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Asuhan Keperawatan Pada Penurunan Curah Jantung Dengan Intervensi Posisi Semi fowler: Studi Kasus Pada Pasien Acute Decompensated Heart Failure (ADHF) Di Ruang ICCU Ardiyanto, Makhrufi M.A.S.; Zulfatul A'la, Muhamad; Tri Gunarto, Sugito; Zainur Ridla, Akhmad
Jurnal Ilmiah Ners Indonesia Vol 5 No 1 (2024): May 2024
Publisher : Program Studi Keperawatan Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jini.v5i1.31655

Abstract

Acute Decompensated Heart Failure (ADHF) is characterized by initial complaints such as fatigue, jugular vein distention, cough, shortness of breath, paroxysmal nocturnal dyspnea, CRT<3 seconds, and arrhythmia indicated by auscultation results. In this case study, observations were made of individuals diagnosed with ADHF and a low heart rate, who underwent treatment in a semifowler position for three days in a Bali hospital. An increase in heart rate was observed as a result of the intervention in this case study, along with reduced shortness of breath or dyspnea, less fatigue, and increased ability to engage in minimal bed activity in patients.Similarly, jugular vein distention, coughing, and muscle contractions all contribute to reduced breathing. Semi-fowler positions are used with patients as an alternative to diuretic treatment in cases of elevated heart rate. It is hoped that future researchers will be able to combine a semi-Fowler intervention with other more complex research designs that include more detailed observation sheets or monitoring in order to monitor not only the patient's hemodynamic status, but also the oxygenation status and other factors that contribute to improvement in patients with heart rate reduction disorders Abstrak Gagal jantung dekompensasi atau yang disebut juga Acute Decompensated Heart Failure (ADHF) terjadi secara langsung (akut atau subakut) dengan gejala yang bertahap dari keluhan awal berupa keletihan, distensi vena jugularis, batuk disertai sesak napas, paroksimal nocturnal dispnea, hingga CRT > 3 detik dan hasil auskultasi dengan interpretasi aritmia pada irama bunyi jantung. Penurunan curah jantung menjadi salah satu masalah keperawatan prioritas pada pasien ADHF. Metode dalam studi kasus ini yakni berupa pengamatan yang dilakukan pada pasien ADHF dengan diagnosa keperawatan penurunan curah jantung dan diberikan intervensi posisi semi fowler selama tiga hari di rumah sakit di Bali. kondisi sadar dan tidak takut untuk mengikuti serangkaian intervensi yang diberikan. Hasil dari pemberian intervensi yang dilakukan dalam studi kasus ini yakni berupa peningkatan curah jantung dan hasil evaluasi yang diperoleh dari keluhan pasien berupa sesak napas atau dispnea yang menurun, keletihan menurun, dan juga mampu beraktivitas dengan minimum di tempat tidur. Begitu juga tidak teraba distensi vena jugularis, batuk dan otot bantu napas menurun. Pemberian posisi semi fowler yang diimplementasikan kepada pasien sebagai bentuk alternatif selain pemberian obat diuretik dalam meningkatan curah jantung. Harapan peneliti selanjutnya dapat menerapkan intervensi semi fowler dengan desain penelitian lain yang lebih kompleks dengan lembar observasi atau pengamatan yang lebih lengkap dalam melakukan pengamatan tidak hanya status hemodinamik pasien, namun juga status oksigenasi dan juga faktor lainnya yang menjadi aspek peningkatan pasien dengan gangguan penurunan curah jantung. Kata kunci : Acute Decompensated Heart Failure, Penurunan curah jantung.
Optimizing Knowledge of Clean and Healthy Living Behavior among Santri in Az Zahro Islamic Boarding School through Public Health Podcast Media: Optimalisasi Pengetahuan Perilaku Hidup Bersih dan Sehat pada Santri di Pondok Pesantren Az Zahro, Curahdami Melalui Media Podcast Kesehatan Masyarakat Puskesmas Curahdami, Bondowoso Wira Mustapa, Gesit; Tri Handoko, Yudho; A'la, Muhamad Zulfatul; Retno Wardani, Hamidah
Journal of Community Empowerment for Multidisciplinary (JCEMTY) Vol. 2 No. 1 (2024): May 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/jcemty.v2i1.196

Abstract

Clean and Healthy Behavior (PHBS) is a behavior carried out on consciousness as a result of learning that makes a person. Problems of clean and healthy living behavior are most commonly found in groups, for instance, in the Training Houses.  This is often demonstrated by inappropriate environmental codes, including the availability of post-training health posts, the low level of knowledge of healthcare professionals such as managers and healthcare providers about clean and healthy living behaviour, and the high number of frequently occurring medical conditions such as scabies, diarrhea, and cold cough. This dedication to the community aims to provide knowledge and understanding of Clean and Healthy Living Behavior to the centurion so that there is a change in behavior and able to practice in his daily life in the Islamic boarding school Az Zahro Curahdami Bondowoso district. The method of implementation is done by means of giving education developed through viewing the public health podcast Primary Health Service Curahdami and is presented with questions and answers. Before conducting the education on Clean and Healthy Living Behavior, 75% of respondents had less knowledge, and 25% had sufficient knowledge about clean and healthy living behavior. Based on the results of observations showed that the activities of devotion to the community can improve the central knowledge about the behavior of a clean and healthy life through watching the Podcast Health Society Primary Health Service Curahdami district of Bondowoso.
Hubungan Fatigue dengan Kualitas Hidup pada Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisis di RSD dr. Soebandi Jember Maulidiyah, Dewi Diniyatul; Murtaqib, Murtaqib; A'la, Muhamad Zulfatul
Jurnal Ilmiah Ners Indonesia Vol 5 No 2 (2024): November 2024
Publisher : Program Studi Keperawatan Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jini.v5i2.35531

Abstract

Chronic kidney failure was a disease that occurred due to progressive problems with kidney function that could not be changed, often requiring kidney replacement therapy, specifically hemodialysis. Hemodialysis was a treatment that individuals with chronic kidney failure had to undergo throughout their lives. However, hemodialysis therapy could cause several side effects, such as fatigue. Sustained fatigue that was not treated promptly reduced a patient’s quality of life. This study aimed to analyze the relationship between fatigue and quality of life in chronic kidney failure patients who underwent hemodialysis at RSD dr. Soebandi Jember. This research used a correlative quantitative research design with a cross-sectional approach. The total sample consisted of 93 respondents, with a 10% addition for potential dropouts, processed using G*Power. The sampling technique used non-probability sampling in the form of consecutive sampling. The instruments that were used were the FACIT-Fatigue Scale and WHOQOL-BREF. The hypothesis test employed Kendall's Tau-C. The results of the correlation test analysis showed a p-value of 0.000 (< 0.05) and a calculated r value of -0.418. The conclusion of this study was that there was a relationship between fatigue and quality of life in hemodialysis patients, with the strength of the relationship being moderate and the direction negative. This meant that the higher the level of fatigue felt, the more a patient’s quality of life decreased. Therefore, it was necessary to conduct a more in-depth study regarding the symptoms of fatigue so that appropriate interventions could reduce fatigue levels, thereby improving patients’ quality of life. Abstrak Gagal ginjal kronik merupakan penyakit yang terjadi akibat adanya gangguan fungsi ginjal yang bersifat progresif dan tidak dapat diubah sehingga memerlukan terapi pengganti ginjal yaitu hemodialisis. Hemodialisis merupakan terapi yang harus dijalani oleh penderita gagal ginjal kronis sepanjang hidupnya. Namun terapi hemodialisis dapat menimbulkan beberapa efek samping seperti fatigue atau kelelahan. Fatigue yang berkepanjangan dan tidak segera ditangani dapat menurunkan Kualitas Hidup pasien. Penelitian ini bertujuan untuk menganalisis hubungan fatigue dengan kualitas hidup pada pasien gagal ginjal kronik yang menjalani hemodialisis di RSD dr. Soebandi Jember. Penelitian ini menggunakan desain penelitian kuantitatif korelatif dengan pendekatan cross sectional. Jumlah sampel adalah 93 responden yang diolah menggunakan G*Power dengan penambahan 10% untuk dropout. Teknik pengambilan sampel menggunakan non-probability sampling yang berbentuk konsekutif sampling. Instrumen yang digunakan adalah FACIT-Fatigue Scale dan WHOQOL-BREF. Uji hipotesis yang digunakan adalah Kendall Tau-C. Hasil analisis uji korelasi menunjukkan nilai p sebesar 0,000 < 0,05 dan nilai r hitung sebesar -0,418. Kesimpulan dari penelitian ini yaitu terdapat hubungan antar fatigue dengan kualitas hidup pada pasien hemodialisis dengan kekuatan hubungan kedua variabel adalah sedang dan arah hubungan negatif. Artinya semakin menurun fatigue yang dirasakan maka semakin tinggi kualitas hidup pasien. Oleh karena itu, perlu dilakukan kajian lebih mendalam mengenai gejala – gejala fatigue sehingga dapat diberikan intervensi yang tepat untuk menurunkan tingkat fatigue sehingga dapat meningkatkan kualitas hidup pasien. Kata kunci : Fatigue, Gagal Ginjal Kronik, Hemodialisis, Kualitas Hidup.
Pengaruh Pelatihan dan Kompetensi Tenaga Medis terhadap Daya Tanggap Stroke Center: Suatu Tinjauan Sistematis Kustiarini, Ari; Rondhianto, Rondhianto; A'la, Muhamad Zulfatul
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 15 No 3 (2025): Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal: Juli 2025
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v15i3.3754

Abstract

Pelatihan dan peningkatan kompetensi tenaga medis memainkan peran penting dalam meningkatkan daya tanggap pusat layanan stroke, terutama dalam mempercepat penanganan dan meningkatkan kualitas perawatan. Penelitian ini bertujuan untuk meninjau secara sistematis pengaruh pelatihan dan kompetensi tenaga medis terhadap daya tanggap Stroke Center serta dampaknya pada kualitas perawatan dan keselamatan pasien  stroke.  Penelitian ini merupakan tinjauan sistematis terhadap enam artikel yang dipilih dari berbagai basis data daring terkemuka antara tahun 2020 hingga 2024, yang membahas pengaruh pelatihan dan kompetensi terhadap respons pusat layanan stroke. Seleksi artikel dilakukan secara ketat dengan menggunakan alat penilaian kritis dari lembaga internasional. Sumber data diperoleh dari pencarian di Google Scholar, ProQuest, Wiley, dan BMC untuk mengidentifikasi studi yang relevan. Artikel yang disertakan adalah yang menggunakan metode kuantitatif, kualitatif, atau campuran. Hasil kajian menunjukkan bahwa pelatihan tenaga medis berdampak positif dalam mempercepat respons waktu, meningkatkan akurasi diagnosis, dan memperbaiki koordinasi tim dalam pelayanan stroke. Meskipun terdapat temuan bahwa pelatihan tertentu dapat menambah beban kerja, manfaatnya terhadap keselamatan pasien dan efisiensi layanan lebih menonjol. Penelitian ini menyimpulkan bahwa pelatihan dan pengembangan kompetensi tenaga medis secara berkelanjutan sangat esensial untuk peningkatan respons pusat layanan stroke.
Eksplorasi Resiliensi Psikologis dan Mekanisme Koping pada Pasien Kanker: Tinjauan Scoping Sanaah, Sanaah; Rahmawati, Iis; A'la , Muhamad Zulfatul
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 15 No 4 (2025): Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal: Oktober 2025
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v15i4.3817

Abstract

Ketahanan psikologis sangat penting bagi pasien kanker dalam menyesuaikan diri dengan tantangan emosional dan psikologis setelah diagnosis. Mekanisme koping yang efektif membantu mengelola stres, kecemasan, dan depresi, yang pada gilirannya meningkatkan kesejahteraan secara keseluruhan. Namun, interaksi antara faktor psikologis, sosial, dan budaya dalam mengembangkan ketahanan, terutama pada tahap awal diagnosis, masih kurang dieksplorasi. Tinjauan scoping ini bertujuan untuk mengeksplorasi faktor-faktor yang memengaruhi ketahanan psikologis dan mekanisme koping pada pasien kanker, dengan fokus pada dampaknya terhadap penyesuaian psikologis dan kesejahteraan pada tahap awal diagnosis serta mengidentifikasi intervensi yang efektif untuk meningkatkan ketahanan. Tinjauan ini mengikuti kerangka tinjauan scoping oleh Arksey dan O'Malley, yang kemudian disempurnakan oleh Levac et al. Pencarian sistematis dilakukan di berbagai basis data (Scopus, Science Direct, PLOS ONE, Wiley) dengan menggunakan istilah pencarian Boolean yang berkaitan dengan kanker, ketahanan, dan strategi koping. Kriteria inklusi adalah studi empiris dari tahun 2020 hingga 2025, yang melibatkan pasien kanker dari berbagai jenis kanker, dengan fokus pada ketahanan psikologis, koping, dan penyesuaian psikologis pada tahap awal pasien di diagnosa kanker. Tujuh belas studi memenuhi kriteria inklusi. Temuan menunjukkan bahwa pasien kanker menggunakan mekanisme koping yang berfokus pada masalah, berfokus pada emosi, dan berbasis agama. Strategi koping positif (misalnya, penerimaan, dukungan sosial, praktik spiritual) dikaitkan dengan peningkatan kesehatan mental, sementara strategi negatif (misalnya, penyangkalan, koping agama yang maladaptif) berhubungan dengan stres yang lebih tinggi. Pengaruh budaya membentuk strategi koping, yang bervariasi tergantung pada konteks budaya dan agama. Ketahanan psikologis dan strategi koping sangat penting bagi penyesuaian psikologis pasien kanker. Strategi positif seperti penerimaan dan dukungan sosial meningkatkan kesehatan mental, sementara koping maladaptif memperburuk stres. Intervensi yang menargetkan koping adaptif dan dukungan sosial sangat penting.
Diabetic Foot Exercise to Reduce High Blood Sugar Levels in Diabetes Mellitus Patient: A Case Study Musarrofa, Faise Lailatul; Rondhianto; A’la, Muhammad Zulfatul; Sujarwanto
Jurnal Kegawatdaruratan Medis Indonesia Vol. 3 No. 2: August 2024
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkmi.v3i2.365

Abstract

Diabetes mellitus is a metabolic disorder in the pancreas organ so that sugar levels increase due to a decrease in the amount of insulin in the pancreas. Therapeutic management pharmacology, namely administering insulin and administering oral hypoglycemic drugs, while non-pharmacological includes health education, diet, and exercise or physical training such as diabetes foot exercises. This research uses a case study method using pre and post methods carried out before and after the intervention. The data collection location was in the Lavender room at dr. Soebandi Hospital starts on 30 October 2023. Based on these results, it shows a change in blood sugar levels before and after administering diabetic foot exercise therapy is carried out for three consecutive days once a day, carried out in the morning 1-2 hours after breakfast. Diabetic foot exercises that are done regularly are expected to prevent complications often occurs in patients such as infected wounds on the feet. The results of the nursing evaluation are related to the diagnosis of instability in blood glucose levels which indicates changes in the patient's blood sugar levels where the patient's blood sugar values decreased after the intervention.
Exploring the supportive care needs for people with cancer undergoing chemotherapy: a qualitative descriptive study A'la, Muhamad Zulfatul; Nuntaboot, Khanitta
Jurnal Ners Vol. 18 No. 1 (2023): MARCH 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i1.41837

Abstract

Introduction: Chemotherapy's side effects cause people with cancer to encounter difficult situations that might impact their supportive care needs. Exploration of supportive care needs may assist the nurse in improving the quality of life of people with cancer undergoing chemotherapy (PwCUC). Therefore, this study aims to explore the supportive care needs of PwCUCs. Methods: A qualitative descriptive study from November 2021 until May 2022 was utilized through in-depth interviews and Focus Group Discussions (FGD) in three public health centers in Jember, Indonesia. Data saturation was achieved after the researcher conducted an in-depth interview of 27 informants and FGD of 13 informants. A total 40 informants from PwCUCs, family of PwCUCs, doctors, and nurses was recruited based on inclusion criteria using purposive sampling technique. The researcher developed an in-depth interview and FGD guidelines to collect the data. Six-step thematic analysis was used. Triangulation, member-checking, and thick description were performed to maintain trustworthiness. Results: The study yielded four themes that represent participants' voices. These were 1) social support needs, 2) accompanying needs, 3) information needs, and 4) healthcare service support. Conclusion: Supportive care needs for PwCUCs is a complex and contextual phenomenon. This study revealed that PwCUCs required individual, social, and healthcare service support to meet their needs. Therefore, further study is required regarding developing a nursing care plan for PwCUCs based on cultural-sensitive supportive care needs.
Effectiveness of Compression Therapy on Lower Extremity Oedema in Heart Failure Patients: A Case Study Batrisyia, Irdina; Sutawardana, Jon Hafan; A'la, Muhamad Zulfatul; Setiawan, Iwan
Jurnal Kesehatan Komunitas Indonesia Vol 4 No 2: August 2024
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkki.v4i2.339

Abstract

Background: Heart Failure is a condition that the heart can not pump enough blood to meet the circulatory needs used in the body's metabolic processes. Patients with heart failure disease may experience swelling (oedema) in certain parts of the body, especially the lower extremities. Oedema that is not treated will exacerbate damage to the circulatory system. One of the treatments for lower extremity oedema in heart failure patients can be done by giving compression therapy. Purpose: The purpose of this study is to determine the effectiveness of compression therapy on lower extremity oedema in heart failure patients. Method: This research is a case study that managed one patient with heart failure disease who has lower extremity oedema. Data collection was carried out by observation, interview and provision of interventions carried out for 4 days using moderate pressure (20-30 mmHg). This research use compression stocking for 18 hours within 24 hours. Compression therapy is given once a day that the stocking is used at 14.00 WIB and removed at 08.00 WIB on the following day. The instrument used in this study was the pitting oedema observation sheet. Result: The results of this study were a decrease in the degree of pitting oedema in patients from a value of +3 with a depth of 5 mm in a return time of 65 seconds to a value of +1 with a depth of 1 mm in a return time of 2 seconds. Conclusion: Compression therapy is effective in reducing the degree of pitting oedema in patients with heart failure. Compression therapy has optimal effectiveness on the third day of intervention. Therefore, this therapy is highly recommended to be applied in the inpatient room, especially in patients with heart failure who have oedema in lower extremity.
Efek Faktor Individu, Manajemen dan Pendukung Terhadap Penundaan Operasi Elektif Sriwardani, Endang; Wijaya, Dodi; A’la, Muhamad Zulfatul
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 16, No 4 (2025): Oktober-Desember 2025
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf16440

Abstract

Delays in elective surgery are considered a fundamental problem in healthcare because they cause significant disruptions to patient flow, further exacerbating already limited operational capacity, and consequently reducing hospital performance and patient satisfaction. The purpose of this study was to determine the reasons for surgical delays across hospitals and countries. The method used in this study was a literature review. The search terms used were "Delay" AND "Elective" AND "Surgery" in the Scopus, ScienceDirect, PubMed, and Proquest databases. Articles reviewed were limited to the last five years in English. The study's findings are divided into three domains: individual factors, including patient condition, type of surgery, medical diagnosis, ASA scoring, race, kidney failure, steroid use, gender, and health insurance. Management factors include insufficient human resources, including nurses and specialist doctors, as well as hospital policies. Supporting factors include insufficient operating room capacity and inadequate equipment. The study concluded that the main causes of surgical delays fall into three domains and are potentially controllable by hospital managers, who can strive to improve areas such as patient flow and capacity management.Keywords: surgery; elective; postponement ABSTRAK Penundaan operasi elektif dianggap sebagai masalah fundamental dalam layanan kesehatan karena menyebabkan gangguan yang signifikan terhadap alur pasien, yang semakin memperburuk kapasitas operasional yang seringkali sudah terbatas, dan akibatnya mengurangi kinerja rumah sakit serta kepuasan pasien. Tujuan studi ini adalah mengetahui alasan penundaan operasi di berbagai rumah sakit dan negara. Metode yang digunakan dalam studi ini adalah literature review. Kata kunci yang digunakan dalam mencari literatur adalah “Delay” AND “Elective” AND “Surgery” pada database Scopus, ScienceDirect, PubMed, dan Proquest. Artikel yang ditelaah dibatasi 5 tahun terakhir dalam Bahasa inggris. Temuan studi ini dibagi menjadi 3 domain yaitu faktor individu yang meliputi kondisi pasien, jenis operasi, diagnose medis, skoring ASA, ras, gagal ginjal, penggunaan steroid, jenis kelamin, dan asuransi kesehatan. Faktor manajemen meliputi sumber daya manusia yang kurang yaitu perawat dan dokter spesialis serta kebijakan rumah sakit. Sedangkan pada faktor pendukung ditemukan kurangnya kapasitas kamar operasi dan peralatan yang kurang memadai. Kesimpulan studi ini menyatakan bahwa penyebab utama penundaan operasi terbagi atas 3 domain dan memungkinkan dapat dikendalikan oleh manajer rumah sakit, yang dapat berupaya untuk meningkatkan area seperti aliran pasien dan manajemen kapasitas.Kata kunci: pembedahan; elektif; penundaan
Nursing Care for Pleural Effusion Patients Through Semifowler Position on Hemodynamic Status: A Case Report Mas’ulyatul Hukmiyah; Muhamad Zulfatul A'la; Ika Adelia Susanti; Yudho Tri Handoko
Health and Technology Journal (HTechJ) Vol. 3 No. 2 (2025): April 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i2.320

Abstract

Pleural effusion is the accumulation of fluid in the pleural cavity or membrane that separates the inner chest wall from the lungs. Pleural effusion can affect hemodynamics because increased intrapleural pressure can push organs in the mediastinum. Providing a semi-fowler position is one of the nursing interventions that is expected to improve hemodynamic status in patients with pleural effusion. This study aims to determine the implementation of nursing care for patients with pleural effusion by applying the semi-fowler position to hemodynamic status in the Catleya Room, dr. Soebandi Hospital, Jember. The research method in this study uses a case study. The respondents and place in this study were Mr. T. with pleural effusion in the Catleya Room of RSD dr. Soebandi Jember. Semifowler position intervention was given for 3 days with a duration of 2 hours. The results of this study indicate that on the first day, there was a decrease in blood pressure, MAP, and respiratory rate. While the pulse rate and oxygen saturation increased. On the second and third day, of the application of the semifowler position, the results showed that there was a decrease in respiratory rate and an increase in pulse rate and oxygen saturation. While there were no hemodynamic changes in blood pressure and MAP. The conclusion of this study is that the implementation of the semi-Fowler position has an effect on hemodynamic status, especially on reducing respiratory rate and increasing pulse rate and oxygen saturation.
Co-Authors Agus Meriroja Agus Meriroja Agustiningsih Agustiningsih Akhmad Zainur Ridla Anggun Afrix Rozana Anisah Ardiana Ardiyanto, Makhrufi M.A.S. Arif Eko Cahyono Arini, Puji Artha Artha Baiq Linda Agustina Baskoro Setioputro Batrisyia, Irdina Benjayamas Pilayon Cahyani, Puja Sheylla Riskita Chanicha Chaitonthueng Chyntia, Meideline Chyntia Defi Efendi Dewi, Dwi Puspita Dicky Endrian Kurniawan Dodi Wijaya Emi Wuri Wuryaningsih Esoh, Nahyeni Bassah Evita Rohmaniah Farida Nur Qomariyah FARIKHAH, ZUMROTUL Fauziah, Oktaviani Fauziah Gesit Wira Mustapa Gunarto, Sugito Tri Hamidah Retno Wardani Hana R. Agustina Hana Rizmadewi Agustina Handoko, Yudho Tri Heri Siswanto Ifka Wardaniyah Iwan Setiawan Iyus Yosep Jon Hafan Sutawardana Juthaluck Saentho Juwarti Juwarti Karisa, Putri Karisa Khanitta Nuntaboot, Khanitta Komarudin Komarudin Kurniasari, Reni Hesti Kushariyadi Kushariyadi Kustiarini, Ari Latifa Aini Susumaningrum Lianawati Lianawati Linda Novema Maghfiroh, Rahmawati L. Mar&#039;atus Sholihah Mas’ulyatul Hukmiyah Maulidiyah, Dewi Diniyatul Maysaroh, Salma Miftah Salsabila Mohammad Shodikin Muhamad Hasan Basri Muhamad Hasan Basri Muhamad Hasan Basri Mulia Hakam Murtaqib Murtaqib Musarrofa, Faise Lailatul Niruwan Turnbull Nistiandani, Ana Nurfika Amaningrum Nurfika Asmaningrum Pairin Yodsuban Pairin Yodsuban Rahmawati, Iis Retno Wardani, Hamidah Ridlwan Kamaluddin Risky Kusumawardhani Rismawan Adi Yunanto Rochmawati, Erna Rochmawati Rondhianto Rondhianto Rungreangkulkij, Somporn Ruris Haristiani Salma Dena Sanaah, Sanaah SISWOYO Siswoyo Siswoyo Siswoyo Siswoyo Siswoyo Siswoyo Siti Ulfah Rifa’atul Fitri Sriwardani, Endang SUJARWANTO Sulis Setyowati Susanti, Ika Adelia Tantut Susanto Tita Saskia Asmoro Tri Gunarto, Sugito Tri Handoko, Yudho Ulfi Bini’Matillah Undariningsih, Sutriani Wantiyah Wantiyah Wijaya, Dodi Win, Thandar Wira Mustapa, Gesit Yudho Tri Handoko Yudho Tri Handoko Yudho Tri Handoko Yulia Misni Yunanto, Rismawan Zetti Finali Zumrotul Farikhah