Konseling_Berhenti_Merokok_(_Vita)

7/23/2019 Konseling_Berhenti_Merokok_(_Vita)

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Manfaat Upaya BerhentiManfaat Upaya Berhenti

MerokokMerokok

1.Kesehatan

Risiko Kematian akan menurun Memberikan Usia Harapan Hidup

Panjang


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MANFAAT BERHENTI MEROKOK

MULAB!RH!"#

M!R$K$K

MA"%AA#

20 Menit

12 Jam

24 48 Jam

5 Hari

2 Minggu - Bu!an

Te"anan #ara$% &en'ut Jantung #an A!iran &ara$ Te(iMem)ai"*

Ham(ir +emua ni",tin #a!am tu)u$ +u#a$ #i meta),!i+me

Ting"at O #i #a!am #ara$ "em)a!i n,rma!*

Ni",tin mu!ai tere!imina+i #ari +i+tem% in#ra (enge.a( #an(en.iuman mu!ai mem)ai" /i+tem "ar#i,a+"u!armening"at )ai"*

/e)agian )e+ar meta),!it ni",tin #a!am tu)u$ +u#a$ $i!angFung+i (era+a(enge.a( #an (em)au au$ !e)i$mem)ai"*/i+tem "ar#i,a+"u!ar teru+ mening"at )ai"*

Ri+i", in3e"+i (a#a !u"a +ete!a$ (em)e#a$an )er"urang+e.ara )erma"na* Fung+i +i!ia mu!ai recovery #an 3ung+i

(aru mem)ai"Na3a+ (en#e" #an )atu"-)atu" )er"urang*


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MANFAAT BERHENTI MEROKOKMULA

B!RH!"#M!R$K$K

MA"%AA#

1 Ta$un

5 Ta$un

10Ta$$un

15 Ta$un

Ri+i", (en'a"it antung ",r,ner +etenga$ +ete!a$1 ta$un )er$enti #i)an#ing"an teta( mer,","*

Re+i", +tr,"e menurun (a#a !ee! 'ang +ama +e(erti,rang ti#a" (erna$ mer,","*

Ri+i", "an"er (aru "urang #ari +etenga$n'a* /emua(en'e)a) m,rta!ita+ #an ri+i", (en'a"it antung

",r,ner menurun (a#a !ee! 'ang +ama +e(erti ,rangti#a" (erna$ mer,","*

/um)er &I


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&. Mento'(osia)

Ha+i! (ene!itian #i !uar negeri 67/A#an Inggri+ )a$9a% mantan (er,","!e)i$ #i$,rmati #i)an#ing"an(er,","*

&i In#,ne+ia #engan (em)erian(eng$argaan )eru(a/erti:"at% IN

#an !a"at 6 /umatera Barat%;a!i",ta a#ang anang


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** !konomi

&i In#,ne+ia (enge!uaran untu" r,","mena#i (enge!uaran n,m,r #ua+ete!a$ (a#i-(a#ian 'ang )e+arn'a

rata-rata 10%4< atau 4 "a!i !i(at !e)i$)e+ar #ari(a#a (enge!uaran untu"mem)e!i #aging% te!ur #an +u+u*

enge!uaran untu" r,"," "a!i !e)i$tinggi #ari )ia'a (en#i#i"an 6%2


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Upaya Berhenti MerokokUpaya Berhenti Merokok

1* I#enti:"a+i a9a!

2* Ea!ua+i #an +u((,rtm,tia+i

* Tera(i )er$enti mer,","4* F,!!,9 u(


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a.denti+kasi pro+) perokokb.denti+kasi ketergantungannikotin,.denti+kasi tingkat moti-asi

1. !"#%KA( A/AL1. !"#%KA( A/AL


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I#enti:"a+i /tatu+ K!ien

!"#%KA( #P!

KL!"

(#RA#!0

K!ien 'ang mau)er$enti mer,","

K!ien 'ang )e!umingin )er$entimer,","

K!ien 'ang )aru)er$enti mer,","

K!ien 'ang ti#a"(erna$ mer,","

Bantu #engan !ang"a$4T6M,#i:"a+i 5A>+ #an

AB

Ting"at"an m,tia+i"!ien 6,nt,$ #engan9a9an.ara ",n+e!ing

m,tia+i,na!

?anut"an "egiatan)er$enti Mer,","

@


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,. #est untuk Ketergantungan"ikotin

Item Pilihan Respon Point

1. Berapa lama setelah bangun tidur anda merokok? dalam 5 menit6-30 menit30-60 menitsetelah 60 menit

3210

2. pakah anda mengalami kesulitan untuk menahandiri dari merokok ditempat-tempat !ang dilarang?

!atidak

10

3. "aktu Rokok pada saat kapan !ang paling susahditinggalkan?

pagi hari#aktu lain

10

$. Berapa %umlah batang rokok !ang dihisap setiap

hari?

&1011-2021-30'31

0

123

5. pakah merokok lebih ban!ak selama beberapa%ami setelah bangun tidur dibanding #aktu lain?

!atidak

10

6. pakah tetap merokok apabila tidak sehat danpada saat bed rest?

!atidak 10

0-5 ketergantungan rendah

6-10 ketergantungan sedang

11-15 ketergantungan berat


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Meni)ai tingkat moti-asi

(impe)

a+ien #itan'a"an mengenai )era(a )e+arm,tia+i untu" )er$enti mer,"," #engan

+"a!a ang"a @0 @ +am(ai @10

0 Ti#a" a#a m,tia+i +ama +e"a!i

10 /angat term,tia+im,tia+i +angattinggi


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/emua ta$a(an ter#a(at (r,+e+(em)i.araan (enting 'aitu mene!aa$+eau$ mana (a+ien term,tia+i untu"

teta( )er$enti mer,","* A(a)i!a ting"at m,tia+i +e+e,rang

'ang ren#a$"urang ma"a #i(er!u"an

#u"ungan m,tia+i* &u"ungan m,tia+i uga #i(er!u"an #ari

angg,ta "e!uarga atau ,rang ter#e"at

Nardini S, European Respiratory Monograph 42, 2008Fiore MC, Treating tobacco use and dependence, 2008

aora MoM! "uide#ines $or s%o&ing cessation, Ne' (ea#and) 2002!


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1* 7ng"a("an Em(ati* Cuna"an (ertan'aan open ended untu" mengga!i in3,rma+i

* &engar"an (a+ien untu" mema$ami

2* Bangun "eti#a"+u"aan "eti#a"+e+uaian* Te"an"an "e(a#a (a+ien mengenai "eti#a"+e+uaian "e)ia+aan

(a+ien mer,"," #engan +uatu ni!ai% tuuan% $ara(an #ari (r,gram

* Te"an"an (a#a "a!imat 'ang mengun#ang ",mitmen #ari (a+ien* Bangun #an (er#a!am ",mitmen 'ang +u#a$ #i)uat*

* Meng$a#a(i (en,!a"an* ,t,ng (em)i.araan #an a!i$"an (er$atian i"a ter#a(at tan#a-

tan#a (en,!a"an #ari (a+ien

* N'ata"an em(ati*

* Tan'a"an "e(a#a (a+ien untu" mem)eri"an in3,rma+i (enunang!ain*

4* &u"ungan m,tia+i +aat follow up* Ji"a (er,"," )er$a+i! me!a"u"an (antangan

* Ji"a (er,"," me!a"u"an (en'im(angan #ari (r,gram

* Ji"a (er,"," mer,"," "em)a!i +ete!a$ 2- minggu (r,gram


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#erapi nonfarmako)ogi #erapi farmako)ogi1* /e!3 $e!(2* Brie3 a#i.e* ",n+e!ing

a* In#ii#u

)* Ke!,m(,".* K,n+e!ing me!a!ui te!e(,n

4* Tera(i (eri!a"u5* 5* Tera(i (e!eng"a(

a* Hi(n,tera(i)* A"u(untur.* A"u(re+ure

1* Tera(i (enggantini",tin 6Ni.,tineRe(!a.ement

T$era(' NRT2. Bupropion SR

3. Varenicline tartrateK,m)ina+i tera(i )ai" tera(i

n,n3arma",!,gi #an3arma",!,gi te!a$ ter)u"ti)erma"na mem)eri"anting"at "e)er$a+i!an 'ang!e)i$ )ai" #i)an#ing"an tera(itungga!*

Nardini S, European Respiratory Monograph 42, 2008Fiore MC, Treating tobacco use and dependence, 2008



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ARA BERHENTI MEROKOK

2ara 1

B!RH!"# (!K!#KA

Hari ini an#a ma+i$ mer,","% )e+,"an#a )er$enti +ama +e"a!i* 7ntu""e)an'a"an ,rang% .ara ini 'ang(a!ing )er$a+i!* 7ntu" (er,"," )erat%mung"in #i)utu$"an )antuan me#i+untu" mengata+i e3e" "etagi$an


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2ara & P!"U"AA"

Menun#a +aat mengi+a( r,"," (ertama% 2 am +etia($ari #ari $ari +e)e!umn'a* Jum!a$ r,"," 'ang #i$i+a(ti#a" #i$itung* Mi+a!n'a "e)ia+aan meng$i+a( r,","(ertama rata-rata 0=*00 (agi% )er$enti mer,","#iren.ana"an #a!am = $ari* Ma"a r,"," (ertama

#itun#a 9a"tun'a% 'aitu Hari 1 am 0D*00

Hari 2 am 11*00

Hari am 1*00

Hari 4 am 15*00

Hari 5 am 1=*00Hari am 1D*00

Hari = am 21*00 tera"$ir


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2ara * P!"0URA"0A"

Jum!a$ r,"," 'ang #ii+a( +etia( $ari #i"urangi +e.ara)erang+ur-ang+ur #engan um!a$ 'ang +ama +am(ai 0)atang (a#a $ari 'ang #iteta("an* Mi+a!n'a rata-ratameng$i+a( 28 )atang r,"," (er $ari* Ber$enti mer,","#iren.ana"an #a!am = $ari*

Hari 1 24 )atangHari 2 20 )atang

Hari 1 )atangHari 4 12 )atang

Hari 5 8 )atang

Hari 4 )atangHari = 0 )atang


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?ANCKAH &AN TEKNIK KON/E?INC BERHENTIMEROKOK /AT7 - T7J7

(A (ambut kedatangan k)ien dengan memberi

sa)am dan berikan perhatian 3mu)aimen,iptakan hubungan yang baik4.

## #anyakan "e(a#a "!ien untu" menaagi(engeta$uan% (era+aan #an "e)utu$an "!ien

ter"ait #engan )a$a'a mer,"," )agi "e+e$atan*UU Uraikanin3,rma+i 'ang +e+uai #engan ma+a!a$

"!ien

#U#U Bantu "!ien untu" mema$ami "ea#aan #irin'a

+erta (erma+a!a$ann'a #an meneta("ana!ternati3 (eme.a$an ma+a!a$*

55 5e)askan !e)i$ rin.i ",n+e"uen+i #an "euntungan#ari +etia( a!ternati3 (eme.a$an ma+a!a$*

UU U)angi )e)era(a in3,rma+i (enting #an ingat"an

)i!a "!ien $aru+ me!a"u"an "unungan u!ang atau


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t$ en#e"atan K,n+e!ing +e+uai Ke!,m(,"7mur

Umur Karakter Pendekatan

Remaa - er+(e"ti3 ang"a(en#e"

- Mera+a mer,",")u"an a#i"+i

- A!a+an /,+ia!i+a+i#an enam(i!an

- Hindari na+e$atmenakut'nakuti6(en'a"it

- F,"u+ (a#a dampak)angsungrokok6na3a+ )au%gigiari "uning

- Tega+"an a"i)at ni",tin O

(a#a (re+ta+i o)ahraga

- Je!a+"an i"!an r,"," 'angti#a" uur

* $tt(t$e+.,,(,n+m,"ing*,rgG$tm!3a*($(

tt(999*+t,(-+m,"ing-ti(+*.,m#anger+-+m,"ing-(a++ie-+m,"er+*$tm!


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t$ en#e"atan K,n+e!ing +e+uai Ke!,m(,"7mur


200t$n

- Ban'a" )aru)eruma$tangga

- Mu!ai +a#ar#am(a" )uru"r,","

- Ingin )er$enti%

ta(i "etagi$an

- Ingin )er$enti"arenaa"an+u#a$ $ami!

- ukunguitter untu" .e(at)er$enti e3e" )uru" #arimer,"," )er+i3at "umu!ati3

- Je!a+"an dampak burukr,","(a#a perokok pasif

- Je!a+"an )a$a'a r,"," (a#aanin

* $tt(t$e+.,,(,n+m,"ing*,rgG$tm!3a*($(

tt(999*+t,(-+m,"ing-ti(+*.,m#anger+-+m,"ing-(a++ie-+m,"er+*$tm!


21/34


140t$n

- Re+(,n+i3 ter$a#a()antuan )er$enti

- Ri+au a"an e3e" gea!a(utu+ ni",tin

- /u#a$ (erna$men.,)a )er$enti gaga!

- Te"an"an (entingn'akua)itas hidup'ang )ai"

- Je!a+"an

a Cea!a (utu+ ni",tin sementara dapat diatasi

) /a"it kronis

- Kegaga!an a#a!a$ suksesyang tertunda (er!uterus men,oba

1* Fi,re M% et a!* 7/ &e(artment ,3 Hea!t$ an# Human /eri.e+* u)!i. Hea!t$ /eri.e* June 2000*

2* F,u!#+ J% et a!* Expert Opin Emerg Drugs* 2004DD5* * Cran#e+ C% et a!* Br !en "ract* 200510110=*

t$ en#e"atan K,n+e!ing +e+uaiKe!,m(," 7mur


22/34


40t$n

- Ber(en#a(at ta"ma+a!a$% "arena

+u#a$ !ama mer,","

- /u#a$ +eringmen.,)a gaga!teru+

- /im(ati" ter$a#a( !,gi"amere"a

- #egaskan manfaat)er$enti mer,"," (a#a umurberapapun

- Je!a+"an )a$9a re!a(+a#a!a$ umum u+a$a terusmen,obaa#a!a$ (enting

1* Fi,re M% et a!* 7/ &e(artment ,3 Hea!t$ an# Human /eri.e+* u)!i. Hea!t$ /eri.e* June 2000*

2* F,u!#+ J% et a!* Expert Opin Emerg Drugs* 2004DD5* * Cran#e+ C% et a!* Br !en "ract* 200510110=*

t$ en#e"atan K,n+e!ing +e+uaiKe!,m(," 7mur


23/34

;a9an.ara M,tia+i,na!

7ntu" mema$ami ta$a(an(eru)a$an (eri!a"u (a#a "!ien

rin+i(

E"+(re+i"an Em(ati

Meng$in#ari argumenta+i

&u"ungan "e'a"inan #iri


24/34

1* #ahap prokontemp)asi6 Be!um )er(i"ir +ama +e"a!i

Men#i#i" "!ien mengenai e3e" a#i"+i% (eri!a"u #an)a$a'an'a

2* #ahap Kontemp)asi6Mu!ai )er(i"ir )a$9a mer,"," menim)u!"anma+a!a$

Beri #u"ungan% um(an )a!i" 6",n3r,nta+i #engan

rama$ % $um,r* #ahap Preparation6persiapan

6Mau #an +ia( )er$enti mer,","

Mem)antu u(a'a )er$enti mer,","% i#enti:"a+i$am)atan% ren.ana"an )er$enti mer,","*

(ahapan Perubahan Perilaku


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4* #ahap Aksi6/u#a$ )er$enti mer,","

enguatan ",mitmen "!ien

5* #ahap peme)iharaan 6Maintenan,e6Teta( ti#a" mer,","

Mengena!i "eti#a"n'amanan 'ang#ia!ami "!ien +e!ama me!a"u"an u(a'a)er$enti mer,","

* Kekambuhan 3Re)aps46gaga!-mem)antu meng$a#a(i am)ia!en+i%mengea!ua+i ",mitmen #an $am)atan'ang a#a*


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1* Meni!ai a(a"a$ +u#a$ )er$a+i! )er$enti mer,"," atau+e)era(a )e+ar +u#a$ #a(at mengurangi um!a$ r,","'ang #i",n+um+i*

2* Meni!ai "en#a!a utama a(a)i!a )e!um )er$a+i!** Meni!ai m,tia+i #an mem)eri"an #u"ungan m,tia+i*

4* Meni!ai wit#drawal e$ect 'ang tim)u! #an .aramengata+in'a*

5* Mengea!ua+i e3e" +am(ing ,)at 6)i!a men#a(at"an,)at*

* Mem)eri"an tera(i tam)a$an i"a #i(er!u"an +e+uai

$a+i! ea!ua+i (en'e)a) )e!um )er$a+i! )er$entimer,"," mi+a!n'a tera(i (eri!a"u% $i(n,tera(i #an !ain-!ain*

=* Menge.e" )e)era(a (arameter 6+e(erti )erat )a#an%"a#ar O u#ara e"+(ira+i% te"anan #ara$ #an !ain-!ain

Nardini S, European Respiratory Monograph 42, 2008

Fiore MC, Treating tobacco use and dependence, 2008



27/34

enangananwit#drawal e$ect+ering"a!imem)utu$"an",n+u!ta+i #engan+(e+ia!i+

Susanto +!! Medicina# 20-0. 2/1)235-!Nicotine 'ithdra'a# sy%pto%s! http)66'''!he#p'iths%o&ing!co%6nicotine'ithdra'a#!php


28/34

?ANCKAH-?ANCKAH BERHENTI MEROKOK

&a!am )er)agai (e#,man umumn'a

mengena! i+ti!a$ (en#e"atan 5A>+ 'aitu%s&%%dvice%%ssess%%ssist#an%rrangeuntu" mem)antu +e+e,rang )er$entimer,","*

Me+"i(un )egitu a#a )e)era(a (e#,man

!ain 'ang mem(er"ena!"an (en#e"atanAB 'aitu%s&% Brief advice#an 'essationsupport* a#a (rin+i(n'a "e#ua(en#e"atan ter+e)ut +ama #a!am u(a'amem)antu )er$enti mer,","*

M,#i:"a+i #ari "e#ua (en#e"atan ter+e)ut#i In#,ne+ia #i(er"ena!"an i+ti!a$pendekatan 7#'aitu #anyakan% #e)aah%#o)ong #annasihati+erta #indak Lanjut#a!am mem)antu "egiatan )er$entimer,","*


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0aris besar )angkah pendekatan 7 t

#anyakanA(a"a$ "!ien meru(a"an +e,rangA(a"a$ "!ien meru(a"an +e,rang

(er,"," atau )u"anL(er,"," atau )u"anL

Tan'a"an ti(e "!ien% (r,:!(er,","% ting"at a#i"+i

"etergantungan ni",tin #an

ting"at m,tia+i untu"

)er$enti mer,","*

I#enti:"a+i #an #,"umenta+i+etia( (er"em)angan u(a'a

)er$enti mer,"," +etia(

(ertemuan*

#e)aahNi!ai "einginan "!ien untu"Ni!ai "einginan "!ien untu"

)er$enti mer,",")er$enti mer,","

er!u #i(a+ti"an "!ien memi!i"i

"einginan untu" )er$enti

mer,"," atau ti#a"% )i!a ti#a"

ma"a #i(er!u"an +uatu

",n+e!ing m,tia+i* Ni!ai +am ai mana"a$ ta$a


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?ANJ7TAN 4 t#o)ong dan nasehatiAnur"an "!ien untu" )er$entiAnur"an "!ien untu" )er$enti

mer,","mer,","

Cuna"an (en#e"atan +e.ara

(er+,na!% "uat% e!a+ untu"

menganur"an "!ien )er$entimer,","*

7ntu" "!ien 'ang )erniat

)er$enti mer,","% )eri"an

konse)ingagar "!ien #a(at

)er$enti mer,"," /u+un 9a"tu "a(an )er$enti

mer,"," a"an #i mu!ai% targetminimum a#a!a$ 2 minggu

Beri"an in3,rma+i

.aramet,#e untu" )er$entimer,"," +e(erti )er$enti!ang+ung% atau )erta$a(*

Berita$u "e!uarga #an,rang +e"itar )a$9a "ita

a"an )er$enti mer,"," #anminta!a$ #u"ungan #an


31/34

?ANJ7TAN 4 t#o)ong dan nasehatiAnur"an "!ien untu" )er$entiAnur"an "!ien untu" )er$enti

mer,","mer,","

Anti+i(a+i $am)atan 'anga"an mun.u!* Bia+an'a$am)atan (a!ing )e+ara"an tera#i (a#a minggu

(ertama 'a"ni gea!a (utu+ni",tin 6wit#drawal e$ect

7ntu" "!ien 'ang )e!um

)erniat untu" )er$enti

mer,","% tingkatkan

moti-asi#an u(a'a"an

interen+i !anut +e$ingga "!ien

#i ma+a 'ang a"an #atang

a"an )er$enti mer,","

/a8an,ara 6 konse)ingmoti-asiona)

#indak )anjut

Men'u+un ren.ana untu"

menin#a" !anuti tera(i 'ang

+u#a$ #i!a"u"an

7ntu" "!ien 'ang )eru+a$a

untu" )er$enti mer,","% ma"a

+u+un!a$ a#9a! untu"

",n+u!ta+i rutin)er"a!a


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?ANJ7TAN 4 t#indak )anjut

Men'u+un ren.ana untu"Men'u+un ren.ana untu"

menin#a" !anuti tera(i 'angmenin#a" !anuti tera(i 'ang+u#a$ #i!a"u"an+u#a$ #i!a"u"an

a#a (ertemuan )eri"utn'a

!a"u"an (eni!aian antar !ain

Ting"at "e)er$a+i!an)er$enti mer,","

Ting"at m,tia+i

Ken#a!a 'ang tim)u!

0eja)a withdrawal efect

dan penanganannya eni!aian (arameter "!ini+

6+e(erti )erat )a#an% "a#ar

O u#ara e"+(ira+i% te"anan

#ara$ #!!*

7ntu" "!ien 'ang ti#a" ingin

)er$enti mer,"," untu" +aat ini%

(er"ena!"an mengenai

"eti#a"tergantungan r,"," #an#an tingkatkan moti-asi"!ien


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?ANJ7TAN 4 t

#indak )anjutertim)angan tam)a$an

tera(i i"a a#a% atau

meruu" "e 3a+i!ita+

"e+e$atan !anutan i"a

)u!an )e!um )er$a+i!

)er$enti mer,","

Ji"a #i(er!u"anren.ana"an tera(i

tam)a$an untu" )er$enti

mer,"," #engan meruu"

"e 3a+i!ita+ (e!a'anan"e+e$atan !anut*


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Konseling_Berhenti_Merokok_(_Vita)

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Transcript of Konseling_Berhenti_Merokok_(_Vita)