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All Journal Jurnal Manajemen Kesehatan Indonesia Jurnal Keperawatan Padjadjaran Jurnal Keperawatan Silampari Indonesian Journal of Nursing Health Science Jurnal Pengabdian Masyarakat AbdiMas Journal of Islamic Nursing Manuju : Malahayati Nursing Journal International Journal of Nursing and Health Services (IJNHS) Indonesian of Health Information Management Journal (INOHIM) Jurnal Ilmiah Keperawatan Imelda Journal of Telenursing (JOTING) Jurnal Abdi Insani Jurnal Aisyah : Jurnal Ilmu Kesehatan BERNAS: Jurnal Pengabdian Kepada Masyarakat TEPIAN The Journal of Hospital Accreditation (JHA) Jurnal Abmas Negeri (JAGRI) Aptekmas : Jurnal Pengabdian Kepada Masyarakat Berita Kedokteran Masyarakat Jurnal Pengabdian dan Pengembangan Masyarakat Indonesia DEVOTE: Jurnal Pengabdian Masyarakat Global Journal of Public Health Concerns DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN TELL - US JOURNAL Physical Therapy Journal of Indonesia Jurnal Berita Ilmu Keperawatan Jurnal Info Kesehatan
Mira Asmirajanti
Universitas Esa Unggul
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Revolutionizing Nursing Higher Education: Virtual Reality-Based Elderly Care Service Practice Simulation: A Systematic Review Asmirajanti, Mira; Antia, Antia; Tamly, Wahyu
JURNAL INFO KESEHATAN Vol 22 No 3 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss3.1530

Abstract

Nursing services in the elderly population play an important role in modern nursing practice, especially with the growth in the number of elderly. The presence of competent and trained nurses is crucial to providing effective care to this demographic. One potential method to improve nursing students' understanding and skills in aged care is the utilization of Virtual Reality (VR) technology to simulate aged services.  This study aims to identify the virtual reality-based elderly nursing service simulation revolution through a systematic review. Systematic Literature Review is conducted by searching the data sources ScienceDirect, Pubmed, CINAHL, and Google Scholar. Inclusion and exclusion criteria based on the PICO approach, are used to select suitable articles, with a range of publication years from 2018 to 2022. Of the 2241 articles identified at the start of the study, 46 relevant articles were selected after narrowing through a review of titles and abstracts. Of these, 24 articles were selected for further analysis according to the research theme. The results showed that the use of VR technology significantly increased the competence of nursing students, and increased clinical skills, confidence, and understanding of human physiological anatomy.  VR simulations have proven effective in providing services to elderly patients, including teaching elderly oral hygiene, training in the prevention of dizziness and falls, practicing ADL, and teaching relaxation techniques to reduce pain and symptoms of depression. The new opportunities in nursing higher education innovation, VR technology provides an immersive experience for students in caring for an aging population that is growing, along with technological developments.       
PENINGKATAN PENGETAHUAN KELUARGA TERHADAP PERAWATAN PASIEN DI RUMAH DALAM MENCEGAH KOMPLIKASI PADA PASIEN STROKE DENGAN IMPLEMENTASI TELENURSING Mira Asmirajanti; Azizah, Anik Hanifatul; Mustikawati, Intan Silviana; Romadhoni, Asisyafitri; Bahraini, Dwi; Pratama, Ariq; Syahputra, Agung Dwi
Jurnal Abdi Insani Vol 11 No 3 (2024): Jurnal Abdi Insani
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/abdiinsani.v11i3.1914

Abstract

Stroke, one of the leading causes of neurological disability, has a significant impact on the patient's ability to perform daily activities. This community service aims to increase the knowledge of stroke patients' families about home care to prevent complications with the implementation of telenursing. This activity was held on February 6, 2024, in Desa Semanan, Jakarta Barat, involving 25 patients and their families, as well as Posbindu cadres. The activity began with coordination with partners to take care of permits and site reviews. Education was provided through presentations, demonstrations, and video tutorials on the care of stroke patients at home, followed by assistance through telenursing using WhatsApp groups. The evaluation was carried out with pre-test and post-test to measure the understanding of the patient's family. The results showed a significant increase in family knowledge by 44%. In conclusion, this education is effective in increasing family knowledge to improve the care of stroke patients at home, which is important in preventing complications and improving the quality of life of patients.
Analyzing and Designing Decision Support Systems for Stroke Patient Daily Treatment Azizah, Anik Hanifatul; Asmirajanti, Mira; Pratama, Ariq
TEPIAN Vol. 5 No. 4 (2024): December 2024
Publisher : Politeknik Pertanian Negeri Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51967/tepian.v5i4.3186

Abstract

Stroke is one of the neurological diseases that often requires complex management and treatment. Making the right decisions in diagnosing and treating stroke patients can have a significant impact on the recovery process and the quality of life for patients. To assist healthcare professionals and patients in making more informed decisions, this research has developed the "StrokeCare Navigator," a web-based Decision Support System (DSS) that utilizes the Decision Tree C4.5 algorithm. This system allows users, including healthcare professionals and patients, to input symptoms and patient medical information, providing an initial diagnosis of the type and severity of the stroke. Additionally, the system offers personalized treatment guidelines, treatment recommendations, and online patient monitoring services. The Decision Tree C4.5 model used in this system was developed through training with relevant patient data. Evaluation results indicate that the system can provide accurate and beneficial recommendations for healthcare professionals and patients. Testing and patient monitoring in clinical practice also demonstrate the potential to enhance stroke patient care. Therefore, StrokeCare Navigator is expected to be a valuable tool in stroke patient management and treatment, ultimately improving the prospects of patient recovery and providing better guidance for healthcare professionals. This research also provides deeper insights into the implementation of the Decision Tree C4.5 algorithm in the context of Decision Support Systems (DSS) in the medical field.
Improving family caregiver understanding of range of motion exercises for community-based stroke care: A pre-experimental study within the clinical pathway Asmirajanti, Mira; Handayani, Rini; Nurmawaty, Dwi; Yulhendri
Physical Therapy Journal of Indonesia Vol. 7 No. 1 (2026): Inpress January-June 2026
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v7i1.338

Abstract

Background: Family caregivers play a crucial role in the recovery of stroke patients, especially in community settings. An adequate understanding of the range of motion (ROM) exercises enables caregivers to actively support rehabilitation and prevent complications. This study aimed to analyze the improvement of family caregivers' understanding of ROM exercises after training. Methods: This pre-experimental one-group pretest-posttest study involved 25 families with stroke patients for ≥1 month, selected through consecutive sampling in the working area of Puskesmas Tambora, West Jakarta, in July 2025. Interventions included active and passive ROM exercises based on standard operating procedures (SOPs), also it was used to simulate the manual muscle testing (MMT). Measurement instruments used the validity and reliability questionnaires and MMT observation sheets. Data were analyzed by the Wilcoxon test at a significance level of p<0.05. Results: The results showed a significant increase in family caregiver understanding of ROM (p= 0.000). Before the training, 88% of respondents (22 people) had sufficient knowledge, and 12% (3 people) had good knowledge. After the training, the proportion of good knowledge increased to 56% (14 people), while moderate knowledge decreased to 44% (11 people). Conclusion: Structured training effectively enhanced family caregivers' understanding of ROM exercises, supporting their active participation in patient care. These findings suggest that such education can be integrated into community-based non-digital clinical pathways to prevent complications in stroke patients.
The Role of Nurse Mentoring in Enhancing Nursing Students’ Clinical Competence -A Cross-Sectional Study Asmirajanti, Mira; Novitasari, Nadia
Jurnal Berita Ilmu Keperawatan Vol. 19 No. 1 (2026): January
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v19i1.11713

Abstract

Clinical practice is an essential component of nursing education, aimed at developing students’ competencies in real healthcare settings. The role of clinical nurse mentors is a key external factor influencing the success of students in achieving clinical competence. This study aimed to analyze the correlation between nursing students’ perceptions of nurse mentoring and their clinical competence achievement. This type of research is quantitative correlative analytic with a cross-sectional research design, namely by measuring variables at a certain time. The sample consisted of 82 nursing students from University A who had completed their clinical practice, selected through purposive sampling. Research instruments included a questionnaire on students’ perceptions of nurse mentoring and a clinical competence achievement questionnaire. Data analysis was performed using the Spearman correlation test. The results showed that most students had a positive perception of nurse mentoring (86.6%) and achieved clinical competence in the "good" category (93.9%). A significant relationship was found between students’ perceptions of nurse mentoring and their clinical competence (r = 0.698; p < 0.05), with the evaluation domain showing the strongest correlation (r = 0.650). These findings suggest that the more positive students’ perceptions of their clinical mentors, the higher their level of clinical competence. Associating the role of clinical mentors through training and ongoing evaluation is essential to support effective learning outcomes in nursing clinical education.
Penerapan terapi non-farmakologi sebagai pengendalian rasa mual dan muntah pada pasien post operasi laparotomi Yosefi Ananti; Kartini Kartini; Erviana Simamora; Mira Asmirajanti
JOURNAL of Public Health Concerns Vol. 6 No. 1 (2026): JOURNAL of Public Health Concerns
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerja sama dengan: Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/phc.v6i1.2714

Abstract

Background: The most common complication after surgery, or postoperative nausea and vomiting (PONV), is nausea and vomiting. Treatment can be provided either pharmacologically with medications or non-pharmacologically through lifestyle modifications, physical activity, and simple therapies to address complaints arising from postoperative side effects. One non-pharmacological treatment that can be provided is acupressure therapy. For patients prone to nausea and vomiting, acupressure therapy, applied by pressing the PC6 and ST36 points, can be used as an alternative to manage PONV. Purpose: To provide knowledge about the application of acupressure therapy to reduce nausea and vomiting in patients who have undergone laparotomy surgery. Method: This activity was conducted in January 2026 at the Iman Sudjudi Pavilion, Gatot Soebroto Army Central Hospital. This qualitative research, using a case study approach, involved nursing care in the form of acupressure for postoperative patients experiencing nausea and vomiting (PONV). The intervention was given in the form of acupressure therapy at the Pericardium point (PC6) located on the inner wrist and the Stomach point (ST36) located below the knee after 2 hours of surgery. Measurements in the assessment used the Rhodes Index of Nausea, Vomiting and Retching (RINVR) which was given before the intervention (pre-test) and 7 hours after the intervention (post-test). Descriptive analysis was conducted to evaluate the effectiveness of the intervention and changes in the level of nausea and vomiting after acupressure therapy. Results: Measurement data using the RINVR instrument showed a decrease in scores from 7 before the intervention to 1 after. Subjective evaluations indicated a decrease in nausea, no vomiting, and an improved appetite. Objectively, respondents were able to correctly perform acupressure at points PC6 and ST36. Conclusion: The application of acupressure therapy at points PC6 and ST36 was highly effective in controlling nausea and reducing the incidence of vomiting in post-laparotomy patients. Acupressure therapy is an alternative solution as an effective non-pharmacological method for post-laparotomy patients, accelerating the recovery of bodily functions, preventing complications, and improving the patient's quality of life. Suggestion: Healthcare workers are encouraged to implement non-pharmacological therapies for patients, particularly post-laparotomy patients, as a complementary approach, and to educate the public about acupressure therapy for managing pain, nausea, and vomiting after laparotomy surgery. Keywords: Acupressure therapy; Health promotion; Nausea and vomiting; Post-laparotomy surgery Pendahuluan: Komplikasi yang paling umum setelah operasi atau postoperative nausea and vomiting (PONV) adalah mual muntah. Penanganan dapat diberikan baik secara farmakologi yaitu dengan obat-obatan atau secara non-farmakologi melalui pengaturan pola hidup, aktivitas fisik dan terapi yang dapat dilakukan secara sederhana sebagai upaya penanganan mengenai keluhan yang ditimbulkan karena efek samping dari tindakan post operasi. Sebuah upaya penanganan non-farmakologi yang dapat diberikan adalah terapi akupresur. Untuk pasien yang rentan terhadap gejala mual dan muntah, terapi akupresur dilakukan dengan penekanan pada titik PC6 dan ST36 yang dapat digunakan sebagai alternatif untuk mengatasi PONV. Tujuan: Untuk memberikan pengetahuan tentang penerapan terapi akupresur dalam mengurangi rasa mual dan muntah pada pasien yang telah menjalani operasi laparotomi. Metode: Kegiatan dilaksanakan pada Januari 2026 di Paviliun Iman Sudjudi, Rumah Sakit Pusat Angkatan Darat Gatot Soebroto. Penelitian kualitatif dengan pendekatan studi kasus, kegiatan ini merupakan asuhan keperawatan berupa penerapan akupresur pada pasien pasca operasi yang memiliki keluhan mual dan muntah atau postoperative nausea and vomiting (PONV). Intervensi diberikan berupa terapi akupresur pada titik Pericardium (PC6) yang terletak pada pergelangan tangan bagian dalam dan titik Stomach (ST36) yang terletak pada bagian bawah lutut setelah 2 jam operasi. Pengukuran dalam penilaian menggunakan Rhodes Index of Nausea, Vomiting and Retching (RINVR) yang diberikan sebelum intervensi (pre-test) dan 7 jam setelah intervensi (post-test). Analisa deskriptif dilakukan sebagai evaluasi dari efektifitas intervensi dan perubahan tingkat mual dan muntah setelah dilakukan terapi akupresur. Hasil: Data pengukuran menggunakan instrumen RINVR menunjukkan adanya penurunan skor dari 7 sebelum diberikan intervensi menjadi skor 1 setelah pemberian intervensi. Berdasarkan evaluasi subjektif, menunjukkan bahwa rasa mual yang dirasakan mulai berkurang dan tidak lagi mengalami muntah serta nafsu makan menjadi lebih baik. Secara objektif, responden mampu melakukan teknik akupresur pada titik PC6 dan ST36 dengan benar. Simpulan: Penerapan terapi akupresur pada titik PC6 dan ST36 sangat efektif dalam mengendalikan rasa mual menurunkan jumlah muntah pada pasien pasca operasi laparotomi. Terapi akupresur adalah solusi alternatif sebagai metode non-farmakologis yang efektif pada pasien pasca operasi laparotomi sehingga mempercepat pemulihan kesehatan fungsi tubuh, mencegah komplikasi dan meningkatkan kualitas kesehatan pasien.  Saran: Diharapkan kepada tenaga kesehatan untuk menerapkan terapi non-farmakaologi kepada pasien yang khususnya pada pasien pasca operasi laparotomi sebagai salah satu pendekatan komplementer dan memberikan edukasi pada masyarakat tentang terapi akupresur dalam mengelola rasa nyeri, rasa mual dan muntah setelah operasi laparotomi.
Efektivitas Kegiatan Promosi Kesehatan Dalam Meningkatkan Pengetahuan Mengenai Kualitas Hidup Lansia Di Kelurahan Grogol Jakarta Barat Intan Silviana Mustikawati; Erlina Puspitaloka Mahadewi; Mira Asmirajanti; Susi Shorayasari; Aprilita Rinayanti Eff
Malahayati Nursing Journal Vol 7, No 11 (2025): Volume 7 Nomor 11 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i11.23063

Abstract

ABSTRACT The quality of life of the elderly is an important matter because the quality of life of the elderly is an indicator of successful aging, where the elderly feel well-being in their lives. Health promotion activities are one effective intervention to increase the knowledge of the elderly regarding health, which impacts the increase in healthy behaviors and the quality of life of the elderly. The aim of this study is to analyze the effectiveness of health promotion in enhancing knowledge about quality of life of the elderly in Grogol sub-district, West Jakarta. This research is a quantitative study with a cross-sectional approach. The respondents in this study are the elderly in Grogol sub-district, West Jakarta, who participated in health promotion activities, totaling 60 individuals. Data collection was conducted using questionnaires and analyzed using Wilcoxon signed-rank statistical tests. Based on the research results, there was an increase in the knowledge of the elderly regarding quality of life before and after the health promotion activities (p-value0.05). It is necessary to follow up on activities involving related parties to improve the quality of life of the elderly sustainably. Keywords: Effectiveness, Knowledge, Quality of Life, Elderly, Health Promotion  ABSTRAK Kualitas hidup pada orang lanjut usia (Lansia) merupakan hal penting karena kualitas hidup Lansia merupakan indikator dalam successful aging, dimana Lansia merasakan kesejahteraan di dalam hidupnya. Kegiatan promosi kesehatan merupakan salah satu intervensi yang efektif untuk meningkatkan pengetahuan Lansia mengenai kesehatan, yang berdampak pada meningkatnya perilaku sehat dan kualitas hidup Lansia. Tujuan penelitian ini yaitu untuk menganalisis efektivitas promosi kesehatan dalam meningkatkan pengetahuan mengenai kualitas hidup Lansia di Kelurahan Grogol, Jakarta Barat. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross-sectional. Responden dalam penelitian ini yaitu Lansia di Kelurahan Grogol, Jakarta Barat yang mengikuti kegiatan promosi kesehatan yang berjumlah 60 orang. Pengumpulan data dilakukan menggunakan kuesioner dan dianalisis menggunakan uji statistik Wilcoxon signed-rank test. Berdasarkan hasil penelitian didapatkan adanya peningkatan pengetahuan Lansia mengenai kualitas hidup sebelum dan sesudah kegiatan promosi kesehatan (nilai p0,05). Diperlukan adanya tindak lanjut kegiatan yang melibatkan pihak-pihak terkait untuk meningkatkan kualitas hidup Lansia secara berkelanjutan.  Kata Kunci: Efektivitas, Pengetahuan, Kualitas Hidup, Lansia, Promosi Kesehatan
LITERATURE REVIEW: USE OF ESSENTIAL OIL AROMATHERAPY TOWARDS PAIN REDUCTION IN CANCER PATIENTS Lopulalan, Syaneti; Antia, Antia; Sukarno, Anita; Asmirajanti, Mira
Journal of Islamic Nursing Vol 6 No 2 (2021): Journal Of Islamic Nursing
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/join.v6i2.24148

Abstract

Pain is one of the most common symptoms experienced by cancer patients, and as much as 68% of the causes of pain are experienced by cancer patients (primary tumors). Patients with pain should receive the treatment that can provide the greatest benefit in pain management. For this reason, this research was conducted with the aim of; The purpose of this study was to find out the effect of the use of aromatherapy inhalation of essential oils on reducing pain in cancer patients. The method used in this study is to use "Literature review" with the amount of literature to be studied, namely 14 research titles in the form of journals/articles that are following the topic of the problem in this study. Amount The total respondents who were put together from the 14 studies were 1,108 patients with pain disorders/complaints. 34.65% of them are male, 35.19% are female, are in the age limit of 1-60 years; 1-15 years = 37.72%., 16-26 years = 18.05%., 27-35 years = 5.65%., and 36-60 years old = 17.14%. The results of the action of giving aromatherapy carried out in the 14 studies showed that there was an effect obtained from the use of essential oil aromatherapy through inhalation techniques, where there was a change in the pain scale before and after the action of giving aromatherapy.
PERAN KADER POSBINDU DALAM MENINGKATKAN KESEHATAN IBU HAMIL MELALUI EDUKASI ASUHAN KEPERAWATAN Mira Asmirajanti; Harna Harna; Anik Hanifatul Azizah; Lia Amelia; Nurshabrina Nurshabrina; Bella Prisca Permatasari; Kaylifa Ramadhanti Am
Devote: Jurnal Pengabdian Masyarakat Global Vol. 4 No. 3 (2025): Devote : Jurnal Pengabdian Masyarakat Global, 2025
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/devote.v4i3.4552

Abstract

Kesehatan ibu hamil merupakan salah satu indikator utama pembangunan kesehatan nasional, namun masih menghadapi tantangan signifikan, terutama di wilayah dengan keterbatasan pengetahuan dan keterampilan kader terkait asuhan keperawatan. Kegiatan pengabdian masyarakat ini bertujuan meningkatkan pengetahuan dan keterampilan kader Posyandu di Desa Kabasiran dalam memberikan edukasi asuhan keperawatan kepada ibu hamil. Metode pelaksanaan mencakup sosialisasi program, pelatihan peran kader dalam peningkatan kesehatan ibu hamil melalui edukasi, serta evaluasi kegiatan. Pelaksanaan dilakukan di Posyandu Dahlia, Desa Kabasiran, Kecamatan Parungpanjang, Kabupaten Bogor, dengan melibatkan 26 kader posyandu sebagai peserta. Hasil kegiatan menunjukkan peningkatan pengetahuan yang signifikan (p < 0,05) setelah pelatihan. Program ini diharapkan dapat dilaksanakan secara berkesinambungan dengan dukungan lintas sektor untuk memperkuat peran kader sebagai agen promotif-preventif dalam upaya meningkatkan kesehatan ibu hamil di masyarakat.
Co-Authors Abna, Inherni Marti Adam Astrada . Agus Riyanto Agustina, Noni Aliyupiudin, Yufi Anggraeni, Gita Antia Antia Antoni Antoni Any Kurniawati, Any Aprilita Rinayanti Eff Arif, Rizca Arifta, Refaldo Asti Puji Lestari Azizah, Anik Hanifatul Azzah, Fhasa Lifiansah Bahraini, Dwi Bella Prisca Permatasari Budi Mulyana Cesilia Chairuni Shaliha Nurfitra Clara Maria de Jesus Aparicio Daniel Mada Dewi, Ratna Djuariah Chanafie Djuariah Chanafie Eka Handayani Erviana Simamora Erwan Baharudin Ety Nurhayati Evi Medina Oktavia Fahrudin, Arif Fatmayanti, Sri Ayu Fauziah Rudhiati Fitri Nadiya Gledys Oksecargra Gunawan Irianto Harna, Harna Ichwani, Arief Iin Inayah Iin Inayah, Iin Intan Silviana Mustikawati Juita Amaral Kartini Kartini Kaylifa Ramadhanti Am Khairina Arare Lia Amelia LILIS ROHAYANI Listia Handayani Lopulalan, Syaneti Lusianah Lusianah Lusianah, Lusianah Mahadewi, Erlina Puspitaloka Maratis, Jerry Melati Putri Kurnia Michele Valensia Tapilatu Muh Asrul Irawan, Andi Muhammad Rizki Rafliyanto Muliyadi, Mulyadi Mulyati Mulyati Mulyati Mulyati Muniroh, Muniroh Mustikawati, Intan Silviana Nasrianti Nasrianti NOVITASARI, NADIA Nurmawaty, Dwi Nurshabrina Nurshabrina Nurshabrina, Nurshabrina Oyoh, Oyoh Pamungkas, Fhasa Lifiansah Azzah Patricia R Rumondang Permatasari, Bella Prisca Pratama, Ariq Puspitaloka, Erlina Rahmawati, Rahmawati Ramadhan, Naufal Maulana Ramadhanti, Dwi Ramadhanti, Kaylifa Ratu Dini Rahmawati Rian Adi Pamungkas Rini Handayani Rio Ardiyah Situmorang Rohayati, Lilis Romadhoni, Asisyafitri Rosya, Ernalinda Salamiyah, Barokatus Sari, Widia Setiawati Setiawati Setiawati Sherly Kalalo Siti Fatimah Zahra Sonia Sri Rusmini Sukarno, Anita Supyono Supyono Susanto, Ratnawati Susi Shorayasari Syahputra, Agung Dwi Tamly, Wahyu Tubagus D.E. Abeng Venicia Eflin Vionalita, Gisely Virly Virda Verlina Widia Sari Yosefi Ananti Yulhendri Yulhendri