the risk of Ventilator Associated Pneumonia (VAP) in intubated patients.
Gambaran Stimulasi Elektrik Akupresur Terhadap Nyeri Punggung (Low Back Pain) pada Lansia di Wilayah Kerja Puskesmas 1 Kecamatan Sokaraja. Galih Noor Alivian; Sidik Awaludin; Eva Rahayu
Journal of Bionursing Vol 3 No 3 (2021): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (454.697 KB) | DOI: 10.20884/1.bion.2021.3.3.115

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Pendahuluan: LBP (low back pain) merupakan salah satu permasalahan yang sering dialami oleh para lansia. Selain itu masalah-masalah pada lansia antara lain, mudah jatuh, mudah lelah, kekacauan mental akut, nyeri dada, sesak nafas pada waktu melakukan kerja fisik, berdeba-debar, pembengkakan kaki bagian bawah, nyeri punggung bawah atau pinggang, dan nyeri pada sendi pinggul. Akupresur digunakan untuk mengurangi tingkat nyeri yang terjadi, akupresur terletak di seluruh tubuh dekat dengan permukaan kulit dan terhubung satu sama lain melalui jaringan yang komplek dari meridian. Setiap titik-titik akupresur mempunyai efek khusus pada sistem tubuh, atau organ tertentu. Tujuan: untuk mengetahui pengaruh stimulasi elektrik akupresur terhadap nyeri punggung (low back pain). Metode: Penelitian ini menggunakan jenis penelitian quasi experiment: non-randomized pre-test post-test control group design dengan rencana jumlah sampel kelompok intervensi terdiri dari 30 orang diberikan stimulasi elektrik akupresur dan kelompok kontrol. Sampel dipilih dengan cara simple random sampling. Pelaksanaan penelitian di wilayah kerja Puseksmas I Sokaraja Kabupaten Banyumas Desa Pamijen. Pengumpulan data dilakukan dengan mengukur tingkat nyeri sebelum dan sesudah intervensi. Uji statistik yang digunakan adalah paired t test. Hasil: Dari data deskriptif yang diperoleh, terapi stimulasi elektrik akupresure efektif dalam menurunkan nyeri punggung (low back pain) pada lansia.
Relationship between Fine Motor Skill and the Use of Gadget in Pre-school Age Children Sri Indah Yuli Hartati; Sidik Awaludin; Eni Rahmawati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 9 No. 1 (2023): 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.v9i1.433

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Aims: To analyze the relationship between fine motor skill and the use of gadget in pre school age children. Methods: This study used a cross-sectional design. Sampling technique using quota sampling and the sample in this study amounted to 82 pre school age children in  Purwanegara, Banyumas on March-April 2022. The adopted questionnaire used to be measured use of gadgets application and abilities acceptable fine motor be measured using Denver II. Data analyzed univariate and bivariate using Gamma Test. Results: The univariate analysis showed that there were eight respondents (9.8%) with gadgets application in the category low, 13 respondents (15.9%) moderate, and 61 respondents (74.4%) high. Denver II results showed fine motor as much as one respondent (1.2%) in category advance, 24 respondents (29.3%) caution, 56 respondents (68.3%) delayed, and one respondent (1.2%) normal. The Gamma test showed a relationship between fine motor skill and the use of gadget  in pre school age children with a p-value = 0,005 (p value<0.05). Conclusion: There is a significant relationship between fine motor Skill and the use of gadget. Based on these results, periodic developmental screening and nursing interventions are needed to address fine motoric disorders in preschool-aged children who use gadgets, and it is expected that parents will limit the use of gadgets.
GAMBARAN PENGETAHUAN DAN SIKAP MASYARAKAT TENTANG PERTOLONGAN PERTAMA KORBAN KECELAKAAN LALU LINTAS DI JALAN LINGKAR UTARA SUMPIUH-TAMBAK Dea Rizqa Ar Royan Luxmono; Sidik Awaludin; Arif Imam Hidayat
Jurnal Ilmu Kesehatan MAKIA Vol 13 No 1 (2023): Jurnal Ilmu Kesehatan MAKIA
Publisher : LPPM ISTeK ICsada Bojonegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37413/jmakia.v13i1.234

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ABSTRAK Kecelakaan lalu lintas merupakan salah satu kondisi yang dapat membahayakan nyawa manusia. Data dari BPS Jawa Tengah menyebutkan Kabupaten Banyumas menempati posisi pertama jumlah kasus kecelakaan lalu lintas per tahun 2020 yaitu sebanyak 1.574 kasus. Kejadian kecelakaan lalu lintas menjadikan masyarakat yang berada disekitar daerah rawan kecelakaan menjadi saksi pertama, namun masyarakat menolong korban dengan tidak didasari pengetahuan yang cukup. Selain itu, jarak pelayanan kesehatan yang cukup jauh meningkatkan angka kematian akibat kecelakaan lalu lintas serta belum adanya penyuluhan terkait pertolongan pertama pada korban kecelakaan lalu lintas. Tujuan penelitian ini yaitu untuk mengetahui gambaran perilaku masyarakat tentang pertolongan pertama pada korban kecelakaan lalu lintas di Jalan Lingkar Utara Sumpiuh-Tambak. Desain penelitian : desain enelitian deskriptif kuantitatif dengan pendekatan cross sectional. Besar sampel 127 responden diruas jalan lingkar utara Sumpiuh- Tambak dengan teknik quota sampling. Instrumen penelitian menggunakan kuisioner dan analisis data secara univariat dengan distribusi frekuensi dan tendensi sentral pada analisis karakteristik usia. Hasil : responden didominasi berusia 17 – 35 tahun (56,6%), jenis kelamin laki-laki (55,9%), pekerjaan wiraswasta (28,3%), pendidikan terakhir SMA (48,0%), dan pernah melakukan pertolongan pertama pada korban kecelakaan (50,4%). Tingkat pengetahuan responden mayoritas cukup (50,4%) dan seluruh responden memiliki sikap positif (100%). Kesimpulan : Masyarakat yang tinggal diruas jalan lingkar utara Sumpiuh-Tambak memiliki tingkat pengetahuan yang cukup baik dan memiliki sikap positif tentang pertolongan pertama korban kecelakaan lalu lintas. Saran untuk peneltian selanjutnya diharapkan dapat melakukan modifikasi kuisioner agar dapat menggali terkait pengetahuan pertolongan pertama lebih dalam pada masyarakat yang berada disekitar daerah rawan kecelakaan lalu lintas.
Terapi Humor untuk Menurunkan Intensitas Nyeri Pada Pasien Pasca Bedah Invasive Awaludin, Sidik; Santoso, Agus; Novitasari, Dwi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 1, No 2 (2016): December
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (48.777 KB) | DOI: 10.30604/jika.v1i2.22

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Surgery is a potential or actual threat to the integrity of the person both biopsychosocial and spiritual that can cause a response in the form of pain. Pain appears because the breakdown of network continuity. Unresolved pain may disrupt the healing process after surgery. Methods to overcome the pain to do the pharmacological and non-pharmacological. Non-pharmacological method that is often used to treat pain is distraksi.Distraction techniques can be done with humour therapy. Humour therapy done in several ways to see a funny movie, listen to the comic group, see cartoons, comics and caricatures are funny as well as reading a collection of funny stories. This study aims to determine the effect of humour therapy on pain intensity in patients with post-surgical minimally invasive second day. This study design is descriptives analysis. The number of samples in this study were 40 people. The sampling technique used is consecutive sampling. Analysis by viewing the presentation decrease in the frequency distribution table. The analysis shows the percentage difference in pain reduction in a larger scale in the treatment group. Humour therapy capable of reducing pain in patients with post-surgical minimally invasive second day.Keyword: invasive surgery, pain, humour therapy
Non Malefficence pada Pasien Hipertensi: Analisis Konsep Ani Kuswati; Sidik Awaludin
JURNAL KEPERAWATAN MERSI Vol 13, No 1 (2024): April
Publisher : Prodi Keperawatan Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkm.v13i1.10631

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Background: The principle of nonmaleficence (no harm) means not causing physical and psychological harm/injury to the patient. The principle of nonmaleficence means that health workers in providing health services must always have the intention of helping patients overcome their health problems. Nonmaleficence in hypertensive patients depends on how the nurse or health worker provides assistance or nursing care so as not to cause harm/danger to the patient. Objective: the concept analysis aimed to explore Non-Malefficence pada Pasien Hipertensi. Methods: This concept analysis was carried out with the help of literature about non-maleficence obtained through the Google Scholar and Preplexity databases. The keywords used are "non-maleficence concept" and "hypertension sufferers". The years of publication of books and articles start from 1989 to 2021. Results: An estimated 1.13 billion people worldwide suffer from hypertension, the majority (two-thirds) living in low- and middle-income countries. In 2015, 1 in 4 men and 1 in 5 women suffered from hypertension. Less than 1 in 5 people with hypertension have the problem under control. Conclusion: This concept analysis was carried out using the methods and steps proposed by Walker and Avant. Method of identifying attributes, antecedents and consequences of non-maleficence. This gives rise to the operational definition of mal noneficence, namely a person's moral principles in making decisions to provide treatment/action/therapy with appropriate benefits without causing physical or mental harm, harm or danger.
Nonmaleficence pada Pasien Neonatal dengan Hiperbilirubinemia yang Menjalani Fototerapi: Analisa Konsep Wahyu Setyaningsih; Sidik Awaludin
JURNAL KEPERAWATAN MERSI Vol 13, No 1 (2024): April
Publisher : Prodi Keperawatan Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkm.v13i1.11320

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Background: The clinical ethical issue of nonmaleficence is not causing harm to patients. The principle of nonmaleficence requires that every medical action be weighed against all benefits, risks, and consequences. This principle reminds practitioners that the benefits of medical action should always be weighed against all risks and consequences. Objective: The concept analysis aimed to explore the nonmaleficence in neonatal hyperbilirubinemia patient undergoing phototherapy. Methods: Walker and Avants's method for concept analysis is used in this paper. This paper defines the attributes using the eight-step Walker and Avant’s process of concept analysis method, such as the main objectives of the concept analysis process are to identify the attributes and provide researchers with a precise definition of the concept. Therefore, this analysis can provide a conceptualized definition of hyperbilirubinemia, phototherapy and nonmaleficence. The search method performing a literature searching PUBMED, Science Direct, ProQuest, and Google Scholar databases using the keywords hyperbilirubinemia, phototherapy, and nonmaleficence as key word and title. Published materials conducted from 2000 to 2023 in English or Indonesian.  Results: The concept analysis showed that health workers in providing health care efforts must always be with the intention of helping patients overcome their health problems. Nurses’ actions must be in accordance with procedures so that there are no errors or negligence that can harm patient and families so that they can provide maximum benefits and minimal risk. Conclusion: Nurse using ethical concept of nonmaleficence tried to explanation to mothers and family members in non-medical language.
The effects of foot massage on restless leg syndrome in hemodialysis patients: A systematic review Kusnendar, Kusnendar; Awaludin, Sidik
Holistik Jurnal Kesehatan Vol. 18 No. 4 (2024): Volume 18 Nomor 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v18i4.157

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Background: Restless leg syndrome (RLS) is a neurological disorder that causes an irresistible desire to move the legs. RLS is a problem that is often encountered in hemodialysis (HD) patients and can affect the patient's quality of life. Purpose: To compare the effectiveness of massage therapy and aromatherapy on symptoms of restless leg syndrome and sleep quality in hemodialysis patients. Method: Systematic review study design that refers to the Preferred Reporting Items for Literature Review and Meta-Analyses (PRISMA). The literature used was published from 2013-2023 through databases including, ProQuest, Science Direct, Cochrane, Ebsco Host, SAGE Journal, Taylor & Francis, and Scopus with the keywords "Restless Leg Syndrome", "Leg Massage", and "Dialysis". Results: This study recorded significant massage interventions in hemodialysis patients in seven articles with varying massage methods, including stretching, reflexology, and Swedish massage. Another method also adds aromatherapy massage using essential oils. Muscle massage can increase relaxation and blood circulation in the legs, as well as improve the patient's sleep quality. Adding sensory nerve stimulation using aromatherapy will increase the patient's relaxation speed. Apart from massage therapy using hands, vibrators can also be used and have been proven to be effective in reducing restless leg syndrome. However, currently the use of vibrators is not yet widespread. Conclusion: Massage therapy is effective in reducing restless legs syndrome and improving the quality of life of hemodialysis patients. When carrying out massage therapy, several types of lubricants can be used to increase the effectiveness of massage therapy, such as lavender, olive oil, glycerine and citrus.   Keywords: Dialysis; Foot massage; Restless Legs Syndrome (RLS).   Pendahuluan: Restless leg syndrome (RLS) merupakan gangguan neurologis yang menyebabkan keinginan yang tidak dapat ditahan untuk menggerakkan kaki. RLS menjadi salah satu permasalahan yang sering ditemui di kalangan pasien hemodialisis (HD) dan dapat memengaruhi kualitas hidup pasien. Tujuan: Untuk membandingkan efektifitas terapi pijat dan aromaterapi terhadap gejala sindrom kaki gelisah serta kualitas tidur pada pasien hemodialisis. Metode: Desain studi sistematik review yang merujuk pada Preferred Reporting Items for Literature Review and Meta-Analyses (PRISMA). Literatur yang digunakan merupakan terbitan dari tahun 2013-2023 didapat melalui database antara lain, ProQuest, Science Direct, Cochrane, Ebsco Host, Jurnal SAGE, Taylor & Francis, serta Scopus dengan kata kunci "Restless Leg Syndrome", "Leg Massage", dan "Dialysis". Hasil: Penelitian ini mencatat intervensi pijat yang signifikan terhadap pasien hemodialisis dalam tujuh artikel dengan metode pijat bervariasi, termasuk peregangan, refleksologi, dan pijat Swedia. Metode lain juga menambahkan pijatan dengan aromaterapi menggunakan minyak esensial. Pijatan otot dapat meningkatkan relaksasi, dan peredaran darah di kaki, serta memperbaiki kualitas tidur pasien. Penambahan stimulasi saraf sensorik menggunakan aromaterapi akan meningkatkan kecepatan relaksasi pasien. Selain terapi pijat menggunakan tangan, vibrator juga dapat digunakan dan terbukti efektif mengurangi restless leg syndrome. Akan tetapi, saat ini penggunaan vibrator belum luas. Simpulan: Terapi pijat efektif dalam mengurangi restless leg syndrome dan meningkatkan kualitas hidup pasien hemodialisa. Dalam melakukan terapi pijat, beberapa jenis pelumas dapat digunakan untuk meningkatkan efektifitas terapi pijat seperti, lavender, minyak zaitun, gliserin, dan citrus.   Kata Kunci: Dialisis; Pijat Kaki; Sindrom Kaki Gelisah.
Gambaran Perilaku Phubbing pada Mahasiswa Keperawatan UNSOED di Masa Endemi COVID-19 Wiguna, Ilham; Awaludin, Sidik; Mulyaningrat, Wahyudi
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.100295

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Background: Phubbing is a behaviour when a person keeps staring at the cell phone during social interactions, thus ignoring the interlocutor or speaking opponent. This behavior obviously disturb interpersonal relationship and may hurt other people feeling. While phubbing behavior is quite common among college students, it becomes interesting to explore. Objective: To describe phubbing behavior among UNSOED Nursing students during the COVID-19 endemic.Method: The research was descriptive with cross-sectional approach. This involved UNSOED Nursing students as respondents, with a sample of 203  which were chosen using the proportionate stratified random sampling technique. The instruments was Phubbing Scale, which consisted of two factors: communication disorders and obsession with cell phones. Data were analyzed using univariate methods.Results: Most of the respondents (91%) were women with a median age of 20 years old. Most of the respondents showed moderate behavior phubbing (87%), but 13% showed high phubbing behavior. For the dimensions of communication disorders and the greatest obsession with cell phones, the majority of respondents were at moderate level, with 91% and 65% consecutively.Conclusion: Phubbing behavior among UNSOED nursing students are at moderate level. Attention is needed toward cellphone usage to maintain caring practice among nursing students.INTISARILatar belakang: Phubbing adalah praktik melihat layar ponsel saat berinteraksi sosial sehingga mengabaikan lawan bicara. Perilaku ini dapat mengganggu hubungan antar manusia dan menyakiti perasaan orang lain. Kecenderungan perilaku phubbing banyak ditemukan pada mahasiswa sehingga menjadi fenomena yang menarik untuk diteliti. Tujuan: Penelitian ini bertujuan untuk melihat bagaimana gambaran perilaku phubbing mahasiswa Keperawatan UNSOED selama endemi COVID-19.Metode: Penelitian deskriptif cross-sectional ini melibatkan mahasiswa Keperawatan UNSOED, dengan sampel 203 responden menggunakan teknik proportionate stratified random-sampling. Instrumen yang digunakan adalah The Phubbing Scale yang terdiri dari dua faktor, gangguan komunikasi dan obsesi terhadap ponsel. Data dianalisis dengan metode univariat.Hasil: Sebagian besar  responden (91%) perempuan dengan nilai tengah usia 20 tahun. Sebagian besar responden menunjukkan perilaku phubbing sedang (87%), tetapi sebanyak 13% menunjukkan perilaku phubbing tinggi. Pada dimensi gangguan komunikasi dan obsesi terbesar terhadap ponsel mayoritas responden berada pada tingkat sedang (91% dan 65%).Simpulan: Perilaku phubbing mahasiswa keperawatan UNSOED berada pada tingkat sedang. Diperlukan pengawasan terhadap penggunaan ponsel agar penerapan konsep caring dapat dilaksanakan secara konsisten.
Co-Authors Adiratna Sekar Siwi Adriani, Prasanti Afni, Anissa Cindy Nurul Agus Santoso Agus Santoso Aji Kurniawan Aji Kurniawan Aji Kurniawan Alfianto, Candra Alivian, Galih Noor Ani Kuswati Ani Kuswati Anissa Cindy Nurul Afni Annas Sumeru Annas Sumeru Aprilia Kartikasari Ardani, Madia Yuni Arhamawati, Sufia Arif Imam Hidayat Arif Setyo Upoyo Atmojo, Joko Tri Basir Basir Caryanto, Valerio Basuni Carlo Chanshintop, Sawinee Choirunnisa, Dicha Dafinta Widia Komala Dani Tri Santosa Dea Rizqa Ar Royan Luxmono Dewi Gayatri DEWI SARTIKA Dewi, Dwijayanti Mei Ana Dian Susmarini Dicha Choirunnisa Dwi Novitasari Elly Nurachmah Eman Sutrisna Emilia Eka Purti Eni Rahmawati Enji Meilia Era Pertiwi Eva Rahayu Galih Noor Alivian Galih Noor Alivian Galih Noor Alivian Handoyo, Soni Hukum, Ardian Jafar A. Ibnu Rusdi Imam Hidayat, Arif Iwan Purnawan Jamhari Jamhari JUNIANTO JUNIANTO Kamalludin, Ridlwan Kusnendar, Kusnendar Lestari, Puji Lita Heni Kusumawardani Luxmono, Dea Rizqa Ar Royan Mekar Dwi Anggraeni Monica, Rica Mulyaningrat, Wahyudi Muslimah, Nida Nida Muslimah Nur Rizky Amalia Shidiq Pratama, Koernia Nanda Rahayu Astuti Rahayu, Eva Ratna Aryani Ridlwan Kamaluddin Rizqa Ar Royan Luxmono, Dea Rosi Kurnia Sugiharti Salam, Wulan Anugrah Pauji Saryono Saryono Sekarwati, Wiwik Setyoharsih, Titis Wening Sri Indah Yuli Hartati Sri Yona Sukarmin Susetya, Putut Anggara Tyas Amalia Khaerunisa Utami, Mega Vitasari, Imaniar Wahyu Setyaningsih Wahyu Setyaningsih Wahyudi Mulyaningrat Walohtae, Fa-is Wiguna, Ilham Wirakhmi, Ikit Netra Wiwik Sekarwati Yulianti, Yeli Yunita Sari