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Effect of family-centered empowerment model on HOPE of adolescents with thalassemia major Mardhiyah, Ai; Panduragan, Santhna Letchmi; Mediani, Henny Suzana; Yosep, Iyus; Shalahuddin, Iwan; Hafitriany, Syifa Aulia
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 9, No 2 (2024): September
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v9i2.2143

Abstract

Thalassemia Major is a hereditary blood disorder and is a chronic disease that can cause various problems regarding future expectations for sufferers. Adolescents with thalassemia major experience various psychosocial problems which have an impact on decreasing hope, quality of life, interpersonal relationships, self-esteem which results in depression. The aim of this study was to identify the effect of the family centered empowerment model on the hope of adolescents with thalassemia major in Indonesia. This study uses a quasi-experimental design. The sample in this study were 240 adolescents with thalassemia major. Participants were given 4 sessions of family empowerment interventions for 4 weeks. Each session is carried out for 90 minutes. this study uses Children's Hope Scale (CHS) for data collection. Data analysis used independent t test and chi-square. The results of the study showed that the hope score increased significantly after the family-centered empowerment model in the intervention group (P=0.002). In addition, there was a significant difference between the intervention group and the control group in the mean of hope score among adolescents with thalassemia. The family centered empowerment model is an effective intervention to improve the hope for adolescents with thalassemia.
Effectiveness of Awake Prone Position in Non-Intubated ARDS Patients: A Literature Review Tan, Julianus Yudhistira; Kosasih, Cecep Eli; Mediani, Henny Suzana
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 9, No 1 (2024): March 2024
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v9i1.2664

Abstract

Background: The prone position is one of the highly recommended interventions to treat hypoxaemia and lung injury in ARDS patients. However, its efficacy in non-intubated patients remains inconclusive due to predominantly being reviewed through observational and case studies. This review aims to evaluate the efficacy of prone position on the oxygenation status and mortality rate of ARDS patients through experimental studies. Methode: This review systematically searched three international databases: PubMed, Web of Science, and CINAHL from November to December 2022, without restricting the publication year. The focus was solely on experimental studies examining the effectiveness of prone positioning in adult, non-intubated ARDS patients. The quality of studies was assessed using the JBI critical appraisal tool. Results: Of the 12 included studies, most RCTs were identified as poor quality. All patients appeared to be infected with Covid-19, and the majority were on conventional oxygen therapy. Most studies showed that the prone position was effective in improving the oxygenation status for up to two hours post-session, with a mortality rate not substantially different from that of control group. Further good-quality experimental studies are needed to strengthen these results. Conclusion: The prone position is quite effective in improving the oxygenation status of patients.
Illness Perception and Quality of Life of Parents with Thalassemic Adolescents Lestari, Andini Tri; Mardhiyah, Ai; Pahria, Tuti; Mediani, Henny Suzana; 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

Abstract

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.
Social Support and Quality of Life in School-Aged Children with Thalassemia Major Murtilita, Murtilita; Mediani, Henny Suzana; Mardiah, Wiwi; Saifudin, I Made Moh. Yanuar
Indonesian Journal of Global Health Research Vol 6 No S5 (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.v6iS5.4535

Abstract

Social support is essential in improving the quality of life for children with thalassemia major. This study aims to examine the relationship between social support and the quality of life of school-aged children with thalassemia major. Methods:This cross-sectional study involved 82 children aged 8-12 years with thalassemia major at Garut District Hospital’s Thalassemia Clinic. Data were collected using the Child and Adolescent Social Support Scale (CASSS) and the Pediatric Quality of Life Inventory (PedsQL) 4.0. Pearson correlation and linear regression analyses were used to explore the relationships between social support and quality of life. Results: The study found a significant positive relationship between total social support and the quality of life of children with thalassemia major (r = 0.388, p < 0.001). Among the different types of support, close friend support showed the strongest correlation with quality of life (r = 0.405, p < 0.001). Conclusion: Social support, particularly from close friends, plays a crucial role in enhancing the quality of life of school-aged children with thalassemia major. Close friend support was the most influential factor, followed by parental and teacher support. These findings highlight the importance of emotional and social support in managing chronic illnesses in children.
Gambaran Masalah Psikososial pada Anak Usia Sekolah dengan Kanker di Yayasan Rumah Pejuang Kanker Ambu Ratnawati, Ai Siti; Rakhmawati, Windy; Ermiati, Ermiati; Mediani, Henny Suzana; 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

Abstract

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
Faktor Proksimal dengan Kejadian Stunting Balita di Negara Berkembang: Systematic Review Tiwery, Indah Benita; Mediani, Henny Suzana; Nurhidayah, Ikeu
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

Abstract

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.
Perbedaan Stimulasi Perkembangan Anak Toddler oleh Ibu Bekerja dan Ibu Tidak Bekerja Mediani, Henny Suzana; Sutini, Titin; Pratiwi, Yayu; Nurhidayah, Ikeu; Hendrawati, Sri
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

Abstract

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
Anak Kuat, Masa Depan Cerah : Sosialisasi Pencegahan Stunting di Desa X Kabupaten Sumedang Sukmawati, Sukmawati; Hermayanti, Yanti; Mamuroh, Lilis; Nurhakim, Furkon; Mediani, Henny Suzana
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 7 (2024): Volume 7 No 7 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i7.15061

Abstract

ABSTRAK Stunting adalah gagal tumbuh akibat kurang gizi kronis sejak janin dalam kandungan dan akan nampak pada saat anak usia setelah 2 tahun. Hasil Survei Status Gizi Indonesia tahun 2022 menunjukkan bahwa prevalensi gejala stunting di Indonesia masih tinggi  atau melebihi batas maksimal yang ditetapkan WHO. Salah satu daerah dengan angka stunting tinggi adalah di Desa X Kabupaten Sumedang. Penyebab stunting tidak langsung diantaranya kurangnya pengetahuan ibu mengenai stunting. Tujuan dari pengabdian pada masyarakat ini adalah untuk meningkatkan pengetahuan ibu mengenai pencegahan stunting .Metode pengabdian pada masyarakat ini adalah sosialisasi pencegahan stunting pada anak balita melalui pendidikan kesehatan dengan sasaran ibu hamil, ibu menyusui, dan orang tua yang mempunyai anak balita. Peserta yang hadir dalam pengabdian masyarakat ini adalah 15 orang. Untuk mengukur keberhasilan sosialisasi dilakukan evaluasi berupa pre-test dan post test,  analisis data yang digunakan adalah univariat. Hasil pengabdian pada masyarakat ini menunjukkan terdapat peningkatan pengetahuan peserta setelah dilakukan sosialisasi melalui edukasi tentang stunting dengan rata-rata pre-test 69.40 dan post-test 85.73 dan terdapat pengaruh sosialisasi melalui edukasi pencegaha stunting pada ibu hamil, ibu menyusui dan ibu yang mempunyai anak balita dengan p-value .001 . Diharapkan hasil sosilisasi tentang pencegahan sunting ini dapat dilakukan secara kontinyu oleh kader kesehatan dan petugas kesehatan di Puskesmas. Kata Kunci: Pencegahan, Sosialisasi, Stunting  ABSTRACT Stunting is a failure to grow due to chronic malnutrition since the fetus is in the womb and will appear when the child is 2 years old. The results of the 2022 Indonesian Nutritional Status Survey show that the prevalence of stunting symptoms in Indonesia is still high or exceeds the maximum limit set by the WHO. One area with a high stunting rate is Village X, Sumedang Regency. Indirect causes of stunting include the mother's lack of knowledge about stunting.  The aim of this community service is to increase mothers' knowledge regarding stunting prevention. This community service method involves the promotion of stunting prevention in children under five through health education targeting pregnant women, breastfeeding mothers, and parents of children under five. There were 15 participants who attended this community service. To measure the success of socialization, an evaluation was carried out in the form of a pre-test and post-test. The data analysis used was univariate. The results of this community service show that there is an increase in participants' knowledge after socialization through education about stunting, with an average pre-test of 69.40 and post-test of 85.73, and there is an influence of socialization through education to prevent stunting on pregnant women, breastfeeding mothers, and mothers with children under five. with a p-value of.001. It is hoped that the results of this outreach regarding editing prevention can be carried out continuously by health cadres and health workers at the Community Health Center. Keywords: Prevention, Socialization, Stunting
Program Pendampingan Kader dalam Monitoring Pertumbuhan Balita 0-5 Tahun dengan Berbasis Aplikasi di Desa Jelegong Kabupaten Bandung Mardhiyah, Ai; Eriyani, Theresia; Rakhmawati, Windy; Maryam, Nenden Nur Asriyani; Mediani, Henny Suzana
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 6 (2025): Volume 8 No 6 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i6.20605

Abstract

ABSTRAK Pemanfaatan teknologi untuk memantau kesehatan balita berdampak besar dalam meningkatkan keterlibatan orang tua dalam proses pemantauan tumbuh kembang anak. Dengan teknologi  memungkinkan para ibu untuk berinteraksi dengan petugas kesehatan tentang perkembangan anak-anak mereka dengan lebih cepat dan mudah, sehingga meminimalkan kemungkinan keterlambatan dalam mendeteksi masalah Kesehatan. Penelitian ini bertujuan untuk meningkatkan pengetahuan kader terkait pencegahan stunting pada balita, meningkatkan pengetahuan kader terkait cara melakukan pencatatan dan pelaporan pertumbuhan anak melalui SIP online sehingga dapat mengoptimalkan monitoring pertumbuhan balita berbasis teknologi. Metode yang digunakan adalah penyuluhan dan wawancara kepada kader Kesehatan terkait pemanfaatan SIP Online di wilayah tersebut. Sebagian besar kader kesehatan di Desa Jelegong sudah mengetahui pemanfaatan teknologi dalam monitoring pertumbuhan balita dengan menggunakan SIP Online. Perlu dilakukan evaluasi rutin terhadap kapasitas kader dalam memanfaatkan aplikasi SIP daring, serta pemahaman ibu tentang cara memantau pertumbuhan bayi secara digital. Kata Kunci: Balita, Kader Kesehatan, Monitoring, Pertumbuhan, Teknologi ABSTRACT The use of technology to monitor toddler health has a major impact on increasing parental involvement in the process of monitoring child growth and development. Technology allows mothers to interact with health workers about their children's development more quickly and easily, thereby minimizing the possibility of delays in detecting health problems. This study aims to improve the knowledge of cadres regarding the prevention of stunting in toddlers, improve the knowledge of cadres regarding how to record and report child growth through online SIP so that they can optimize technology-based toddler growth monitoring. The method used is counseling and interviews with health cadres regarding the use of Online SIP in the area. Most health cadres in Jelegong Village already know the use of technology in monitoring toddler growth using Online SIP. Routine evaluation of the cadre's capacity in utilizing the online SIP application, as well as mothers' understanding of how to monitor infant growth digitally, is needed. Keywords: Toddlers, Health Cadres, Monitoring, Growth, Technology
Co-Authors Aan Nuraeni Aan Nur’aeni Abas, Latifa Hidayani Adila, Raisa Ahmad Yamin Ai Mardhiyah Ai Mardhiyah Ai Mardhiyah AI MARDHIYAH, AI Akbar, M. Agung Alifa Rufaida Anastasia Anna 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 Eka Puspita Ema Arum Rukmasari Emaliyawati, Etika - Ermiati Ermiati 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 Hafitriany, Syifa Aulia Hana Rizmadewi Agustina Helmy Hazmi 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 Iwan Shalahuddin Iyus Yosep Juniarti, Neti Laili Rahayuwati Lesmana, Sena Lestari, Andini Tri 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 Murtilita, Murtilita 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 Nurhakim, Furkon Nurul Taopik Maulud Olga Sandrela Mahendra Padila Padila Panduragan, Santhna Letchmi Pratiwi, Yayu Rai Nurussakinah Raisa Adila Ratnawati, Ai Siti Ratu Nurafni Riezky Fajri Septiani Rifda Nur Achriyana Arif Rifki Febriansyah Rindiarti, Nadia Amelia Riska Fauziah Nurmala Rizka Muliani Rusna Tahir Saifudin, I Made Moh. Yanuar 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 Sukmawati Sukmawati Sulastini, Sulastini Tahir, Rusna Tan, Julianus Yudhistira Tejaningsih, Oktaviani Tetti Solehati Tetti Solehati Tetti Solehati Tetti Solehati Theresia Eriyani Theresia Eriyani Tita Puspita Ningrum, Tita Puspita 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 Zabidah Putit