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Related Factors To End Of Life Care By Nurse In Intensive Care Unit Tahir, Rusna; Mediani, Henny Suzana; Emaliyawati, Etika; S, Iqra
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6 (2021): Special Issue GINC
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1395.518 KB) | DOI: 10.30604/jika.v6iS1.768

Abstract

Backgorund :The mortality rate of patients who were admitted in the intensive care unit has been increased. Therefore, end of life care is needed. Goals of end of life care is to helpthe patients would die with dignity and to help the familycould receive bereavement. End of life care is related with internal and external factors.Aims :This study aims to analyze the factors that related to end of life care.Methods :Thisstudy was a quantitative research withanalytic-correlation design. The samples were 62 critical care nurse, which obtained by total sampling. This study was conducted in ICU of Kendari Hospital Southeast Sulawesi. Data collection used questionnaire thenanalyzed with bivariate throughSpearman’s Rho and multivariate through logistic regresion.Results :The implementation of end of life care in ICU of Kendari Hospitalwas optimal (74%, median = 55), which was related to several factors such as knowledge (p = 0,000), moral distress (p = 0,002), patient and family characteristics = 0.009), organizational structure and culture (p = 0,000). Knowledge was the most related factor in improving the quality of end of life care (OR = 45,542) with probality 97%.Conclusion :Optimalization of end of life care is related with the personal (internal) of the nurse factors, patient and family, and organizational structure and culture. Implication :Related factors to end of life care will enrich the thought that delivered nursing care, nurse need to align knowledge with professionalism, leaving the pressures and dilemmas due to moral stress, as well foster a deep understanding of the nature of spirituality and culture sensitivity when accompanying dying patients, grows awareness that the best preferences of critical patient care are onesbenefit the patients and familys.
Pemberdayaan Kader dalam Deteksi dan Intervensi Dini Tumbang Pada Anak untuk Pencegahan Stunting Ai Mardhiyah; Henny Suzana Mediani; Theresia Eriyani; Windy Rakhmawati; Nenden Nur Asriyani Maryam
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 6, No 12 (2023): Volume 6 No 12 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v6i12.12580

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ABSTRAK Stunting merupakan gangguan tumbuh kembang anak yang disebabkan oleh defisiensi gizi, paparan infeksi, dan kurangnya stimulasi yang memadai dan menjadi tantangan kesehatan di Indonesia. Kabupaten Bandung menempati urutan kedua kasus stunting tertinggi di Jawa Barat. Kader merupakan penggerak utama dalam upaya pencegahan stunting di masyarakat, sehingga diperlukan pengetahuan dan keterampilan yang memadai agar bisa menjalankan tugasnya dengan optimal. Tujuan dari kegiatan ini adalah  memberdayakan kader kesehatan untuk meningkatkan pengetahuan, sikap, dan perilaku tentang deteksi dan intervensi dini stunting. Sasaran kegiatan ini adalah kader di Desa Jelegong, Kecamatan Rancaekek, Kabupaten Bandung sebanyak 49 orang. Kegiatan pemberdayaan terdiri atas penyusunan modul, penyuluhan menggunakan metode ceramah, dan pelatihan pada kader posyandu untuk dapat melakukan deteksi dan intervensi dini tumbang pada anak untuk pencegahan stunting. Hasil kegiatan menunjukkan bahwa setelah dilakukan penyuluhan, terjadi peningkatan tingkat pengetahuan kategori baik dari 87,8% menjadi 93,9%. Selain itu, terjadi peningkatan sikap mendukung pada dari 47% menjadi 59%. Sebanyak 94% kader Desa Jelegong memiliki perilaku yang baik dalam melakukan deteksi dan intervensi dini tumbuh kembang sebagai pencegahan stunting. Diharapkan pemberdayaan kader mengenai tumbuh kembang terus dilakukan secara berkala agar pengetahuan, sikap, dan prilaku kader mengenai deteksi tumbang untuk pencegahan stunting dapat terjaga dan dapat terus meningkat lebih baik. Kata Kunci: Anak Usia 0 – 5 Tahun, Kader, Pemberdayaan, Stunting  ABSTRACT Stunting is a child growth disorder caused by nutritional deficiencies, exposure to infections, and inadequate stimulation, and it poses a health challenge in Indonesia. Bandung Regency ranks second in the highest cases of stunting in West Java. Cadres are the main drivers in efforts to prevent stunting in the community, so adequate knowledge and skills are required to carry out their duties optimally. This activity aims to empower health cadres to enhance their knowledge, attitudes, and behaviours regarding early detection and intervention for stunting. The target of this activity is 49 cadres in Jelegong Village, Rancaekek Sub-district, Bandung Regency. The empowerment activities consist of module development, lectures using the lecture method, and training for Posyandu cadres to perform early detection and intervention stimulation for children with growth deviations. The results of the activity show that after the lectures, there was an increase in the good knowledge category from 87.8% to 93.9%. In addition, there was an increase in supportive attitudes from 47% to 59%. 94% of Jelegong Village cadres have good behaviour in conducting early detection and intervention for child growth as a stunting prevention measure. The empowerment of cadres is expected regarding child growth will continue periodically. Keywords: Cadres, Children Aged 0 – 5 Years, Empowerment, Stunting
PENGETAHUAN DAN SIKAP ORANGTUA TERHADAP KEMANDIRIAN ANAK RETARDASI MENTAL RINGAN Sena Lesmana; Gusgus Ghraha Ramdhanie; Henny Suzana Mediani
Jurnal Kesehatan Bakti Tunas Husada: Jurnal Ilmu-ilmu Keperawatan, Analis Kesehatan dan Farmasi Vol 21, No 2 (2021)
Publisher : LPPM Universitas Bakti Tunas Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36465/jkbth.v21i2.754

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Gambaran Masalah Psikososial pada Anak Usia Sekolah dengan Kanker di Yayasan Rumah Pejuang Kanker Ambu Ai Siti Ratnawati; Windy Rakhmawati; Ermiati Ermiati; Henny Suzana Mediani; Hendrawati Hendrawati
MAHESA : Malahayati Health Student Journal Vol 4, No 5 (2024): Volume 4 Nomor 5 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i5.14462

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ABSTRACT Cancer and its treatment affect physical, cognitive, psychological and social functioning. Psychosocial problems in school-aged children with cancer can have a negative impact on psychosocial development and increase the risk of depression, social isolation and academic difficulties. This study aims to describe psychosocial problems in school-aged children with cancer at Yayasan Rumah Pejuang Kanker Ambu. This research uses a quantitative descriptive research design. The population in this study were 41 parents who had school-aged children with cancer at the Ambu Cancer Fighters Home Foundation based on visit data from the last three months. The sampling technique uses total sampling so that the number of samples is the same as the population of 41 people. The research instrument used the standard Pediatric Symptoms Checklist-17 questionnaire by Jellinek with the dimensions of internalization, externalization, and attention. Data analyzed using frequency distribution and percentages. The research results showed that the majority (56.1%) of children had psychosocial problems. Based on the dimensions of psychosocial problems, the majority (53.7%) of children had internal problems and a minority (7.3%) of children had external and attention problems. It can be concluded that school-aged children with cancer have average psychosocial functioning with a tendency to had psychosocial problems. Therefore, nurses play a role in minimizing the impact of cancer by follow up the children who had psychosocial problems and providing care interventions according to the internal, external, or attentional dimensions that indicate problems. Keywords: School Age Children, Psychosocial Problems, Cancer  ABSTRAK Kanker dan pengobatannya berpengaruh terhadap fungsi fisik, kognitif, psikologis, dan sosial. Masalah psikososial pada anak usia sekolah dengan kanker dapat berdampak negatif terhadap perkembangan psikososial dan meningkatkan resiko terjadinya depresi, isolasi sosial dan kesulitan akademis. Penelitian ini bertujuan menggambarkan masalah psikososial pada anak usia sekolah dengan kanker di Yayasan Rumah Pejuang Kanker Ambu. Penelitian ini menggunakan rancangan penelitian deskriptif kuantitatif. Populasi pada penelitian ini adalah 41 orang tua yang memiliki anak usia sekolah dengan kanker di Yayasan Rumah Pejuang Kanker Ambu berdasarkan data kunjungan tiga bulan terakhir. Teknik pengambilan sampel menggunakan total sampling sehingga jumlah sampel sama dengan jumlah populasi yaitu 41 orang. Instrumen penelitian menggunakan kuesioner baku Pediatric Symptoms Checklist-17 oleh Jellinek dengan dimensi internalisasi, eksternalisasi, dan perhatian. Data dianalisis menggunakan distribusi frekuensi dan persentase. Hasil penelitian didapatkan bahwa sebagian besar (56,1%) anak mengalami masalah psikososial. Berdasarkan dimensi masalah psikososial, sebagian besar (53,7%) anak mengalami masalah internal dan sebagian kecil (7,3%) anak mengalami masalah eksternal dan perhatian. Dapat disimpulkan bahwa anak usia sekolah dengan kanker memiliki fungsi psikososial rata-rata dengan kecenderungan mengalami masalah psikososial. Oleh karena itu, perawat berperan dalam meminimalkan dampak dari kanker dengan menindaklanjuti anak yang mengalami masalah psikososial dan memberikan intervensi keperawatan sesuai dimensi internal, eksternal, atau perhatian yang terindikasi mengalami masalah. Kata Kunci: Masalah Psikososial, Kanker, Anak Usia Sekolah
Illness Perception and Quality of Life of Parents with Thalassemic Adolescents Andini Tri Lestari; Ai Mardhiyah; Tuti Pahria; Henny Suzana Mediani; Hendrawati Hendrawati
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3678

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Thalassemia major necessitates routine treatment that affects the physical, psychological, and social capacities of both the sufferers and their parents. In these circumstances, the way parents perceive their child's illness significantly influences their quality of life, making this a crucial aspect to consider.Objective: This study aims to explore the relationship between illness perception and quality of life in parents of adolescents with thalassemia major at RSUD dr. Slamet Garut. Method: The study employed a cross-sectional approach, including 64 parents of adolescents with thalassemia major (aged 10-18 years) selected through consecutive sampling. The Brief Illness Perception Questionnaire (BIPQ) was used to measure illness perception, and the World Health Organization Quality of Life Brief Version (WHOQoL-BREF) was used to assess quality of life. Both instruments are validated and reliable, with BIPQ having reliability coefficients of r=0.40-0.78 (α=0.74) and WHOQoL-BREF having r=0.39-0.79 (α=0.94). The Spearman correlation test was utilized for bivariate analysis. Results: The findings indicated that 55 respondents (85.9%) had a positive illness perception of thalassemia, and 61 respondents (95.3%) reported a high quality of life. The correlation analysis revealed a significant relationship between illness perception and the quality of life of parents, with a correlation coefficient of 0.548 (p<0.05). Conclusions: This concludes that there is a significant relationship between illness perception and quality of life in parents of adolescents with thalassemia major at RSUD dr. Slamet Garut.
ANALISIS FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN OUTCOME EKSTUBASI DI ICU RSUD Prof. Dr. MARGONO SOEKARDJO PURWOKERTO Barkah Waladani; Henny Suzana Mediani; Anastasia Anna
Jurnal Ilmiah Kesehatan Keperawatan Vol 12, No 3 (2016): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM UNIVERSITAS MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26753/jikk.v12i3.165

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Management airways become one important part in an act of care in patients with critical conditions due to disease. One attempt to keep the airway is to intubate, is inserting a pipe into the upper respiratory tract. The main requirement that must be considered is to keep the airway is always free and breath can run smoothly and orderly. The final stage of intubation was extubated. The purpose of this study was to determine what factors are associated with outcome of extubation in ICU Prof. Dr. Margono Soekardjo Purwokerto Hospital. This study is a cohort retrospective with  analytic correlational design.The sample in this study amounted to 96 people. Bivariate test results that there is a relationship between age (p = 0.000), tidal volume (p = 0.001), systolic blood pressure (p = 0.000), FiO2 (p = 0.007) and PEEP (p = 0.014) with outcome of extubation. There is no associated GCS (p = 0.358) with outcome of extubation. Therefore, nurses need to give special attention regarding the condition of the patient, such as age characteristics, the value of tidal volume, systolic blood pressure, FiO2 and PEEP before extubation. Keywords: outcome, extubation, ICU
Perbedaan Stimulasi Perkembangan Anak Toddler oleh Ibu Bekerja dan Ibu Tidak Bekerja Henny Suzana Mediani; Titin Sutini; Yayu Pratiwi; Ikeu Nurhidayah; Sri Hendrawati
Jurnal Obsesi : Jurnal Pendidikan Anak Usia Dini Vol 8, No 3 (2024)
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/obsesi.v8i3.5962

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Peran aktif ibu merupakan faktor penting dalam stimulasi perkembangan anak toddler. Namun pada era modern ini, banyak ibu yang bekerja, sehingga peran ibu dalam stimulasi perkembangan anak terhambat. Tujuan penelitian ini untuk mengetahui gambaran stimulasi perkembangan anak toddler oleh ibu bekerja dan ibu tidak bekerja di Desa Rancaekek Wetan Kabupaten Bandung. Metode penelitian berupa deskriptif kuantitatif dengan pendekatan cross sectional. Teknik sampling yang digunakan adalah simple random sampling dengan jumlah sampel 88 responden. Teknik pengumpulan data menggunakan kuesioner. Analisis data menggunakan analisis statistik deskriptif. Hasil penelitian menunjukkan dari 36 ibu bekerja 44,4% melakukan stimulasi perkembangan baik dan 55,6% kurang. Sedangkan dari 52 ibu tidak bekerja 59,6% melakukan stimulasi perkembangan baik dan 40,4% kurang. Bagi ibu yang bekerja dan tidak bekerja harus menyempatkan waktu untuk melakukan stimulasi perkembangan anak dan bagi perawat komunitas bersama kader posyandu diharapkan dapat melakukan pendidikan kesehatan yang berkesinambungan untuk meningkatkan upaya ibu menstimulasi perkembangan anak
Faktor Proksimal dengan Kejadian Stunting Balita di Negara Berkembang: Systematic Review Indah Benita Tiwery; Henny Suzana Mediani; Ikeu Nurhidayah
Jurnal Obsesi : Jurnal Pendidikan Anak Usia Dini Vol 7, No 6 (2023)
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/obsesi.v7i6.5585

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Prevalensi stunting di negara berkembang masih menjadi masalah kesehatan masyarakat. Salah satu faktor yang berhubungan dengan stunting diantaranya adalah faktor proksimal. Faktor proksimal sangat penting untuk direview karena merupakan faktor terdekat dalam rangka menekan angka kejadian stunting. Tujuan penelitian untuk menelaah faktor proksimal yang berhubungan dengan kejadian stunting pada balita di negara berkembang. Desain penelitian menggunakan sistematik review dengan protokol The Centre for Review and Dissemination and the Joanna Briggs Institute. Pencarian artikel menggunakan ProQuest, Pubmed, Ebscohost (Cinahl), Scient Direct, Taylor and Francis dan google scholar. Hasil penelitian didapatkan 24 artikel yang memenuhi kriteria analisis dengan hasil faktor proksimal yang berhubungan dengan kejadian stunting pada balita adalah berat badan lahir rendah (2500 gram), prematuritas, panjang badan lahir (48 cm), urutan kelahiran, diare, ISPA, dan imunisasi dasar tidak lengkap. Upaya pencegahan dapat dilakukan dengan menekan faktor proksimal dalam rangka menurunkan stunting.
Nurses' Perceptions of Pediatric Palliative Care with Cancer In Hospitals In Bandung City Abas, Latifa Hidayani; Mediani, Henny Suzana; Agustina, Hana Rizmadewi
IJNP (Indonesian Journal of Nursing Practices) Vol 8, No 1 (2024): June
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v8i1.19333

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Background: Pediatric palliative care (PPC) has seen significant progress in recent decades. Despite the improvements in care, nurses still feel anxious, fearful, and hesitant in providing PPC. More research efforts are needed to identify and explore nurses' perceptions of PPC in children with cancer.Objective: The aim of this study was to explore nurses' perceptions of palliative care in children with cancer.Methods: This study was a descriptive qualitative study. Participants were selected using purposive sampling. They were eleven nurses from Kenanga Room 2 of Hasan Sadikin Hospital, Bandung. Data were collected using semi-structured interviews and analyzed using thematic analysis method. The research was conducted from March to April 2023.Results: This study identified four main themes and nineteen subthemes. The themes in this study are (1) Nurses' understanding of PPC, (2) Barriers to the implementation of PPC in children with cancer (3) Nurses' needs and expectations for PPC improvement, and (4) Roles and responsibilities of nurses in PPC.Conclusions: This study described the clinical reality of nurses providing PPC to children with cancer in one of the hospitals in Indonesia. The findings suggested that addressing these challenges could lead to significant improvements in pediatric palliative care practices in the hospital setting.
OVERVIEW OF PERSISTENCE DURING ONLINE LEARNING ON NURSING STUDENTS Mardhiyah, Ai; Yosep, Iyus; Mediani, Henny Suzana; Rakhmawati, Windy; Hendrawati, Sri
Journal of Nursing Culture and Technology Vol. 1 No. 1 (2024): Volume 1 No. 1 2024
Publisher : Rifapublisher.id

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70049/jnctech.v1i1.6

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Background: Persistence is a key factor in determining the academic success of nursing students. The impact of persistence on students is improved academic performance, development of study skills, professional readiness, mental well-being, and engagement in academic and extracurricular activities. Nursing students' perceptions and practices of persistence are important to understand in the context of higher education. Objectives: This study aims to describe the level of persistence in Padjadjaran University Nursing students. Methods: The research method used is quantitative using the Self-Regulated Online Learning Questionnaire (SOL-Q) which consists of 5 items. The sampling technique in this study used purposive sampling. The number of samples was 100 padjadjaran university nursing students. Results: The results showed that more than half of nursing students at Padjadjaran University had low persistence, which could affect their academic performance. This can be seen from 59 respondents or as many as 59% of students showed low persistence. This findings highlights the importance of developing learning strategies that can improve the persistence of nursing students. Conclusion: In the context of nursing education, there is a need for greater efforts to improve student persistence, especially in developing their persistence, in order to improve the quality of education and their readiness for future nursing practice.
Co-Authors Aan Nuraeni Aan Nur’aeni Abas, Latifa Hidayani Adila, Raisa Ahmad Yamin Ai Mardhiyah Ai Mardhiyah Ai Mardhiyah Ai Mardhiyah AI MARDHIYAH, AI Ai Siti Ratnawati Akbar, M. Agung Alifa Rufaida Anastasia Anna Andini Tri Lestari Anita Setyawati Anita Tiara Anjani Fikri Annita Olo Argi Virgona Bangun Audi Siti Sarah Avicena Farhan Ramadhan Azzahra Salsabila Bambang Aditya Nugraha Barkah Waladani Bhekti Imansari Cecep Eli Kosasih Cecep Eli Kosasih Cecep Eli Kosasih Cecep Eli Kosasih Cecep Eli Kosasih Cecep Eli Kosasih Cecep Eli Kosasih Chandra Isabella H.P Chatarina Surya Chatarina Suryaningsih Dadang Purnama Dadang Rochman DaiIa DahIia Rojabani Devita Madiuw Dewi Umu Kulsum Dheni Koerniawan Dwi Ningsih Handayani Setianing Budi E, Ermiati Eka Puspita Ema Arum Rukmasari Emaliyawati, Etika - Etika Emaliyawati Evi Nurjanah Fanny Adistie Fanny Adistie Fauziah Rudhiati Fitria, Nita Fitria, Nita francisca sri susilaningsih Fristalia, Mikaela D. Furkon Nurhakim Furkon Nurhakim Furkon Nurhakim Gusgus Ghraha Ramdhanie Hana Rizmadewi Agustina Helmy Hazmi Hendrawati Hendrawati Hendrawati Hendrawati Hidayat, Nenden Rostini Iceu Amira DA Ihsar, Aini Hayati Iin Inayah Iin Inayah Iin Inayah, Iin Ike Sintia Suci Ikeu Nurhidayah Ikeu Nurhidayah Ikeu Nurhidayah Ikeu Nurhidayah Ikeu Nurhidayah Ikeu Nurhidayah Indah Benita Tiwery Inni Zakiyah Iqra S Iyus Yosep Juniarti, Neti Laili Rahayuwati Lesmana, Sena Lilis Lusiani Lilis Mamuroh Linlin Lindayani Mamat Lukman Maria komariah Maya Atikasuri Mega Nurrahmatiani Meri Anggryni Mikaela D. Fristalia Millenika, Valencia Trie Muntiq Jannatunna’im Murtiningsih Murtiningsih Nabilah, Nurul Azmi Nadia Amelia Rindiarti Nenden Nur Asriyani Maryam Nenden Nur Asriyani Maryam Nita Fitria Novi Novianti Novita Marcelina Kana Wadu Noviyanti Noviyanti Nunung Nurjanah Nunung Nurjanah Nurafni, Ratu Nuraziza Fatturahmi Firdianty Nurul Taopik Maulud Olga Sandrela Mahendra Padila Padila Pratiwi, Yayu Rai Nurussakinah Raisa Adila Ratu Nurafni Riezky Fajri Septiani Rifda Nur Achriyana Arif Rifki Febriansyah Rindiarti, Nadia Amelia Riska Fauziah Nurmala Rizka Muliani Rusna Tahir Salsabila, Azzahra Santi MuIyani Selly Amalia Nurhasanah Sena Lesmana Setiawati Setiawati Shabarina, Adilla Sherly Manurung Sifa Nur Afriani Sifa Nuraini Sifva Fauziah Sinta Dwi Ananda Siti Fatimah Siti Yuyun Rahayu Siti Yuyun Rahayu Fitri Sonia Dwiastuti Pratiwi Sri Hendrawati Sri Hendrawati Sri Hendrawati Sri Hendrawati Sri Hendrawati Sri Hendrawati Sri Hendrawati Sri Hendrawati Sri Hendrawati Sri Purnama Alam Sri wulandari Sri Wulandari Sukmawati Sukmawati Sukmawati Sukmawati Sulastini, Sulastini Tahir, Rusna Tan, Julianus Yudhistira Tejaningsih, Oktaviani Tetti Solehati Tetti Solehati Tetti Solehati Tetti Solehati Theresia Eriyani Tita Puspita Ningrum, Tita Puspita Titin Sutini Titin Sutini, Titin Titis Kurniawan Togatorop, Via Eliadora Tuti Pahria Valencia Trie Millenika Vera Rosaria Indah Wahib Abdul Rahman Wahyu Ilahi Waladani, Barkah Windy Rakhmawati Windy Rakhmawati Wiwi Mardiah Wiwi Mardiah Wiwi Mardiah, Wiwi Yanti Hermayanti Yanti Hermayanti Yayat Suryati Yayu Pratiwi Zabidah Putit