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Faktor-Faktor yang Memengaruhi Kinerja Perawat di Rumah Sakit: Literature Review Alin, Dhemes; Adhani, Rosihan; Aflanie, Iwan; Herawati
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 12 No 3 (2024): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine and Health Science, Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jdk.v12i3.683

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Objective: to identify factors that influence the performance of nurses in hospitals, including the application of Professional Nursing Care Methods (MAKP), career path development, and increased competency, which contribute to nurse performance so that the quality of hospital services is more optimal. Method: The method was searching three databases: Pubmed, Google Scholar, and Science Direct, with 7,821 articles. Search results using keywords obtained 20 articles, which were then selected and adjusted to an assessment based on full text, resulting in 9 articles. Results: Literature results show that the application of professional nursing care methods, clear career paths, and adequate competencies have a significant influence on nurse performance. These factors contribute to improving nurse performance. Conclusion: Nurse performance is influenced by various factors, including professional nursing care methods, career level, and competency. The application and development of these factors can have an impact on better and more optimal hospital services
Global Research Trends on Factors Affecting Patient Satisfaction Levels in Hospital Inpatient Wards: A Bibliometric Analysis Afriyanti, Defi; Bakhriansyah, M.; Adhani, Rosihan; Suhartono, Eko; Arifin, Syamsul
Malahayati Nursing Journal Vol 6, No 11 (2024): Volume 6 Nomor 11 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i11.17314

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ABSTRACT Research on patient satisfaction in hospital inpatient rooms is one of the main focuses in efforts to improve the quality of health services. Understanding the factors that influence patient satisfaction is crucial for policy makers and healthcare practitioners. Although various studies have been conducted, the global map of this research trend is still not clearly depicted. This study aims to fill this gap by conducting a bibliometric analysis of the literature related to patient satisfaction in hospitals, using a visualization approach to provide deeper insights into the dynamics of research in this area. The method used involved data collection of scholarly articles from 2014 to 2024 using Google Scholar's Publish or Perish application. A total of 50 articles were selected based on relevance to keywords such as Patient Satisfaction, Inpatient Room, Satisfaction Factors, Hospital, and Health Services. This data was then analyzed using VOSviewer to visualize the relationship between various elements in the literature through network visualization, overlay visualization, and density visualization. This approach mapped research trends, identified key clusters, and showed collaboration patterns and dominant topics. The results show that service quality and patient satisfaction are the main focus in the literature. Research clusters showed significant attention to basic aspects of healthcare such as hospital care and facilities, while demographic aspects and specific determinants were less explored. Citation analysis showed that articles providing comprehensive reviews or practical models received more attention. In addition, the density visualization revealed the dominance of quality of care aspects, but also showed the potential for further research on topics such as technological innovation and the impact of health policy. The conclusions of this study show that although much research has been conducted, there are still significant research gaps that can be further explored. This study maps global trends in patient satisfaction studies, and provides guidance for researchers to focus on less explored areas, thereby contributing to the improvement of healthcare quality in hospitals. Keywords: Patient Satisfaction, Service Quality, Hospital, Bibliometric Analysis.
Global Research Trends on Factors Affecting Tuberculosis (TB) Adherence and Dropout: A Bibliometric Study Risnawati, Risnawati; Adhani, Rosihan; Isa, Mohamad; Kania, Nia; Febriana, Silvia Kristanti Tri
Malahayati Nursing Journal Vol 6, No 11 (2024): Volume 6 Nomor 11 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i11.17235

Abstract

ABSTRACT Tuberculosis (TB) remains one of the significant global health challenges, especially in resource-limited countries. Adherence to TB treatment is key to successful therapy and preventing the emergence of drug resistance. However, dropout rates or discontinuation of treatment before completion remains a major problem that needs to be addressed. This study aims to analyze global trends in research focusing on factors affecting TB treatment adherence and dropout through a bibliometric approach. Using the Publish or Perish application, relevant scientific articles with keywords such as treatment adherence, tuberculosis, treatment dropout, and influencing factors were searched from 2017 to 2024. A total of 50 articles from Google Scholar were further analyzed to identify by publication year, country, publisher, citation, and article type. The data was then processed using VOSviewer to visualize the relationship between keywords and research trends through Network Visualization, Overlay Visualization, and Density Visualization. The results of the analysis showed that Indonesia is the country with the highest number of publications, demonstrating a great commitment in addressing the TB challenge. Articles published in reputable journals, especially those adopting systematic and meta-analysis approaches, show great impact with a high number of citations. Bibliometric visualizations reveal that the focus of research lies on factors such as treatment, adherence, health workers, and access. In addition, family and community support was also found to be an important element in ensuring treatment adherence. In conclusion, this study emphasizes the need for a comprehensive and collaborative approach in improving TB treatment adherence and preventing dropouts. Further research in this area is needed to address existing gaps and develop more effective strategies in the fight against TB. Keywords: Treatment Adherence, Tuberculosis, Dropout, Influencing Factors, Health Worker
Analysis of Compliance Factors of Chronic Kidney Failure Patients Undergoing Hemodialysis Suhastinah, Suhastinah; Arifin, Syamsul; Suhartono, Eko; Panghiyangani, Roselina; Adhani, Rosihan
Journal La Medihealtico Vol. 5 No. 5 (2024): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v5i5.1740

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The aim is to determine the factors associated with compliance of chronic renal failure patients undergoing hemodialysis in RSUD Brigjend. H. Hasan Basry Kandangan Hospital. This type of research is analytic observational with a cross-sectional survey approach. The results of the bivariate analysis showed that there is a correlation between motivation and compliance in chronic renal failure patients undergoing hemodialysis with a Pvalue (0.000) < 0.05 and an OR of 22.222, a correlation between satisfaction and compliance in chronic renal failure patients undergoing hemodialysis with a Pvalue (0.000) < 0.05 and an OR value of 16.667, and a correlation between therapeutic communication and compliance in chronic renal failure patients undergoing hemodialysis with a Pvalue (0.004) < 0.05 and an OR value of 9.118. Based on the results of this study, it can be concluded that there is a correlation between motivation, satisfaction and therapeutic communication with compliance with undergoing hemodialysis in RSUD Brigjend. H. Hasan Basry Kandangan Hospital.
Analysis of Factors Associated with Utilization of Posyandu Elderly Health Services Sulastri, Norjainah; Adhani, Rosihan; Shadiqi, Muhammad Abdan; Ringoringo, Harapan Parlindungan; Febriana, Silvia Kristanti Tri
Journal La Medihealtico Vol. 5 No. 5 (2024): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v5i5.1741

Abstract

Puskesmas Panarung is the coverage of elderly health services with the lowest utilization of 559 elderly (25.0%) data on the number of elderly visits from both the Health Office and the health center has not reached the target of 70%. To determine the relationship between motivation, family support, accessibility, and service quality with the utilization of oral health services at the Panarung City Health Center. This study used a cross sectional design. The study subjects consisted of 94 people at the Panarung City Health Center. Data analysis chi square test and multiple logistic regression test. The results of the analysis is the most dominant variables related to the Utilization of Posyandu Elderly Health Care Services in the working area of Puskesmas Panarung are motivation (17.767), family support (15.046), service quality (10.797), and accessibility (7.956). There is a relationship between motivation, family support, accessibility, and service quality with the utilization of posyandu health services for the elderly. The most dominant variable is motivation.
Analysis of Factors Associated with the Incidence of Stunting in Toddlers: Factor Analysis of Family Support, Health Worker Support, Insurance Participation, and Income Kartika, Dina; Zoelkarnain, Izaak; Illiandri, Oski; Adhani, Rosihan; Musafaah, Musafaah
Journal La Medihealtico Vol. 5 No. 5 (2024): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v5i5.1742

Abstract

Indonesia shows a high stunting rate among middle-income countries, with the World Health Organization reporting in 2020 that 149.2 million children under five worldwide (22%) experienced stunting, and Southeast Asia contributing 30.01%. Indonesia ranks third in Southeast Asia for stunting, with an average rate of 36.4% from 2005 to 2017. In 2023, South Kalimantan reported a stunting prevalence of 24.6%, and the Liang Anggang health facility showed the highest incidence in Banjarbaru City at 20.75%, underscoring a substantial occurrence of short and very short newborns. This study conducts a bibliometric analysis of literature from 2019 to 2024 on stunting risk factors among children under five. Using Google Scholar and the Garuda Portal, relevant articles were collected and analyzed for type, citation count, origin, publisher, and year. Findings underscore several prominent risk factors, including family support, health worker assistance, insurance coverage, and income level. Four articles met the inclusion criteria and were evaluated with the Critical Appraisal Approach, focusing on stunting prevalence in toddlers; of these, two examined family support, three highlighted health worker support, and two investigated insurance's impact on stunting. All articles indicate a strong correlation between household income and stunting prevalence, suggesting low-income families are particularly vulnerable. The study recommends that Puskesmas provide comprehensive education on stunting prevention, especially targeting low-income families.
The Influence of the Role of Case Manager and Organizational Citizenship Behavior on Patient Satisfaction at Ulin Banjarmasin Regional Hospital Muhammad Aini; Rosihan Adhani; Titien Agustina
International Journal of Economics, Business and Innovation Research Vol. 4 No. 02 (2025): International Journal of Economics, Business and Innovation Research( IJEBIR)
Publisher : Cita konsultindo

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

Abstract

This study aims to first determine the role of Case Manager in its influence on patient satisfaction at Ulin Banjarmasin Regional Hospital, second determine the influence of Organizational Citizenship Behavior on patient satisfaction at Ulin Banjarmasin Regional Hospital, and third determine the influence of the role of Case Manager and Organizational Citizenship Behavior simultaneously on patient satisfaction at Ulin Banjarmasin Regional Hospital. Ulin Regional Hospital, BanjarmasinThe population of this study is all patients at Ulin Banjarmasin Regional Hospital who have used the facilities provided by the Case Manager during the period of 2022 to 2023, totaling 24,482 patients , so the number of samples is 24,482 respondents . This study is a quantitative study with a quantitative descriptive approach. The analysis tools used in this study include data validity and reliability tests. The hypothesis testing methods used are Kolmogorov-Smirnov, Multicollinearity Test, Autocorrelation Test and Heteroscedasticity Test,obtained in the form of conclusions obtained, namely the role of the case manager has an effect on patient satisfaction at Ulin Banjarmasin Regional Hospital , then Organizational Citizenship Behavior has an effect on patient satisfaction at Ulin Banjarmasin Regional Hospital , and the role of the case manager and Organizational Citizenship Behavior simultaneously have an effect on patient satisfaction through Organizational Citizenship Behavior . RSUD Ulin Banjarmasin . It is expected that there will be similar development research with more complete attention to other aspects as indicators of assessing factors that influence patient satisfaction. Also to use more and varied research subjects. The next research is expected to be able to increase the number of items in the questionnaire to measure more detail from each indicator, the addition of independent variables that are not in this study, as well as other newer and more contemporary dependent variables.
Analisis Faktor Yang Berhubungan Dengan Pemanfaatan Layanan Kesehatan Gigi Dan Mulut Di Puskesmas Kota Banjarmasin Andriyani, Putri Dwi; Adhani, Rosihan; Nugroho, Adi Nugroho; Noor, Meitria Syahadatina; Musafaah, Musafaah
An-Nadaa: Jurnal Kesehatan Masyarakat (e-Journal) Vol 12, No 1 (2025): AN-NADAA JURNAL KESEHATAN MASYARAKAT (JUNI)
Publisher : Universitas Islam Kalimantan Muhammad Arsyad Al Banjari Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31602/ann.v12i1.15876

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Based on the 2018 Riskesdas, South Kalimantan Province had almost 60% of health problems, while Banjarmasin City had the highest percentage of oral and dental diseases (38.2%). The purpose of this study is to determine the correlation between the use of oral health services at the Banjarmasin City Health Center and factors such as accessibility to information, the availability of dental professionals, insurance coverage, medical facilities, income, and educational attainment. This study's design was cross-sectional. The Banjarmasin City Health Center housed ninety-seven research participants. The following variables' p values were found using multiple logistic regression and chi square analysis results: income (p=0.0221), insurance membership (p=0.0005), dental medical personnel availability (p=0.0005), education level (p=0.0005), and ease of information (p=0.000). The degree of education (Exp(B)=25.410) is the factor that most affects the use of oral health services at the Banjarmasin City Health Center. The results of this study indicate that the use of oral health services is correlated with factors such as insurance coverage, accessibility to dental professionals, degree of education, and health facilities. At the Puskesmas of Banjarmasin, there is, however, no correlation between income and the use of oral health service
Competence, Rewards, and Geographic Proximity in Nutrition Practitioner Performance Fauzie Rahman; Syamsul Arifin; Rosihan Adhani; Meitria Syahadatina Noor; Husaini, Husaini; Muhammad Abdan Shadiqi; Neka Erlyani; Muhamad Muslim
Journal of Public Health and Pharmacy Vol. 5 No. 3 (2025): November 2025
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v5i3.6767

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Introduction: Based on data from the Indonesian Health Survey, the stunting rate in South Kalimantan Province in 2023 reached 24.7%. The target for reducing the national stunting rate in 2024 is 14%. Nutrition practitioner play a diverse and crucial role in handling stunting, from assessment and education to policy intervention and advocacy. This study aims to determine the effect of competence, appreciation and geographical proximity on the performance of nutrition practitioner with management span as a moderating variable in preventing stunting cases. Methods: This type of research is observational analytic with a cross-sectional design. The location of this research is at the Health Center in the working area of the South Kalimantan Provincial Health Office and the duration of the research is 2 months. The sample of this research is 280 respondents who were taken using the cluster sampling technique. The data collection method uses a questionnaire. Ethical approval was obtained from the Health Research Ethics Commission of the Faculty of Medicine and Health Sciences, Lambung Mangkurat University with number No.067/KEPK-FKIK ULM/EC/V/2024 and participants signed the Informed Consent. Results: The findings show that geographical proximity (t = 0.658, p = 0.510) has no significant effect on TPG performance, indicating that the distance between program targets and TPG members does not influence outcomes. In contrast, competence (t = 5.404, p = 0.000), rewards (t = 3.766, p = 0.000), and management range (t = 2.577, p = 0.010) have a significant positive impact on performance, where higher competence and more frequent rewards lead to improved results. The results further demonstrate that management range strengthens the effect of both rewards (t = 3.872, p = 0.000) and competence (t = 3.549, p = 0.000) on performance, indicating that effective coordination enhances their impact. However, the interaction between management range and geographical proximity (t = 0.742, p = 0.458) is not significant, suggesting that distance does not moderate the influence of management range on performance. Conclusion: Competence and reward is the factor influencing performance, while geographical proximity do not show significant influence. Competence, rewards, geographical proximity, and management span simultaneously influence performance with a contribution of 71% (R² = 0.710). This finding suggests the need for organizations to focus on improving TPG competencies through continuous training, skill development, and knowledge enhancement. In addition, it is important to explore other factors outside the research model that may have a significant impact on performance, including intrinsic motivation and better work system support.
Toothbrushing Behavior and The Incidence of Dental Caries In Children Wardani, Ika Kusuma; Dewi, Renie Kumala; Adhani, Rosihan; Garcia, Aprilia
Jurnal Berita Ilmu Keperawatan Vol. 17 No. 2 (2024): July
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v17i2.4502

Abstract

One of the most common children's dental health problems is dental caries. Childhood is the beginning of behavior formation, therefore it is hoped that parents can educate their children to behave correctly in maintaining healthy teeth and mouth.This research used descriptive survey research methods. The design of this research is cross sectional. The research was conducted at MIS Cempaka Putih and MIS Sungai Baru, South Kalimantan. The population in this study was all students in grades 4-6 at MIS Cempaka Putih and MIS Sungai Baru, there are 41 people. The sampling technique in this research used the total sampling method. The variables in this study are children's dental health behavior and the DMF-T index. The data that has been collected will be processed through editing, coding, tabulation and descriptive data analysis. This research was conducted at MIS Cempaka Putih and MIS Sungai Baru Banjarmasin in February 2022. Respondents were 10-12 years old. The dental health behavior of children in the good category was 14 people (34.15%), 15 people (36.58%), and 12 people less (29.27%). DMF-T index in the very high category was 3 people (7.32%), high was 4 people (9.76%), medium was 18 people (43.90%), low was 13 people (31.70%), and very low 3 people (7.32%). Based on the research results, it can be concluded that the dental health behavior of children in grades 4-6 at MIS Cempaka Putih and MIS Sungai Baru is mostly adequate for 15 people (36.58%). The class 4-6 DMF-T index in MIS Cempaka Putih and Sungai Baru has an average value of 3.5, including the medium category.
Co-Authors Achmad Rofi'i Adam Kevin Ade Putri Pratiwi Adenan Adenan Adenan Adenan, Adenan Adi Nugroho Adi Nugroho Adi Nugroho Adib Muntasir Afiati, Risti Afriyanti, Defi Ahmad Habibi Awwalu Hakim Ahmad Habibi Awwalu Hakim, Ahmad Habibi Ajeng Zelline Ameriagitri Aldo Giovanni Alexander Sitepu Alfarie, Iwan Alin, Dhemes Amalia Putri, Amalia Andriyani, Putri Dwi Annisa Faradila Anshori Rohimi Ardik Lahdimawan Ardik Lahdimawan, Ardik Arifin Syamsul Arifin, Rahmad Aristia, Firda Aspiani Aspiani Aspriyanto, Didit Aulia Azizah Aulia, Ridha Azura Arisa Bahrul Ilmi Bahrul Ilmi Bahrul Ilmi Bayu Indra Sukmana Bela Yunita Bela Yunita, Bela Beta Widya Oktiani Br Siahaan, Maria Angelina Tiurma Candra Candra Cecep Hadyan Khairusy Cimey Youventri Dana Chitra Maida Dayanne Sembiring Debby Saputera, Debby Denta Oktavia, Aurelia Marsha Dewi Nurdiana Dewi Puspitasari DEWI SARTIKA Dewi, Renie Kumala Diana Wibowo Dina Kartika Dinda Andira Salsabila Disi Raudatul Janah Dwi Kurniawan, Fajar Kusuma E.Gusti Sigar Maulana E.Gusti Sigar Maulana, E.Gusti Sigar Edi Hartoyo Eka Intan Kumala Putri Eka Maya Putri Eko Suhartono Emma Yuniarrahmah, Emma Enny Khalisa Enny Khalisa, Enny Ermina Istiqomah, Ermina Faradila, Annisa FARHANI, NADYA Farida Heriyani Farida Heriyani Fathul Rahman Fatmasari, Meilita Faulina Windiyana Fauzie Rahman Feryra Putri Ayu Suma Feryra Putri Ayu Suma, Feryra Putri Firda Aristia Fitrian, Muhammad Soni Fransisca Viesta Nanda Heta Fransiska Uli Arta Panjaitan Garcia, Aprilia Ghaitsa Ghaitsa Ghaitsa, Ghaitsa Habibie Aldiaman Habibie Aldiaman, Habibie Hamdani, Riky Harapan Parlindungan Ringoringo, Harapan Parlindungan Hatta, Isnur Herawati Herawati Herawati Hidayatullah Hidayatullah Hijriah, Restu Husaini Husaini Husaini Husaini Husaini Husaini Husnul Khatimah, Ika I Wayan Arya Krishnawan Firdaus Ichrom Nahzi, Muhammad Yanuar Ika Husnul Khatimah Ika Kusuma Wardani Illiandri, Abdullah Oski Ilvani Thine, Putri Bestari Isa, Mohamad Istiqamah, Ermina Iwan Aflanie Izaak Zoelkarnain Akbar Jayawarsa, A.A. Ketut Jeanyvia Anggreyni Sodri Jeviya Marsianah Juli Harnida Purwaningayu Karina Ramadhani Khairusy, Cecep Hadyan Kholish Atikah Azzam Kirana, Fatma Lailatul Qomariyah Lastianum, Wistri Vanumbari Lenie Marlinae Lenny Octaviani Tanu Lestari, Faetria Lisda Hayatie, Lisda Luh Putu Ratna Sundari M. Bakhriansyah, M. M. Fahrul Ryzanur.A Maria Angelina Tiurma Br Siahaan Maulideya, Fatimah Meitria Syahadatina Noor Meitria Syahadatina Noor Melisa Budipramana, Melisa Mohammad Isa Muhamad Muslim Muhammad Abdan Shadiqi Muhammad Aini Muhammad Ali Riswandi Muhammad Ali Riswandi, Muhammad Ali Muhammad Arfah Akbar Muhammad Aulia Rifa Syarafi Muhammad Genadi Askandar Muhammad Haikal Muhammad Noor Aditya Pratama Muhammad Reyzaldy Rahim Muhammad Riza Muhammad Yoga Arie Yunanto Muhammad Yoga Arie Yunanto, Muhammad Yoga Muntasir, Adib Musafaah Musafaah Mustika Meisy Riyana Nabilla Kuswareni Nabilla Kuswareni, Nabilla Nadia Febrila Putri Nanda Heta, Fransisca Viesta Natasya Nurul Izzati Neka Erlyani Neka Erlyani Nia Kania Noor Khalishah Norhayati Norhayati Norliana Afrianti Noviyanti, Winda Novridha Dewi Ardiyanti Nugorho, Adi Nugroho, Adi Nugroho Nur Indriani Rahayu Nurrahman, Tri Nurul Aulia Rahmi Oski Illiandri Panghiyangani, Roselina Persadha, Galih Pindobilowo, Pindobilowo Pratiwi, Rista Amalia Prisca Listyantika Prisca Listyantika, Prisca Putri, Farah Aida Putri, Rizqi Risfiana Rachmad Yamani Rahayu, Istuning Puji Rahma Zakia Rahmad Arifin Rahmatullah, Mohammad Dede Ramadhani, Karina Rani Lestari Yunita Napitupulu Ridha Aulia Riska Nisaul Karimah Risnawati Risnawati Rista Amalia Pratiwi Risti Afiati Rizki Hadi Rizki Hadi, Rizki Riznika Riznika Riznika, Riznika Roselina Panghiyangani Rudie Syahrizal Akhmad Rusida, Esty Restiana Rusmilawati Rusmilawati Sabila Maghfuroh Aqsha Syahari Saiful Akhyar Lubis Sanyoto, Didik Dwi Sari Rahmita Sari, Galuh Dwinta Selvira Linda Pratiwi Setyawardhana, R. Harry Dharmawan Setyawardhana, Raden Harry Dharmawan Sherli Diana Silvia Kristanti Tri Febriana SITI FATIMAH Sofi Arnesti Wahab Suharton, Eko Suhastinah, Suhastinah Sukamto, Ika Sumiyarsi Sulastri, Norjainah Suraya, Yulia Hasvi Maya Syamsul Arifin Syamsul Arifin Tanu, Lenny Octaviani Taupiek Rahman Taupiek Rahman, Taupiek Tita Amanda Yudiya Titien Agustina Tri Putri, Deby Kania Triawanti Triawanti Triawanti Triawanti Wardhana, Agung Satria Wardhani, Gendis Ratri Kusuma Widodo Widodo Widodo Widodo Widya Oktiani, Beta Yazid Eriansyah Pradanta Yazid Eriansyah Pradanta, Yazid Eriansyah Yudha Fatahillah Syahari Yusrinie Wasiaturrahmah Zakia, Rahma Zoelkarnain, Izaak