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Nasution, Siti Saidah
Faculty Of Nursing, Universitas Sumatera Utara
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COMMUNITY SERVICE ACTIVITIES COUNSELING IN MAKING WHO MP-ASI BASED ON LOCAL FOOD FOR POSYANDU CADRES AND BADUTA’ MOTHERS Ariga, Reni Asmara; Nasution, Siti Saidah; Ariadni, Dwi Karina
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 3 No. 2 (2018): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (641.919 KB) | DOI: 10.32734/abdimastalenta.v3i2.4041

Abstract

One effort to improve children's health and nutrition is to provide the best food for ages under two years (Baduta). If babies and children aged 6-24 months do not get enough nutrition from MP-ASI, it will cause disruption of growth and malnutrition. Medan Sunggal Health Center is one of the health centers in the fostered village of F.Kep USU. Based on the results of the toddler nutrition study conducted previously, there were still some nutritional problems, especially in the age group of Baduta. The main cause is the limited knowledge of mothers about Baduta nutrition and the skills of mothers in preparing food to meet nutritional needs with locally available food. Posyandu cadres who have been actively involved are still weak in providing breastfeeding and MP-ASI education. Even though Posyandu cadres are very potential their role as agents of change. Community service activities counseling for local food-based WHO MP-ASI for Posyandu cadres and baduta’ mothers was held on August 24, 2018, with the number of counseling participants thirty-five people. The end result is an increase in participants' knowledge and skills to shape good nutritional behavior in the family.
The effectiveness of lecture and discussion methods on adolescent behavior in the treatment of the external genetalia at Yayasan Pendidikan Keluarga high school, Medan Harahap, Rizki Noviyanti; Bima Suryantara; Siti Saidah Nasution
Jurnal EduHealth Vol. 15 No. 01 (2024): Jurnal eduHealt, Edition January - March, 2024
Publisher : Sean Institute

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

Abstract

Background: One factor that causes cervical cancer is the lack of personal hygiene in the genital organs. However, there are still young women who do not maintain the cleanliness of their genital organs, in fact, it is better to be aware of the importance of maintaining the cleanliness of the external genital organs from an early age. Problems that arise due to poor hygiene of the genital organs, namely the emergence of several venereal diseases such as vaginal discharge, genital skin irritation, allergies, cervical cancer, urinary tract infections, one of the efforts to increase knowledge of young women, provides information on external genital care. The aim of the research is to find out the effectiveness of the lecture and discussion method on the behavior of young women in the care of external genitalia.Research Methods: The research design uses a quasi-experimental approach with the Two Group Pretest Posttest approach, namely by using a comparison group but at least observations have been made. The population of this study was all young women at the Medan Family Education Foundation High School totaling 242 people. The sampling technique is simple random sampling. The total sample is 70 people consisting of 35 lecture groups and 35 discussion groups. bivariate analysis with T-test. Results: The results showed that the discussion method was more effective than lectures on the behavior of young women in treating external genitalia. There was a difference in the average score of knowledge of young women in treating external genitalia. Changes in knowledge are greater using the discussion method with an average value of 2.97 compared to lectures with an average value of 0.52. Changes in attitude were greater using the discussion method with an average value of 14.13 compared to lectures with an average value of 0.72. Changes in action were greater using the discussion method with an average value of 6.12 compared to lectures with an average value of 0.76. Conclusion: The discussion method is more effective for improving the behavior of young women in caring for external genitalia at the Medan Family Education Foundation High School.
Hubungan Dukungan Keluarga dan Self Efficacy dengan Frekuensi Kekambuhan Pasien Skizofrenia Marbun, Betty Nurita; Nasution, Siti Saidah; Daulay, Wardiyah
MAHESA : Malahayati Health Student Journal Vol 4, No 9 (2024): Volume 4 Nomor 9 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i9.15544

Abstract

ABSTRACT Family support is a form of interpersonal relationship that includes attitudes, actions, and acceptance of family members, so that family members feel that someone cares about them. increase self-ability to the situation experienced (Effendy, 2021). Low self-efficacy can increase risk, it is found that the majority of family self-efficacy is low because the family's understanding and ability to care for schizophrenia patients is not so good, resulting in a higher possibility of relapse. Relapse of patients with mental disorders has a major impact on the family and the development of family members. The purpose of this study was to identify the relationship between family support and self-efficacy with the frequency of relapse of schizophrenia patients in the inpatient room. The approach used in this study was cross-sectional, with a descriptive correlation method. The sampling method in this study used a type of non-probability sampling with purposive sampling technique so that the final sample needed in this study was 68 respondents. The instruments used in this study were family support questionnaires, self-efficacy and relapse of schizophrenia patients. To prove the existence of a significant relationship between the independent variables, namely family support and work self-efficacy with the dependent variable, namely the frequency of recurrence of schizophrenia, the chi-squer test was used with the help of computerization at 5% (0.05). The results showed that there is a relationship between family support and the frequency of relapse of schizophrenia patients p (0.007) < α (0.05). there is a relationship between self efficacy with the frequency of relapse of schizophrenia patients p value (0.005) < α (0.05).   Keywords: Family Support, Relapse, Schizophrenia  ABSTRAK Dukungan keluarga adalah suatu bentuk hubungan interpersonal yang meliputi sikap, tindakan, dan penerimaan terhadap anggota keluarga, sehingga anggota keluarga merasa ada yang memperhatikannya. meningkatkan kemampuan diri terhadap situasi yang dialami. Self-efficacy rendah dapat meningkatkan risiko, didapatkan bahwa self-efficacy keluarga mayoritas rendah karena pemahaman dan kemampuan keluarga dalam merawat pasien skizofrenia belum begitu baik, sehingga mengakibatkan kemungkinan untuk kambuh semakin tinggi. Kekambuhan pasien gangguan jiwa memberikan dampak yang besar terhadap keluarga dan perkembangan anggota keluarga. Tujuan penelitian ini adalah mengidentifikasi hubungan dukungan keluarga dan self efficacy dengan frekuensi kekambuhan pasien skizofrenia di ruang rawat inap. Pendekatan yang digunakan dalam penelitian ini cross-sectional, dengan metode deskriptif korelasi. Metode pengambilan sampel pada penelitian ini menggunakan jenis non probability sampling dengan tehnik purposive sampling sehingga sampel akhir yang dibutuhkan dalam penelitian ini adalah 68 responden. Instrumen yang digunakan dalam penelitian ini yaitu kuesioner dukungan keluarga, self-efficacy dan kekambuhan pasien skizofrenia. Untuk membuktikan adanya hubungan yang signifikan antara variabel bebas yaitu dukungan keluarga dan self eficacy kerja dengan variabel terikat yaitu frekuensi kekambuhan skizofrenia digunakan uji  chi-squer dengan bantuan komputerisasi pada bebas kemaknaan 5% (0,05). Hasil penelitian menunjukkan bahwa ada hubungan dukungan keluarga dengan frekuensi kekambuhan pasien skizofrenia p (0,007) <   (0,05).   ada hubungan self efficacy dengan frekuensi kekambuhan pasien skizofrenia nilai  p (0,005) <   (0,05).  Keluarga harus memberikan dukungan pada pasien skizofrenia dan meningkatkan self efficacy melalui kunjungan ke rumah sakit untuk mendapatkan informasi atau penyuluhan tentang manajemen kesehatan jiwa utnuk mencegah kekambuhan berulang. Kata Kunci: Dukungan Keluarga, Kekambuhan, Skizofrenia
Intensitas Penggunaan Gadget pada Siswa SMP Swasta di Lubuk Pakam Sitanggang Lipan, Yohana Beatry; Nasution, Siti Saidah; Daulay, Wardiyah
MAHESA : Malahayati Health Student Journal Vol 4, No 11 (2024): Volume 4 Nomor 11 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i11.15373

Abstract

ABSTRACT Intensity of gadget use is the level of gadget use in humans which is thought to be influenced by several characteristics, namely characteristics related to self Alone and the environment. This research was conducted on junior high school children. Intensity of gadget use among junior high school children in Lubuk Pakam school students This research method use is descriptive. The research results show the of the 48 respondents who used gadgets the highest was in the medium category as much as 89.6% (43 respondents). After conducting research, the results showed that the intensity of gadget use in teenagers (junior high school) was highest in the moderate category, so it was suggested that parents need to monitor the duration of gadget use in children to prevent addiction and reduce other negative impacts. Keywords: Intensity Of Gadget Use, Adolescent                              ABSTRAK Intensitas penggunaan gadget merupakan tingkat penggunaan gadget pada manusia yang diduga dipengaruhi oleh beberapa karakteristik yaitu karakteristik yang berkaitan dengan diri sendiri dan lingkungan. Penelitian ini dilakukan pada anak SMP. Intensitas penggunaan gadget pada siswa SMP di sekolah Lubuk Pakam. Penggunaan metode penelitian ini bersifat deskriptif. Hasil penelitian menunjukkan dari 48 responden yang menggunakan gadget paling tinggi berada pada kategori sedang sebanyak 89,6% (43 responden). Setelah dilakukan penelitian, diperoleh hasil bahwa intensitas penggunaan gadget pada remaja (SMP) paling tinggi berada pada kategori sedang, sehingga disarankan agar orang tua perlu memantau durasi penggunaan gadget pada anak untuk mencegah kecanduan dan mengurangi dampak negatif lainnya. Kata Kunci: Intensitas Penggunaan Gadget, Remaja
Family Characteristics That Suffer Stunting in the Work Area of The District Health Center Langkat Nasution, Siti Saidah; Girsang, Bina Mellvia
Caring: Indonesian Journal of Nursing Science Vol. 1 No. 2 (2019): Caring:Indonesian Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v1i2.3254

Abstract

Stunting is malnutrition a long time and have an adverse impact on health status, growth and development of children. Signs and symptoms of stunting is child's posture is short i.e. the height is not appropriate with age. Malnutrition in children is related to the characteristics of the family as a place of growing and the care of the child. This research is descriptive quantitative research with the aim to analyze the characteristics of families with children who suffer from stunting. The study population 136 as much as with the total sample of 30 mothers who have children and toddlers with simple random sampling. Data collection using a questionnaire, consisting of demographic data, the role of family function and health status associated with stunting. Data analysis univariate. The results of the research showed that the. The importance of assessing the characteristics of the family in the treatment in children and infants.
Care Behavior on Postmenopausal During Covid-19 Pandemic in The Medan Johor District Area Siti Saidah Nasution
Caring: Indonesian Journal of Nursing Science Vol. 5 No. 1 (2023): Caring: Indonesian Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v5i1.11339

Abstract

Reproductive health issues, especially maternal and infant health, are a priority and require special care during the COVID-19 pandemic. One of the groups at high risk of contracting the COVID-19 virus is people in the elderly age group, especially mothers in the menopause stage, which is categorized as a comorbid group. An assessment of the knowledge and attitudes of postmenopausal mothers in health care is important to maximize action in the treatment and prevention of disease. This type of research is a descriptive study that aims to describe behaviors, especially the knowledge and attitudes of postmenopausal mothers. The population of all menopausal mothers in the Medan Johor sub-district with a sample of 128 people. Data collection was carried out using questionnaires, which consisted of demographic data, and knowledge and attitude data. Univariate data analysis using frequency distribution and presentation. The results of the study found that the knowledge of postmenopausal mothers was in a low category, namely around 48%, and negative attitudes of 52% related to health care during the COVID-19 pandemic.
PEMBERDAYAAN KELUARGA MEMBATASI PENYEBARAN TUBERKULOSIS MELALUI PENINGKATAN PENGETAHUAN DI DESA KLAMBIR V SUMATERA UTARA Trisa Siregar, Cholina; Saidah Nasution, Siti
Martabe : Jurnal Pengabdian Kepada Masyarakat Vol 7, No 4 (2024): MARTABE : JURNAL PENGABDIAN KEPADA MASYARAKAT
Publisher : Universitas Muhammadiyah Tapanuli Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31604/jpm.v7i4.1366-1372

Abstract

Tuberkulosis Paru merupakan penyakit generative yang dapat menimbulkan perubahan status fisik pasien. Keberhasilan pengobatan tuberkulosis dipengaruhi oleh beberapa faktor termasuk dukungan keluarga dan masyarakat, dukungan sosial-ekonomi, dukungan tenaga kesehatan, ketersediaan untuk mengakses layanan kesehatan, stigma sosial, tekanan psikologis, dan faktor pengetahuan. Kegiatan pengabdian masyarakat ini dilaksanakan dilingkungan Dusun VII Desa Klambir V Kecamatan Hamparan Perak  tahun 2023. Peserta pengabdian yaitu masyarakat dusun VII Desa Klambir V sebanyak 82 orang. Kegiatan yang dilakukan meliputi penyuluhan tentang tuberculosis terutama tanda gejala, pencegahan, cara penularan, dan pengobatan untuk penderita penyakit TBC. Hasil kegiatan pengabdian diperoleh data pengetahuan terhadap perilaku pencegahan penyakit tuberkulosis pada kategori baik sebanyak 51 responden (62,2%) hal ini didukung oleh peran serta tenaga kesehatan, keluarga serta lingkungan dan keberhasilan pendidikan kesehatan yang diberikan merupakan komponen penting sebagai upaya pencegahan penyakit.
Pengaruh Supportive Care Interventions Terhadap Kecemasan dan Nyeri pada pasien Praoperasi Fraktur Tulang Panjang Ria Apriliani Waruwu; Dudut Tanjung; Siti Saidah Nasution
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.47664

Abstract

Fraktur tulang panjang merupakan kondisi medis yang sering terjadi akibat trauma atau kondisi patologis, yang dapat menimbulkan nyeri intens dan kecemasan, terutama menjelang prosedur operasi. Penelitian ini bertujuan untuk menganalisis pengaruh Supportive Care Interventions (SCI) terhadap tingkat kecemasan dan nyeri pada pasien praoperasi fraktur tulang panjang. Desain penelitian menggunakan Randomized Controlled Trial (RCT) dengan jumlah sampel sebanyak 64 responden yang dibagi secara acak menjadi dua kelompok: kelompok intervensi yang menerima SCI dan kelompok kontrol yang menerima perawatan rutin, masing-masing terdiri dari 32 responden. Tingkat kecemasan diukur menggunakan State-Trait Anxiety Inventory (STAI), sedangkan nyeri diukur menggunakan Numerical Rating Scale (NRS). Analisis data dilakukan menggunakan uji t berpasangan dan t independen. Hasil penelitian menunjukkan penurunan yang signifikan pada tingkat kecemasan dan nyeri di kelompok intervensi dibandingkan kelompok kontrol (p = 0,00). Rerata kecemasan pada kelompok intervensi tercatat sebesar Mean = 20,125; SD = 3,290, sedangkan pada kelompok kontrol Mean = 0,906; SD = 3,888. Rerata nyeri pada kelompok intervensi sebesar Mean = 1,969; SD = 0,695, sementara pada kelompok kontrol Mean = 0,125; SD = 0,871. Kesimpulannya, Supportive Care Interventions terbukti efektif dalam menurunkan kecemasan dan nyeri pada pasien praoperasi fraktur tulang panjang. Kata kunci: fraktur tulang panjang, kecemasan, nyeri, supportive care interventions, praoperasi, RCT
Hubungan Lingkungan Kerja Dengan Kinerja Perawat di RSU. Mitra Medika Amplas Septiani Arista Wahyuni; Siti Saidah Nasution; Farida Linda Sari Siregar
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.47734

Abstract

Latar Belakang: Kinerja perawat merupakan salah satu faktor krusial dalam menunjang kualitas pelayanan kesehatan. Lingkungan kerja dan motivasi memiliki peran penting dalam meningkatkan kinerja perawat. Lingkungan kerja yang mendukung dan motivasi yang tinggi diyakini mampu mendorong perawat untuk bekerja secara optimal dan profesional. Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan lingkungan kerja dengan kinerja perawat di RSU Mitra Medika Amplas. Metode: Penelitian ini menggunakan penelitian kuantitatif dengan pendekatan korelasional. Sampel penelitian berjumlah 73 perawat yang bekerja di ruang rawat inap RSU Mitra Medika Amplas. Pengambilan data menggunakan kuesioner terstruktur yang telah diuji validitas dan reliabilitasnya. Analisis data dilakukan secara univariat, bivariat menggunakan uji pearson dengan tingkat kepercayaan 95%. Hasil: Hasil analisis menunjukkan bahwa sebagian besar perawat memiliki persepsi baik terhadap lingkungan kerja sebanyak 53 orang (72,6%), cukup baik sebanyak 19 orang (26%), dan kurang sebanyak 1 orang (1,4%). Kinerja perawat diketahui mayoritas berada dalam kategori baik sebanyak 43 orang (58,9%), cukup baik sebanyak 30 orang (41,1%). Hasil uji korelasi menunjukkan terdapat hubungan yang signifikan antara lingkungan kerja dengan kinerja perawat di RSU Mitra Medika Amplas (p-value = 0,002). Kesimpulan:Lingkungan kerja memiliki hubungan yang signifikan terhadap kinerja perawat. Lingkungan kerja yang baik dapat meningkatkan kinerja perawat dalam memberikan pelayanan keperawatan. Oleh karena itu, pihak rumah sakit diharapkan dapat menciptakan lingkungan kerja yang aman, nyaman, dan mendukung bagi perawat untuk meningkatkan produktivitas kerja dan kualitas pelayanan keperawatan. Kata Kunci: Lingkungan Kerja, Motivasi, Kinerja Perawat Abstract Background:Nurses' performance is a crucial factor in determining the quality of health services in hospitals. A conducive work environment, both physically and non-physically, can affect nurses' performance in carrying out their duties. RSU Mitra Medika Amplas has experienced an increase in Bed Occupancy Rate (BOR) above the ideal standard and a high turnover rate among nurses, requiring attention to environmental factors that may affect their performance. Objective:This study aimed to analyze the relationship between the work environment and nurses' performance at RSU Mitra Medika Amplas. Method: This study used a quantitative correlational design. The sample of the study was 73 nurses working in the inpatient ward of RSU Mitra Medika Amplas. Data collection used a structured questionnaire that had been tested for validity and reliability. Data analysis was carried out univariately, bivariate using the Pearson test with a confidence level of 95%. Results: The results of the analysis showed that most nurses had a good perception of the work environment as many as 53 people (72.6%), quite good as many as 19 people (26%), and less as many as 1 person (1.4%). The performance of nurses was known to be mostly in the good category as many as 43 people (58.9%), quite good as many as 30 people (41.1%). The results of the correlation test showed that there was a significant relationship between the work environment and the performance of nurses at RSU Mitra Medika Amplas (p-value = 0.002). Conclusion:There is a significant relationship between the work environment and nurses' performance. A supportive, safe, and comfortable work environment can improve nurses' productivity and the quality of nursing care services in hospitals. Keywords: Work Environment, Nurses' Performance  
Hubungan Stres Kerja dengan Turnover Intention di RSU Mitra Medika Amplas Nikmal Hasanah Nasution; Siti Saidah Nasution
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.48750

Abstract

Stres kerja perawat dipengaruhi oleh berbagai faktor seperti tingginya tuntutan pekerjaan, jam kerja yang panjang, beban tanggung jawab yang besar, serta keterbatasan waktu istirahat. Stres kerja yang dialami perawat akibat tekanan dan tuntutan di lingkungan kerja berkontribusi terhadap meningkatnya turnover intention. Turnover intention adalah niat perawat untuk berhenti dari pekerjaannya. Penelitian ini bertujuan untuk menganalisis hubungan stres kerja dengan turnover intention perawat. Jenis penelitian ini adalah kuantitatif dengan desain deskriptif korelasi, dilakukan di Rumah Sakit Umum Mitra Medika Amplas pada bulan Januari- April 2025. Populasi dalam penelitian ini adalah seluruh perawat di Rawat Inap berjumlah 74 orang. Teknik pengambilan sampel menggunakan purposive sampling dengan jumlah 73 orang. Pengumpulan data menggunakan kuisioner expended nursing stress scale dan turnover intention scale yang dimodifikasi oleh peneliti. Data dianalisis menggunakan uji korelasi product moment perason. Hasil penelitian menunjukkan mayoritas stres kerja perawat berada pada tingkat sedang sebanyak 37 orang (50,7%) dan turnover intention berada pada tingkat sedang sebanyak 57 orang (78,1%). Ada hubungan stres kerja dengan turnover intention perawat di RSU Mitra Medika Amplas dengan nilai p=0,000 (p<0,05). Perlu dilakukan penelitian lebih lanjut mengenai hubungan stres kerja dengan turnover intention dengan faktor yang lebih spesifik.
Co-Authors A Karina Ariadni Aprilila Idela Br Sebayang Ardianto Ariadni, Dwi Karina Arlina Nurbaity Lubis Bima Suryantara Candra Meriani Damanik Darti, Nur Afi Daulay, Wardiyah Destanul Aulia Dewi Elizadiani Suza Dina Ayudia Rahma Dora Hastura Dudut Tanjung Eliza Hafni Elmeida Effendy Erlinda Sari Pasaribu Erniyati, Erniyati Esra Devi Tarida Lubis Esther Simatupang Etti Sudaryati Evalina Perangin Angin Evi Karota Bukit Fara Kanaya Aqila Damanik Febrina Oktavinola Fujiati, Isti Ilmiati Gadis Halizasia Girsang, Bina Mellvia Harahap, Putri Pameliyah Harahap, Rizki Noviyanti Harianja, Susi Junita Hariati Hariati Hariati Herlina, Desi Hernawati Hernawati Hezlin Ivana Miryam Marbun Hutasuhut, Yosi Alawiyah Ilma khairani Ita Pinem Jamila Rambe Jesy Natalia Ginting Juanita Juanita Kiking Ritarwan Lenni Afriani Batubara Lovita Diba Br Sinaga Mahnum Lailan Nasution Marbun, Betty Nurita Muara Lubis Muhammad Amru Baihaqi Mula Tarigan Nasution, Khafifah Ramadhani Nataria Yanti Silaban Nela Rosa Nikmal Hasanah Nasution Nur Afi Darti Nurbaiti Nurhafizah Nurhafizah Purba, Jenny Marlindawani Putra, Imam Budi Ramadhani, Cut Rizqa Reni Asmara Ariga Ria Apriliani Waruwu Rianti Pramita Rika Endah Nurhidayah Rini Apriliani Siregar Rissa Restina Utami Riswani Tanjung Roy Wilson Sihaloho Sahala Bungaran Silaen Saodah Hanim Sari, Farida Linda Sembiring, Atikah Marhamah Sembiring, Friska Septiani Arista Wahyuni Shabri Ma’arif Lubis Sidabutar, Novryanti Siti Anggina Khalilah Lubis Siti Khadijah Nasution Siti Mariani Damanik Siti Zahara Nasution, Siti Zahara Sitio, Roma Sri Adriana A Siahaan Sutan Anshor Lubis Tasrif Hamdi Wahyu Bima Saputra Wulantari, Masrina Naomi Yesi Ariani Yohana Beatry Sitanggang Yulisnawati Zulfendri Zulfendri - Zulfendri Zulfendri Zulfendri Zulfendri Zulfendri Zulhaida Lubis