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FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN GANGGUAN KULIT PADA NELAYAN DI PERUMAHAN NELAYAN DESA TONYAMAN KEC. BINUANG KAB. POLEWALI MANDAR Firmansyah, Andan; syikir, muhammad
Jurnal Kesehatan Bina Generasi Vol 9 No 1 (2017): Jurnal Kesehatan Bina Generasi
Publisher : LPPM STIKES BINA GENERASI POLEWALI MANDAR

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Abstract

Abstrak:Penyakit kulit merupakan salah satu penyakit yang masih menjadi masalah kesehatan masyarakat Indonesia. Menurut Direktur Jenderal Pelayanan Medik Departemen Kesehatan Republik Indonesia tahun 2006, penyakit kulit dan jaringan subkutan berdasarkan prevalensi 10 penyakit terbanyak pada masyarakat Indonesia menduduki peringkat kedua setelah infeksi saluran pernapasan akut dengan jumlah 501.280 kasus atau 3,16% . Indonesia hingga saat ini merupakan salah satu negara dengan beban penyakit kulit yang tinggi. Pada tahun 2013, Indonesia menempati urutan ketiga di dunia setelah India dan Brazil. Tahun 2013, Indonesia memiliki jumlah kasus penyakit kulit baru sebanyak 16.856 kasus dan jumlah kecacatan tingkat 2 di antara penderita baru sebanyak 9,86% (WHO, 2013). Penyakit kulit merupakan salah satu dari delapan penyakit terabaikan atau Neglected Tropical Disease (NTD) yang masih ada di Indonesia, yaitu Filaria, Kusta, Frambusia, Dengue, Helminthiasis,Untuk mengetahui faktor-faktor yang kejadian gangguan kulit pada nelayan di Perumahan Nelayan Desa Tonyaman Kec.Binuang Kab.polewali Mandar. Desain penelitian yang digunakkan dalam penelitian ini yaitu desain cross sectional yaitu variabel bebas dan terikat diobservasi dan diukur dalam waktu bersamaan. Hasil analisis statistik dengan menggunakan uji Chi square pada penelitian ini di peroleh taraf signifikan α = 0,91, yang berarti p <α, hal ini menunjukan H1diterimadan H0ditolak, dengan demikian bahwa tidak ada hubungan antara lama kerja dengan kejadian gangguan kulit. Hasil analisis statistik dengan menggunakan uji Chi square pada penelitian ini di peroleh dengan taraf signifikan α = 0,02 yang berarti p <α, hal ini menunjukan H1diterimadan H0ditolak, dengan demikian bahwa ada hubungan antarapersonal hugyene dengan kejadian gangguan kulit pada nelayan.Kata kunci : Personal Hygiene, Lama Kerja, Gangguan Kulit.
HUBUNGAN KEBIASAAN MEROKOK DENGAN TIMBULNYA TANDA-TANDA SMOKER’S MELANOSIS DI LINGKUNGAN POKKO KECAMATAN ANREAPI KABUPATEN POLEWALI MANDAR Najamuddin, Nurisriani; Firmansyah, Andan
Jurnal Kesehatan Bina Generasi Vol 9 No 1 (2017): Jurnal Kesehatan Bina Generasi
Publisher : LPPM STIKES BINA GENERASI POLEWALI MANDAR

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Abstract

Merokok masih merupakan masalah kesehatan dunia karena dapat menebabkan berbagai penyakit bahkan kematian, merokok sudah menjadi kebiasaan yang lazim ditemui dalam kehidupan sehari-hari yang meluas di masyarakat. Ironisnya sebagian besar perokok justru berasal dari golongan ekonomi yang rendah dimana prepalensi perokok pada petani lebih besar dibandingkan pekerjaan yang lain. Bagian mukosa mulut yang terpapar asap rokok dapat menyebabkan terjadinya Smoker’s Melanosis Untuk mengetahui hubungan kebiasaan merokok dengan timbulnya tanda-tanda Smoker’s Melanosis dilingkungan Pokko KecamatanAnreapi. analitik dengan rancangan cross sectional, populasi yaitu seluruh masyarakat yang merokok aktif dilingkungan Pokko Kecamatan Anreapi yang memenuhi kriteria Inklusi.Sampel penelitian ini 64 responden yang didapat dengan menggunakan teknik Simpel random sampling. Instrumen yang digunakan yaitu kuesioner kebiasaan merokok dengan lembar observasi pemeriksaan rongga mulut. Hasil penelitian uji statistik menggunakan Chi Scuare pada tingkat kemakmuran α = 0,05 dimana hasil penelitian diperoleh ρ : 0,000 yang menunjukan ρ < α atau 0,000 < 0,05. terdapat hubungan yang bermakna antara hubungan kebiasaan merokok dengan timbulnya tanda-tanda Smoker’s Melanosis dilingkungan Pokko Kecamatan Anreapi. Saran masyarakat yang merokok maupun yang tidak merokokdiharapkan agar dapat menjaga kesehatan gigi dan mulut lebih baik lagi. Smoking that is a problem for health in the world because can cause anything disease and we can kill because of that, smoking that’s a habit for some people in their dayly life and for the societies. Ironically most smokers actually comes from the low economic. The prepalence of smokers in the farmer bigger than another jobs. Part of the oral mucosa are exposed the second smoker can cause the smoker’s.The aims of the researchto know the relationship smoking habit with signs smoker’s melanosis in neighborhood pokko anreapi district polewali mandar. thas is analysis with cross sectional, population people smooking active meet inclusion criteria.This research smple 64 respondent with using Simpel random sampling the instrument that using questionnaire a smoking habit with pieces observation in mouth cavity. The results of the statistical test using chi square test a α = 0,05 then the ρ :0,000 this means that the value of ρ < α atau 0,000 < 0,05. The conclusion is have the relationship between relationship smoking habit with signs smoker’s melanosis in neighborhood pokko anreapi district polewali mandar. Advice for this research, the societies for the passive or active smoker’s we hope that can sate our health likes our tooth and mouth for be bette
HUBUNGAN ORIENTASI DENGAN TINGKAT KECEMASAN PASIEN DI RUANG PERAWATAN ANGGREK LANTAI II RSUD POLEWALI MANDAR firmansyah, andan
Jurnal Kesehatan Bina Generasi Vol 7 No 1 (2015): Jurnal Kesehatan Bina Generasi
Publisher : LPPM STIKES BINA GENERASI POLEWALI MANDAR

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Abstract

Pasien yang masuk rumah sakit sering mengalami kecemasan dari kecemasan tingkat ringan sampai berat. Hal ini diduga perawat belum melaksanakan orientasi secara optimal. Pasien sering bertanya tidak tahu tempat pelayanan dan prosedur tindakan yang akan dilaksanakan, sebaliknya pasien yang mendapat penjelasan menunjukkan respon yang positif. Namun sampai saat ini belum diketahui pengaruh orientasi terhadap tingkat kecemasan. Tujuan Penelitian ini adalah untuk mengetahui Hubungan Orientasi dengan Tingkat Kecemasan Pasien di Ruang Perawatan Anggrek Lantai II RSUD Polewali Mandar. Jenis penelitian ini adalah Cross Sectional Study. Populasi dalam penelitian ini adalah semua pasien yang menjalani pengobatan atau sedang dirawat inap di ruang Perawatan Anggrek Lantai II RSUD Polewali Mandar yaitu sebanyak 520 orang pasien pada tahun 2015 dengan sampel yang didapatkan sebanyak 35 orangkesehatan pada masyarakat dan terhindar dari penyakit diare.
THE RELATIONSHIP OF NURSE KNOWLEDGE ABOUT THERAPEUTIC COMMUNICATION WITH IMPLEMENTATION OF THERAPEUTIC COMMUNICATION IN CHILDREN AGE OF PRASEKOLAH (6 YEARS) IN THE CARE ROOM 1 POLEWALI MANDAR RSUD Firmansyah, Andan
Bina Generasi : Jurnal Kesehatan Vol 9 No 2 (2017): Jurnal Kesehatan Bina Generasi
Publisher : LPPM STIKES BINA GENERASI POLEWALI MANDAR

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (299.815 KB) | DOI: 10.35907/jksbg.v9i2.41

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Background: Therapeutic communication is a way to foster therapeutic relationships between nurse-clients. In the communication process occurs the delivery of information, which can be used as an effective tool in providing nursing care to children. There are several possibilities of less successful therapeutic communication in children such as influenced by lack of knowledge of therapeutic communication, nurse attitude, education level, experience, environment, number of perceived power less and others. Treatment room 1 is a children's disease room with a bed capacity of 10 pieces with the number of preschool children as many as 18 people. According to Minister of Health Decree No. 262 year 2000 Ratio of number of beds with number of nurses in non-educational C type RS, 2 beds versus 3-4 nurses. Looking at the data on the number of nurses and the number of bed capacity in the treatment room 1 RSDU Polewali Mandar is very unbalanced, so the likelihood of successful therapeutic communication in children is reduced and can affect the knowledge and attitude of nurses in therapeutic communication in preschoolers. To overcome the problem one of them is by using effective therapeutic communication that will and is being done nursing actions such as digging perassaan, mind, behavioral changes so that will be able to solve psychological problems in preschool age children.The purpose of this study is to know the relationship nurse knowledge level about communication therapeutic with the implementation of therapeutic communication in 6-year-old preschool children in the treatment room 1 RSUD Polewali Mandar. with type of research using cross sectional study The population of this research is mother of balita which is in sub district of Matakali district Polewali Mandar with number 2389 mother of toddler. Sampling is done by total sampling method that is all nurses who work in treatment room I as much as 21 implementing nurses.wwwwwwThe results showed that there was a correlation between the level of nurse knowledge about therapeutic communication with the implementation of therapeutic communication in preschool age children (6 years) in the treatment room 1 RSUD Polewali Mandar. Means there is a tendency that the higher knowledge the better the implementation of therapeutic communication itself, especially in children with significant degree of significance p = 0.007> 0.05 means H1 is rejected and H0 received. Expected to the Public Hospital dareah Polewali Mandar In order to get the maximum service improvement, so that patients and visitors feel satisfied with the services provided.
PENGARUH REBUSAN BUAH MAHKOTA DEWA (PHALERIA MACROCARPA) TERHADAP PENURUNAN TEKANAN DARAH PADA LANSIA PENDERITA HIPERTENSI DI DESA SENDANA KECAMATAN MAMBI KABUPATEN MAMASA Firmansyah, Andan; wahab, masyitah
Bina Generasi : Jurnal Kesehatan Vol 10 No 2 (2018): Jurnal Kesehatan Bina Generasi
Publisher : LPPM STIKES BINA GENERASI POLEWALI MANDAR

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (407.065 KB) | DOI: 10.35907/jksbg.v10i2.110

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  Latar belakang :Hipertensi adalah tekanan darah persisten dimana tekanan sistoliknya diatas 140 mmHg dan diastolik diatas 90 mmHg. Buah mahkota dewa (Phaleria macrocarpa) merupakan salah satu tanaman asli yang berasal dari Indonesia yang akhir-akhir ini popular sebagai tanaman yang dapat menyembuhkan berbagai macam penyakit.tanaman mahkota dewa dapat meningkatkan sistem kekebalan tubuh, mengurangi kadar gula darah, serta mengurangi penggumpalan darah. Kandungan flavonoid pada Buah mahkota dewa dapat digunakan sebagai antihipertensi sedangkan polifenol berfungsi sebagai antihistamin. Tujuan penelitian ini adalah untuk membuktikan pengaruh rebusan buah mahkota dewa (Phaleria macrocarpa) Terhadap Penurunan Tekanan Darah Pada Lansia Di Desa Sendana Kecamatan Mambi Kabupaten Mamasa. Metode : Desain penelitian ini yaitu quasi eksperimen, dengan rancangan penelitian two group, Pre testand Post test designmenggunakan kelompok control (pembanding)  Dengan maksud untuk  menguji bagaimana  pengaruh  rebusan buah mahkota dewa terhadap penurunan tekanan darah pada lansia. Sampel dalam penelitian ini berjumlah 20respondendengan penentuan sampel menggunakan Consecutive Sampling.dimana seluruh responden merupakan penderita hipertensi yang sedang tidak mengkonsumsi obat antihipetensi. Hasil penelitian ini menunjukkan bahwaada pengaruh yang signifikan terhadap perubahan  tekanan  darah sebelum dan sesudah pemberian rebusan buah mahkota dewa p-value  0,004 < 0,005 ( Ho ditolak dan Ha diterima).      
KNOWLEDGE, BARRIERS, AND MOTIVATION RELATED TO BREAST AND CERVICAL CANCER SCREENING AMONG WOMEN IN BOJONEGORO, EAST JAVA: A QUALITATIVE STUDY Umami, Afriza; Sudalhar, Sudalhar; Pratama, Tegar Wahyu Yudha; Fitri, Istiqlal; Firmansyah, Andan
Journal of Health Promotion and Behavior Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Breast and cervical cancer remain a major cause of morbidity and mortality for wo­men in Indonesia. Although this cancer can be de­tected early, women are still less active in self-detecting breast and cervical cancer, so both cancers are found at an advanced stage. This study aimed to explore how women's knowledge, barriers, and motivations are related to early detection of breast and cervical cancer.Subjects and Method: This was a qualitative study, with focus group discussions (FGDs) and interviews with key informants. Discussions and in­terviews were conducted in the community within Ledok Kulon village, Bojonegoro Regency, East Java, Indonesia. Participants: FGD partici­pants involved 20 women, 10 women underwent FDG about cervical cancer and 10 other women conducted FGD about breast cancer. Three key informants interviewed with health worker and administrator that allow triangulation of res­pon­ses thereby increasing the validity of the findings. Participants were aged 20 to ?60 years, with no history of symptoms or previous diagnosis of breast or cervical cancer. The women were inter­viewed in October-November 2019. The trans­cri­bed data were analyzed using content analysis.Results: Participants' knowledge about under­stan­ding, risk factors, signs and symptoms of breast and cervical cancer was still lacking. Par­ticipants attributed the cause of cervical cancer to the vaginal wound resulting in cervical cancer and signs of symptoms such as heartburn. Whe­reas for breast cancer participants were not know the signs and symptoms, they only said there was a lump in the breast. Barriers to screening were ashamed to be examined by health workers, afraid of testing procedures, feeling healthy and there were no signs of cancer. Screening motiva­tion were experiencing signs and symptoms of can­cer, family history of the disease and aware­ness of the disease/screening service.Conclusion: The study participants' knowledge of breast and cervical cancer was still lacking. To improve breast and cervical cancer screening, efforts must focus on reducing identified barriers and increasing motivation.Keywords: knowledge, barriers, motivation, breast and cervical cancer screeningCorrespondence: Afriza Umami. Diploma III of Medical Records, School of Health Sciences Muhammadiyah Bojone­go­ro, Jl. A.Yani No.14, Bojonegoro, Indonesia. Email: afrizaumami20@gmail.com. Mobile: +62­8­225­4348041.Journal of Health Promotion and Behavior (2020), 5(1): 1-10 https://doi.org/10.26911/thejhpb.2020.05.01.01  
STUDI KASUS IMPLEMENTASI EVIDENCE-BASED NURSING: WATER TEPID SPONGE BATH UNTUK MENURUNKAN DEMAM PASIEN TIFOID Andan Firmansyah; Henri Setiawan; Heri Ariyanto
Viva Medika Vol 14 No 02 (2021): VOLUME 14 / Nomor 02 /MARET/ 2021
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (322.503 KB) | DOI: 10.35960/vm.v14i02.579

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Typhoid is an acute febrile illness caused by a bacterial infection of salmonella typhi and its endotoxin stimulates the synthesis and release of pyrogens by leukocytes in inflamed tissue resulting in hyperthermia. A non-pharmacological technique that can be used to reduce the increase in body temperature in hyperthermic patients is by doing a water tepid sponge bath, this technique is still rarely found in the field. Nurses tend to give antipyretics more often when children experience hyperthermia. This case study aims to present the results of implementing the evidence-based nursing water tepid sponge bath as an effort to reduce fever in typoid patients. Physical examination was performed using the head to toe method in typoid patients. The North American Nursing Diagnosis Association (NANDA) is used to determine nursing diagnoses. Meanwhile, nursing intervention refers to the Nursing Intervention Classification (NIC) and the Nursing Outcomes Classification (NOC). A hyperthermic nursing diagnosis with a diagnosis number 00007 is given a nursing intervention in the form of a water tepid sponge bath. After being given nursing intervention for 7 days, hyperthermia was resolved by the criteria that the patient's body temperature returned to normal 36.2 °C. Water tepid sponge bath is effective in reducing body temperature in typoid patients
Perilaku Hidup Bersih dan Sehat Dalam Pencegahan Penyakit Cikungunya Pada Pelajar Dadi Hamdani; H Setiawan; A Firmansyah
Jurnal Pengabdian Masyarakat Saga Komunitas Vol. 1 No. 1 (2022): Jurnal Pengabdian Masyarakat Saga Komunitas
Publisher : Sagamedia Indo Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (249.052 KB) | DOI: 10.53801/jpmsk.v1i1.15

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Latar Belakang: Chikungunya adalah infeksi virus yang ditandai dengan serangan demam dan nyeri sendi secara mendadak. Virus ini menyerang dan menulari manusia melalui gigitan nyamuk Aedes aegypti atau Aedes albopictus, dua jenis nyamuk yang juga dikenal sebagai penyebab demam berdarah. Pencegahan penyakit chikungunya dapat dilakukan melalui Perilaku Hidup Bersih dan Sehat yang dipraktekkan oleh setiap individu dengan kesadaran sendiri untuk meningkatkan kesehatannya dan berperan aktif dalam mewujudkan lingkungan yang sehat. Pelajar adalah penerus masa depan yang menjadi kunci pembangunan kesehatan sehingga harus diberikan berbagai pengetahuan yang cukup melalui health promotion, selain itu membiasakan hidup bersih dan sehat sejak remaja dapat melekat sampai  dengan masa tua. Tujuan: Tujuan dari pengabdian masyarakat ini adalah diharapkan setelah adanya kegiatan ini para pelajar dapat menerapkan prilaku hidup bersih dan sehat sebagai upaya dalam pencegahan penyakit chikungunya di dalam keseharian dan lingkungan tempatnya berada. Metode: Kegiatan penyuluhan dilakukan dengan cara ekspanasi dan diskusi pada 62 pelajar yang dikumpulkan di gedung As-Shofa Tasikmalaya pada tanggal 30 April 2021. Sebelum dan setelah penyuluhan, partisipan diberikan kuisioner pengetahuan dan hasilnya diolah menggunakan SPSS Versi 24. Instrumen penyuluhan menggunakan liflet dan power point presentation. Hasil: Penyuluhan pencegahan penyakit chikungunya berjalan dengan baik dan lancar serta berdampak positip terhadap peningkatan pengetahuan pada kelompok pelajar di masyarakat dari nilai rata-rata 68 menjadi 83. Melalui upaya promosi Perilaku Hidup Bersih dan Sehat dapat mewujudkan lingkungan yang sehat.
Theory Development of Genetic Counseling among Patient with Genetic Diseases Henri Setiawan; Suhanda Suhanda; Elis Roslianti; Andan Firmansyah
International Journal of Nursing and Health Services (IJNHS) Vol. 3 No. 6 (2020): International Journal of Nursing and Health Services (IJNHS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v3i6.350

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Genetic Counseling is a communication process undertaken to address the issue of genetic diseases affected in the family. The basic concept of Selfcare is active awareness, while genetic counseling is passive awareness. The nursing theory is based upon the philosophy that all "patients wish to care for themselves". The objective of this study to sustain the theory development of genetic counseling related to Orem’s Selfcare theory following on from three relationship construction theories which include self care theory, self care deficit theory and nursing system theory. Genetic counseling is relevan with Orem’s selfcare theory as a gold standard to improve self care awareness, increase quality of life and reduce stress level among patients and families with genetic diseases.
Health Education; The Comparison Between With Leaflet and Video Using Local Language In Improving Teenager’s Knowledge of Adverse Health Effect of Smoking Abdullah Abdullah; Andan Firmansyah; Asri Aprilia Rohman; Nurisriani Najamuddin; Rahmayanti Puang Kuma
Faletehan Health Journal Vol 7 No 1 (2020): Faletehan Health Journal
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (107.936 KB) | DOI: 10.33746/fhj.v7i1.50

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Smoking is a usual activity that we always find in our society, although most of the people know the danger of it, the habit of smoking still can be found in a big amount in our society, especially in the teenage area, whose stand in the biggest amount of smoker in Indonesia in this present. Health education changes attitude of young generation through knowledge, which is influence by several elements, such as delivered information, manner or props used, and language. The purpose of this research was to identify the comparison of leaflets and videos using local language to improve knowledge of the adverse health effects of smoking in the teenager. This research used the Quasi Experiment design with Pretest and Posttest Two Group of 120 respondents. The questionnaire used to examine the knowledge of respondents. The result using the Wilcoxon test showed that leaflet and video with local language are equally effective to increase knowledge of respondents of the health effects of smoking(p= -0.000), mean score after intervention by using the local language leaflet is 1.98, and mean score by using local language video is 2.32. So, local video is more effective to improve the knowledge of teenagers about the danger of smoking than the use of local language leaflets.
Co-Authors A Fitriani Aas Rosidah Abdullah Abdullah Ade Fitriani Ade Koswara Adi Nurapandi aditya nur wahyuni Ajeng Silvia Akmal Rahayu Dasuki Rahmat Alda Nurani Asmara Alfi Fadilah Ali Apriansyah Alifia Badriatul H Ana Samiatul Milah Andika Abdul Malik Annisa Fitria Nigusyanti asep gunawan Asri Aprilia Rohman Ayu Endang Purwati Ayu Nalaratih Bella D. Shinta Dadi Hamdani Daniel Akbar Wibowo Dea Sri suhartini Dedi Supriadi Deni Kurniawan Desty Yuliawati Dian Andriani Diki Arif Hidayat E Roslianti E Rosliati Elis Noviati Elis Roslianti Elza Dwi Zuvita Fani Afifah Fauzanillah Fauzanillah Fauzanillah Fidiyanti Amatilah Fidya Anisa Firdaus Fidya Anisa Firdaus Fitri, Istiqlal Gumelar Zati Rahayu H Setiawan Hadryani Amin Hani Monika Heni Heryani Heni Marliany Henri Setiawan Henri Setiawan hera maulidiyah Heri Ariyanto Heri Ariyanto Herni Oktriani Iif Taufiq El Haque Iis Ismayanti Iman Masluh Aziz Imel Puji Astuti Irma P. Arisanty Ishana Balaputra Jajuk Kusumawaty Kemala Fauzia Lidia Naela Sangadah Lilis Lismayanti Lisda Alvita Listiawati Listiawati M. Syikir Masyita Wahab Masyitah Wahab Maulidah Noorsopia Maya Ovia Meida Bintari Metty Nurherliyany MJW, Endrian Mohammad Haekal Muhamad Ramdan Nujulul Furqon Muhammad Daffa Alifio Muhammad Syahrul Zain Muhammad Syikir Mutia Dwi M Navis Aulia Rahman Nea Sherina Nendah Sulistiani Nendela Resta Angga Putri Neng Wiwin Mulyati Nizar Ahmad Nur Hidayat Nur Isriani Najamuddin Nur Isriani Najamuddin Nur Isriani Nurisriani Najamuddin Pratama, Tegar Wahyu Yudha Rahmayanti Puang Kuma Rapiyudin Reika Dhamayanti Reni Purwanti Rini Fitriani Rinrin Sugiartin Riza Nuraeni Putri Rizky Perdana Susanto Rosidah Solihah Rosmiati Rudi Kurniawan Sandriani Sani Dayanti Shofi Nurwahidah Siti Aisyah Sri Sulastri Desi Yanti SUDALHAR SUDALHAR Suhanda Suhanda Suhanda Suharta Suharta Sukmara Aji Falah Sulistiarini Syahdan Nurul Bayan Tarisa Amelia Tiara Cahya Rinukti Tita Rohita Umami, Afriza Vikri Haikal Ramdani wahab, masyitah Wina Widianti Wulan Permatasari Yuda Nugraha Yulistianto Yuyun Rahayu