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Journal : Jurnal Keperawatan Padjadjaran

Exposure of Mental Health Nurses to Violence in Mental Hospital : a Systematic Review Iyus Yosep; Zabidah Putit; Helmy Hazmi; Henny Suzana Mediani
Jurnal Keperawatan Padjadjaran Vol. 4 No. 3 (2016): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (673.348 KB) | DOI: 10.24198/jkp.v4i3.292

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Shortage of nurses and declining interest in becoming a mental health nurse are often attributed to workplacedistress and violence. These have become global issues and believed that shortage of nurses decreases the qualityof health care services. It leads distress among nurses, which is exposure to violence and traumatic experiences.In addition, nurses are also accused of seizing the rights of patients and committing violence against a patient.This paper focuses on the violence that occurred in mental health nurses during working in unpredictablesituation. A literature search of systematic review through the CINAHL, Medline, Google scholars and PsycInfodatabases, the empirical report using a nursing sample includes data on rates of violence exposure includingviolence, aggressive behavior, bullying, and sexual harassment. The result, a total of 400 articles provide dataon 2742 publications indicates near all of nurses in mental health experienced verbal abuse in the past month,furthermore, most of respondents’ ever experienced psychological abuse, and less of respondents experiencedphysical violence and sexual harassment. Rates of exposure vary by world region (Developed countries, Asia,Europe and Middle East), with the highest rates for physical violence and sexual harassment in the USA,Australia, United Kingdom, New Zealand region, and the highest rates of psychological violence and bullyingin the Middle East. The presence of violence signals an "alarm" that violence against nurses calls for specialattention in many countries. Essentially, the world must give a "priority" to handling violence against nurses.
Factors Affecting Low Back Pain among ICU Nurses Dadang Rochman; Henny Suzana Mediani; Aan Nur’aeni
Jurnal Keperawatan Padjadjaran Vol. 6 No. 3 (2018): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (659.233 KB) | DOI: 10.24198/jkp.v6i3.395

Abstract

Low back pain is a pain syndrome that is often felt in the lower back region accompanied by spreading to the legs. It is often associated with work-related musculoskeletal disorders. This condition is often experienced by the Intensive Care Unit (ICU) nurses, from mild to severe LBP, which may affect the productivity of work and physic of the nurses. Aim to analyze and explore the factors that affected the number of low back pain incidents in ICU nurses in hospitals in the Banten Province. This study used the correlational analytic method with a crosssectional approach. The study sample was 82 ICU nurses, obtained by total sampling. Data collection used the LKQ questionnaire (Low back pain Knowledge Questions) and observation sheets. Data analysis used the Chisquare and multiple logistic regression analysis with a prediction model.   Knowledge factor p (0.001), height p (0.021), night shift frequency p (0.003), and weight with a p-value (0.021) had a significant relationship with low back pain, whereas the ICU space environment factor p (0.668), work period p (0.462), and age p (0.079) did not have a significant relationship with low back pain. From related factors, knowledge had the most significant relationship with low back pain incident (OR = 38.62). This study has significantly proven that knowledge, height, weight, and frequency of night shifts affected the low back pain in ICU nurses. The nurse’s knowledge factor is the most influential factor of low back pain incident in ICU nurses. Increasing the ICU nurse’s knowledge about body biomechanics by following training  and developing  standard operating procedures. It is suggested to reduce the amount of excessive night shift burden ICU nurses, select and setting criteria for nurses working in the ICU.
Pengaruh Swedish Massage Therapy terhadap Tingkat Kualitas Hidup Penderita Leukemia Usia Sekolah Dewi Umu Kulsum; Henny Suzana Mediani; Argi Virgona Bangun
Jurnal Keperawatan Padjadjaran Vol. 5 No. 2 (2017): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1327.865 KB) | DOI: 10.24198/jkp.v5i2.449

Abstract

Di Indonesia ALL menduduki peringkat tertinggi kanker pada anak yang menyebabkan kematian. Kemoterapi merupakan pengobatan kanker dengan jangka waktu yang lama dan paling sering dilakukan, dimana dapat menyebabkan efek samping yang mengganggu fungsi fisik dan fungsi psikososial. Fenomena di Rumah Cinta Anak Kanker Bandung pun menggambarkan dimana angka kejadian penderita leukemia pada anak cenderung meningkat dan berfokus pada conservative therapy. Tujuan penelitian ini untuk mengetahui pengaruh swedish massage therapy terhadap tingkat kualitas hidup penderita leukemia usia sekolah di Rumah Cinta Anak Kanker Bandung. Metode penelitian menggunakan quasi eksperimen dengan nonequivalent control group design with pretest and posttest. Sampel dalam penelitian ini adalah anak usia sekolah yang berjumlah 34 orang (masing–masing grup 17 orang) dengan menggunakan consecutive sampling. Instrumen penelitian menggunakan PedsQL general score dan cancer module yang berstandar internasional. Prosedur yang digunakan pada penelitian ini adalah tindakan swedish massage therapy yang dilakukan langsung oleh peneliti. Analisis data yang digunakan adalah paired t-test dan independent t-test.Hasil penelitian menggambarkan terdapat perbedaan kualitas hidup pada kelompok intervensi sebelum dan sesudah dilakukan swedish massage therapy (p = 0,000 pada α = 5). Hasil penelitian merekomendasikan bahwa swedish massage therapy bisa dipakai sebagai metode alternatif dalam meningkatkan kualitas hidup penderita leukemia usia sekolah.Kata kunci: Kualitas hidup, leukemia, swedish massage therapy.
Faktor-Faktor yang Berhubungan dengan Kejadian Wound Dehiscence pada Pasien Post Laparatomi Tita Puspita Ningrum; Henny Suzana Mediani; Chandra Isabella H.P
Jurnal Keperawatan Padjadjaran Vol. 5 No. 2 (2017): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1320.7 KB) | DOI: 10.24198/jkp.v5i2.455

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Wound dehiscence sering terjadi setelah pembedahan mayor abdomen menimbulkan tingkat morbiditas dan mortalitas yang tinggi. Wound dehiscence dapat menimbulkan stress, eviserasi, reoperasi, gangguan citra tubuh, meningkatnya lama rawat dan biaya rawat, menurunkan kualitas hidup pasien serta kematian sehingga perlu menangani faktor yang mempengaruhi kejadian wound dehiscence. Tujuan dari penelitian ini adalah untuk menganalisis faktor-faktor yang berhubungan dengan kejadian wound dehiscence pada pasien dewasa post laparatomi di RSUP Dr Hasan Sadikin Bandung. Metode penelitian menggunakan analitik korelasi dengan pendekatan cross sectional. Sampel yang digunakan berjumlah 40 orang yang diambil dengan menggunakan consecutive sampling. Pengumpulan data dengan cara wawancara, observasi dan studi dokumentasi. Analisis univariat menggunakan distribusi frekuensi dan analisis bivariat menggunakan uji Chi Square. Hasil penelitian menunjukkan kejadian wound dehiscence terjadi ketika perawatan di rumah (35%). Hasil analisis bivariat menunjukkan adanya hubungan yang signifikan antara infeksi luka (p=0,0001), operasi emergensi (p = 0,020), hipoalbumin (p=0,037), anemia (p = 0,028), status nutrisi (0,010), dan adanya penyakit penyerta (p = 0,008) dengan kejadian wound dehiscence, serta tidak ada hubungan yang signifikan antara faktor usia (p = 0,581) dan jenis kelamin (p= 0,604) dengan kejadian wound dehiscence. Penting bagi perawat untuk mengidentifikasi potensial faktor risiko wound dehiscence pada pasien yang dilakukan operasi laparatomi dan segera melakukan intervensi yang diperlukan untuk mencegah terjadinya komplikasi wound dehiscence, diantaranya dengan melakukan discharge planning terkait perawatan luka dan pentingnya asupan protein yang adekuat supaya bisa dikenali ditahab mana terjadinya wound dehiscence.Kata kunci: Pasien, post laparatomi, wound dehiscence. Factors correlating of Wound Dehiscence in Patients after Laparatomi at Dr Hasan Sadikin General Hospital BandungAbsractWound dehiscence is often occurred after major abdominal surgery which impacts on morbidity and mortality rates and significantly contributes to prolonged hospital stays, implicit and explicit costs, associate with psychosocial stressor on patients, evisceration re-surgical operation, and may affect to quality of life patients. It is therefore necessary to identify factors affecting wound dehiscence. The aims of the study was to analyze factors correlating of post-operative wound dehiscence in adult patients at Dr Hasan Sadikin general hospital. Correlational analytic with cross sectional approach was used in this study. 40 patients were selected to be participated in this study by using consecutive sampling. Observations, interviews and study documents were conducted in data collection process. Univariate and Bivariate analysis with Chi Square were performed to analyze the data. Results of the study identified than wound dehiscence were occurred during patients at home (35%). Result of analysis bivariate showed that there was a significance correlation between wound infection (p=0, 0001), surgical emergency (p = 0,020), hypo albumin (p=0,037), anemia (p = 0,028), nutrition status (0,010), and other illness (p = 0,008) with wound dehiscence. Whereas, there was no correlation significantly between age factor (p = 0,581) and gender (p= 0,604) with wound dehiscence. It is important for nurses to identify potential risk factors of wound dehiscence in patients after post-operative laparotomy and prevent complication of wound dehiscence by doing discharge planning especially in term of wound care and the need of taking protein consumption adequately to avoid wound dehiscence.Key words: Adult patients, post-laparatomi, wound dehiscence.
Development of Team Cohesiveness Measurement Instruments in Interprofessional Collaborative Practice in Health Care francisca sri susilaningsih; Henny Suzana Mediani; Titis Kurniawan
Jurnal Keperawatan Padjadjaran Vol. 6 No. 1 (2018): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1449.435 KB) | DOI: 10.24198/jkp.v6i1.623

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AbstractHealth care management has an obligation to always provide safe, sustainable, comprehensive, quality and satisfactory health care for both the service user and care provider. The management and culture are built through the Interprofessional Health Care Collaborative Practice Model (MPIPK), which are implemented through four model components, i.e. the clinical pathway of patient management, team management of patients, patient care integrated documentation, and interdisciplinary patient problem solving through interdisciplinary case conference forums. In order to realize interprofessional collaboration practices, a cohesive climate is required that supports group functions and performances, and an instrument is needed to measure the team cohesiveness of this model. This research was conducted to develop a team cohesiveness measurement instrument in the interprofessional collaboration of health care. The instrumentation research design was carried out through the following steps: 1) Preparations of the instrument design commenced from the synthesis theory related to collective culture and individual culture on four components of the model; 2) Validation of the contents of the instrument with related experts; 3) Construct validation with 237 healthcare practitioners in an accredited hospital setting. Expert judgment results on instrument relevance (CVI) ranged from 0.77 to 0.91, the essence of instrument contents (CVR) was in range (+) 0.27 - 0.63, CVI and CVR scores indicated the relevant and essential content of the instrument. Test results of all constructed items were valid (0.283 - 0.847) and reliable, α Cronbach on 4 components (0.792 - 0.963) so, it is feasible to be used to measure the team cohesiveness.
Pengaruh Field Massage sebagai Terapi Adjuvan terhadap Kadar Bilirubin Serum Bayi Hiperbilirubinemia Novi Novianti; Henny Suzana Mediani; Ikeu Nurhidayah
Jurnal Keperawatan Padjadjaran Vol. 5 No. 3 (2017): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1535.76 KB) | DOI: 10.24198/jkp.v5i3.654

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Hiperbilirubinemia merupakan komplikasi yang sering terjadi pada masa neonatal. Terapi modalitas dibutuhkan karena fototerapi sebagai prosedur penatalaksanaan hiperbilirubinemia di rumah sakit berpotensi menimbulkan efek samping. Field massage sebagai terapi adjuvan, diduga dapat meningkatkan ekskresi bilirubin selama bayi mendapat fototerapi. Namun, penelitian field massage sebelumnya baru melaporkan penurunan kadar bilirubin diduga seiring meningkatnya frekuensi buang air besar sebagai efek massage. Tujuan penelitian untuk mengetahui pengaruh field massage sebagai adjuvan terhadap kadar bilirubin serum bayi hiperbilirubinemia yang menjalani fototerapi. Desain penelitian menggunakan kuasi eksperimen dengan non equivalen pre test-post test design with control group.Sampel diambil secara consecutive terbagi menjadi kelompok intervensi (16 responden) dan kelompok kontrol (16 responden). Data dianalisis menggunakan Dependen T-Test, Independen T-Test, dan Analysis of Covarians. Hasil menunjukkan rata-rata kadar bilirubin serum setelah intervensi pada kelompok intervensi (8,09+1,21) sedangkan kelompok kontrol (10,05+2,17). Penurunan rata-rata kadar bilirubin serum kelompok intervensi (7,20+1,59), sedangkan kelompok kontrol (4,64+1,25), antara kedua kelompok terdapat perbedaan penurunan yang bermakna (p=0,001). Kontribusi variabel confounding tidak berpengaruh terhadap penurunan rata-rata kadar bilirubin serum, setelah dikontrol variabel confounding pada kelompok intervensi memiliki nilai bersih (7,23+0,37), kelompok kontrol memiliki nilai bersih (4,61+0,37). Kesimpulan didapatkan field massage sebagai terapi adjuvan dapat menurunkan kadar bilirubin serum secara efektif. Berdasarkan hasil penelitian Field massage bisa menjadi salah satu alternatif intervensi keperawatan yang dapat digunakan dalam penatalaksanaan bayi hiperbilirubinemia di rumah sakit.Kata kunci: Field massage, fototerapi, hiperbilirubinemia, neonatal. Effect of Field Massage as Adjuvant Therapy on Serum Bilirubin Levels Neonatal HyperbilirubinemiaAbstract Hyperbilirubinemia is the common complication that occurs in neonatal period. Therapeutic modality is needed since phototherapy as a standard procedure for hiperbilirubinemia in hospital is often give side effects. Field massage is an adjuvant therapy might increases the excretion of infant bilirubin serum in procedure of phototherapy. However, previous research used field massage noticed that decreased levels of bilirubin allegedly increased with the frequency of defecation as massage effect. The purpose of this study was to determine effect of field massage as adjuvant to level of bilirubin serum in neonatal with phototherapy.The research design used quasi experiments with non equivalent pre test-post test design. The sample was recruited by consecutive sampling of 16 respondents in intervention group and 16 respondents in control group. Data were analyzed by using Dependent T-Test, Independent T-Test, and Analysis Covarians. Results showed that the mean serum bilirubin level after intervention in intervention group showed (8.09+1.21), while the control group were about 10.05+2.17. Decreasing mean serum bilirubin level in the intervention group (7.20+1.59) and the control group (4.64+1.25), between two groups showed that there had significant decrease (p=0.001). Contribution of confounding variables did not affect to the decreased mean serum bilirubin level, whereas after controlled confounding variables in the intervention group showed had net value (7.23+0.37), and for the control group (4.61+0.37). It can be concluded that field massage is effective and useful in decreasing bilirubin serum levels. Results of this study can be used as one of alternative nursing interventions in managing neonatal hyperbilirubinemia in hospitals.Keywords: Field massage, hyperbilirubinemia, neonatal, phototherapy.
The Origin and Development of Grounded Theory: A Brief History henny Suzana Mediani
Jurnal Keperawatan Padjadjaran Vol. 6 No. 1 (2018): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (13.644 KB) | DOI: 10.24198/jkp.v6i1.697

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AbstractGrounded theory is an inductive research method that provides for the systematic generation of theory using qualitative or/and quantitative data generated from interviews, observation, or written sources such as documents, or some combination there of gained by a rigorous research method. Nowadays there has been much used of grounded theory as qualitative methodology in nursing and other health disciplines, Grounded theory has been an important methodology for nursing research. The aim of this brief article is to explain how grounded theory came about.
Mucositis Effect on Quality of Life of Hospitalized Children with Cancer Who Received Chemotherapy Sri Hendrawati; Ikeu Nurhidayah; Henny Suzana Mediani; Ai Mardhiyah; Nenden Nur Asriyani Maryam
Jurnal Keperawatan Padjadjaran Vol. 7 No. 1 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1628.721 KB) | DOI: 10.24198/jkp.v7i1.1036

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Mucositis is very common in children with cancer who received chemotherapy. Mucositis in children renders other health problems such as pain, eating problems, insomnia, and emotional problems that directly determine children’s quality of life. The purpose of this research was to identify how the effects of mucositis on quality of life in children with cancer who received chemotherapy. The method used in this research is correlative descriptive analytic with cross-sectional design. Samples taken in this research utilized consecutive sampling technique. The children with cancer who met the inclusion criteria were approached to participate in this research. Sixty children with cancer hospitalized in Dr. Hasan Sadikin Hospital Bandung recruited in this research. Mucositis identification utilized Oral Assessment Guide (OAG). Data quality of life (QoL) would be assessed with PedsQoL Cancer Module 3.0. Data were analyzed by Chi-square correlation test. There are 53 children (88.3%) who experienced mucositis. In contrast, there are only 7 children who didn’t experience mucositis (11.7%). Based on this survey, there are 37 children (61.7%) have bad quality of life. Otherwise, 23 children (38.3%) have good quality of life. This research found that there is a significant relationship between mucositis and QoL of children with cancer. Accordingly, the relationship between mucositis cases and QoL of children with cancer valued at 0.006 (p<0.05). Mucositis cause low QoL in children with cancer compared to them without mucositis. Nurse should increase nursing care for children with mucositis as the side effect of chemotherapy. Suggested efforts are to prevent mucositis complication that will impact QoL, such as giving oral care with honey, keeping humid oral mucosa, and preventing infection
Factors Related to the Needs of Parents Having School Age Thalassemic Children Henny Suzana Mediani; Anita Tiara; Ai Mardhiyah
Jurnal Keperawatan Padjadjaran Vol. 7 No. 2 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1385.471 KB) | DOI: 10.24198/jkp.v7i2.1119

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Thalassemia is a major genetic blood disorder that has negative impacts on thalassemic children and their family. The needs of parents while caring for thalassemia children are important matters because the failure of meeting needs of parents may affect their mental and physical health. Yet, litle is known about factors that meeting the needs of thalasemic child parents. The study aim was to identify factors that correlate with the needs of parents having a school age thalassemic child in west jave province. This research used correlational analytic with cross sectional approach. The population in this study were parents of school-age children with thalassemia major totaling 136 people using the total sampling method. Data were analyzed with bivariate using chi square and biserial points. Then a multivariate analysis used logistic regression. The results showed the age of parents related to information (p = 0.005) and professional (p = 0.004), parent gender related to information (p = 0,000), professional (p = 0.017), social (p = 0.035), financial (p = 0.023) and spiritual (p = 0.009). Parental education is related to information (p = 0,000), social (p = 0,005), emotional (p = 0,000), financial (p = 0,016) and spiritual (p = 0,001). Parent income is related to information (0,000), social (p = 0,006), emotional (p = 0,000), financial (p = 0,003) and spiritual (p = 0,004). The number of thalassemia major children is related to emotional (p = 0.015) and financial (p = 0.013). Parental needs are related to several factors. The importance of increasing the role of nurses as educators and consultants and helping parents find sources of spiritual, emotional and financial support for parents of school-age children with thalassemia. 
Co-Authors Aan Nuraeni Aan Nur’aeni Adila, Raisa Ahmad Yamin Ai Mardhiyah Ai Mardhiyah Ai Mardhiyah AI MARDHIYAH, AI Ai Siti Ratnawati 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 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 Dwi Ningsih Handayani Setianing Budi E, Ermiati Eka Puspita Ema Arum Rukmasari Etika Emaliyawati Evi Nurjanah Fanny Adistie Fanny Adistie Fauziah Rudhiati Fitria, Nita Fitria, Nita francisca sri susilaningsih Furkon Nurhakim Furkon Nurhakim Furkon Nurhakim Gusgus Ghraha Ramdhanie Helmy Hazmi Hendrawati Hendrawati Iceu Amira DA Ihsar, Aini Hayati Iin Inayah Ike Sintia Suci Ikeu Nurhidayah Ikeu Nurhidayah Ikeu Nurhidayah Ikeu Nurhidayah Ikeu Nurhidayah Ikeu Nurhidayah Inni Zakiyah Iqra S Iyus Yosep Juniarti, Neti Laili Rahayuwati Lesmana, Sena Lilis Lusiani Lilis Mamuroh Linlin Lindayani Mamat Lukman Maya Atikasuri Mega Nurrahmatiani Meri Anggryni Millenika, Valencia Trie Muntiq Jannatunna’im Murtiningsih Murtiningsih Nadia Amelia Rindiarti Nenden Nur Asriyani Maryam Nenden Nur Asriyani Maryam Novi Novianti Novita Marcelina Kana Wadu Noviyanti Noviyanti Nurafni, Ratu Nuraziza Fatturahmi Firdianty Nurul Taopik Maulud Olga Sandrela Mahendra Padila Padila Rai Nurussakinah Raisa Adila Ratu Nurafni Riezky Fajri Septiani Rifda Nur Achriyana Arif Rifki Febriansyah Rindiarti, Nadia Amelia Riska Fauziah Nurmala Rizka Muliani Rusna Tahir Salsabila, Azzahra Santi MuIyani Selly Amalia Nurhasanah Sena Lesmana Setiawati Setiawati Shabarina, Adilla Sherly Manurung Sifa Nur Afriani Sifa Nuraini Sifva Fauziah Sinta Dwi Ananda Siti Fatimah Siti Yuyun Rahayu Siti Yuyun Rahayu Fitri Sonia Dwiastuti Pratiwi Sri Hendrawati Sri Hendrawati Sri Hendrawati Sri Hendrawati Sri Hendrawati Sri Hendrawati Sri Hendrawati Sri Hendrawati Sri Hendrawati Sri Purnama Alam Sukmawati Sukmawati Sukmawati Sukmawati Sulastini, Sulastini Tahir, Rusna Tejaningsih, Oktaviani Tetti Solehati Tetti Solehati Tetti Solehati Tetti Solehati Theresia Eriyani Tita Puspita Ningrum, Tita Puspita Titis Kurniawan 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