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Soria-Martínez M, Navarro-Pérez CF, Pérez-Ardanaz B, Martí-García C. Conceptual framework of mental health literacy: Results from a scoping review and a Delphi survey. Int J Ment Health Nurs 2024; 33:281-296. [PMID: 37921340 DOI: 10.1111/inm.13249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Revised: 10/10/2023] [Accepted: 10/17/2023] [Indexed: 11/04/2023]
Abstract
Mental health literacy (MHL) has been identified as a factor influencing early help-seeking for mental health problems (MHPs) and stigmatizing attitudes. However, the lack of consensus on its definition has led to considerable heterogeneity in measurement and, consequently, methodological challenges in comparing data. In this way, the present study was conducted with the following objectives: in Phase I, mapping the existing literature through a scoping review; in Phase 2, 28 experts in the field of mental health participated to develop a consensus statement on the relevance and importance of the findings from Phase 1. A total of 37 articles were included for review. Notable nuances were identified in the conceptualization of MHL, particularly with regard to the fact that it should not be limited to mental disorders but should also encompass mental health. Furthermore, the sociocultural influence was highlighted as shaping MHL, recognizing it as a modifiable competence that adapts to different contexts and life stages, involving both individual and collective levels. The experts deemed the findings pertinent and relevant with a high degree of consensus, except for factors related to MHL. This framework provides a refined definition of MHL and related factors that should be taken into account to guide nursing and other disciplines' studies and interventions on MHL. The evolution of this concept includes dimensions to be considered in future research, especially when developing new measurement instruments or implementing educational programmes. This knowledge and skills cannot be determined globally without considering the context and development of the individual.
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Affiliation(s)
| | - Carmen Flores Navarro-Pérez
- Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad de Sevilla, Sevilla, Spain
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Botello-Hermosa A, González-Cano-Caballero M, Guerra-Martín MD, Navarro-Pérez CF, Arnedillo-Sánchez S. Perceptions, Beliefs, and Experiences about the Menstrual Cycle and Menstruation among Young Women: A Qualitative Approach. Healthcare (Basel) 2024; 12:560. [PMID: 38470671 PMCID: PMC10931084 DOI: 10.3390/healthcare12050560] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2023] [Revised: 02/14/2024] [Accepted: 02/25/2024] [Indexed: 03/14/2024] Open
Abstract
The experience of menstruation is often associated with negative connotations and gender stereotypes, which results in making it invisible. This research aimed to explore the perceptions, beliefs, and knowledge of young Spanish women regarding the menstrual cycle and menstruation and their impact on their lives. The study delves into their understanding, menstrual management practices, the types of menstrual products employed, and their experiences related to menstrual health. Qualitative methodology was used with discussion groups as a data collection technique. The participants comprised 45 young Spanish women, aged between 18 and 23, hailing from both rural and urban areas. The majority were university students, with some engaged in part-time work, and one participant working full-time. While many experienced menstrual pain ranging from mild to debilitating, a normalization of this pain often led them to forego seeking specialist assistance. Disposable menstrual products (DMPs) are the most used by participants, despite limited awareness of their absorption capacity. Regarding reusable menstrual products (RMPs), menstrual cup users emphasized comfort but expressed a need for proper training. Negative menstruation experiences could evoke fear and difficulties, underscoring the importance of providing comprehensive menstrual health education encompassing both theoretical and practical components.
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Affiliation(s)
- Alicia Botello-Hermosa
- Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009 Seville, Spain; (A.B.-H.); (S.A.-S.)
| | | | - María Dolores Guerra-Martín
- Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009 Seville, Spain; (A.B.-H.); (S.A.-S.)
- Institute of Biomedicine of Seville (IBiS), 41013 Seville, Spain
| | - Carmen Flores Navarro-Pérez
- Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009 Seville, Spain; (A.B.-H.); (S.A.-S.)
| | - Socorro Arnedillo-Sánchez
- Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009 Seville, Spain; (A.B.-H.); (S.A.-S.)
- Institute of Biomedicine of Seville (IBiS), 41013 Seville, Spain
- Midwifery Training Unit, Department of Materno-Fetal Medicine, Genetics and Reproduction, Hospital Universitario Virgen del Rocío, 41013 Seville, Spain
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Fernández-Aparicio Á, Perona JS, Schmidt-RioValle J, Montero-Alonso MA, Navarro-Pérez CF, González-Jiménez E. cMetS Based on Z-Scores as an Accurate and Efficient Scoring System to Determine Metabolic Syndrome in Spanish Adolescents. J Pers Med 2022; 13:jpm13010010. [PMID: 36675671 PMCID: PMC9865991 DOI: 10.3390/jpm13010010] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2022] [Revised: 11/30/2022] [Accepted: 12/17/2022] [Indexed: 12/24/2022] Open
Abstract
The definition of metabolic syndrome (MetS) based on dichotomous cut-off points is efficient in the adult population. However, to date, there is no international consensus on how to define MetS in the pediatric population. For that reason, a continuous MetS score (cMetS) has been proposed for the pediatric population. However, despite multiple attempts, cMetS has not been fully validated as there is no agreement about the most accurate score to calculate it. The purpose of the present study was to compare the validity of different scores (three siMS scores, z-score, principal components analysis (PCA), the sum of PCA, and confirmatory factor analysis) to calculate cMetS and determine MetS in Spanish adolescents. There were 981 subjects, ranging 11-16 years old, recruited for this cross-sectional study. Seven different approaches to pediatric cMetS scores were calculated. All cMetS scores calculated strongly correlated with each other, especially siMS scores. The area under the curve obtained from receiving operating characteristic curves was particularly elevated for z-scores 0.81 (95% CI: 0.784-0.838), showing a specificity of 64.4%. Our study shows that cMetS based on z-scores is accurate and efficient to be used for research instead of the dichotomized definition of MetS in adolescents; and cMetS based on siMS scores is useful for clinical practice.
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Affiliation(s)
- Ángel Fernández-Aparicio
- Department of Nursing, Faculty of Health Sciences, Melilla Campus, University of Granada, 52005 Melilla, Spain
- Instituto de Investigación Biosanitaria (ibs.GRANADA), 18014 Granada, Spain
| | - Javier S. Perona
- Department of Food and Health, Instituto de la Grasa-CSIC, Campus of the University Pablo de Olavide, 41013 Seville, Spain
| | - Jacqueline Schmidt-RioValle
- Department of Nursing, Faculty of Health Sciences, University of Granada, 18016 Granada, Spain
- Correspondence: ; Tel.: +34-958-243-495
| | - Miguel A. Montero-Alonso
- Department of Statistics and O.I., Faculty of Medicine, University of Granada, 18016 Granada, Spain
| | - Carmen Flores Navarro-Pérez
- Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009 Seville, Spain
| | - Emilio González-Jiménez
- Instituto de Investigación Biosanitaria (ibs.GRANADA), 18014 Granada, Spain
- Department of Nursing, Faculty of Health Sciences, University of Granada, 18016 Granada, Spain
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Navarro-Pérez CF, Fernández-Aparicio Á, González-Jiménez E, Montero-Alonso MÁ, Schmidt-RioValle J. Effects of COVID-19 lockdown on the dietary habits and lifestyle in a population in southern Spain: a cross-sectional questionnaire. Eur J Clin Nutr 2021; 76:883-890. [PMID: 34711931 PMCID: PMC8552428 DOI: 10.1038/s41430-021-01034-w] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2021] [Revised: 10/08/2021] [Accepted: 10/12/2021] [Indexed: 11/10/2022]
Abstract
Background/Objective Few studies have assessed the effect of lockdown on physical activity and eating behaviours in a population from the Autonomous Community of Andalusia in southern Spain. The aim of our study was to describe the effect of COVID-19 pandemic home lockdown on eating habits and lifestyle in the Andalusian population. Subjects/Methods A cross-sectional observational study was carried out on a population from southern Spain, Andalusian population. An online questionnaire was shared through social networks and snowball sampling. A total of 1140 people filled in the questionnaire. The questionnaire consisted of 34 items classified into three sections: sociodemographic data, work and leisure activities and questions on food consumption. Each item offered pre- and post-lockdown information. Results The participants were classified into three age groups: 18–35, 36–65 and over 65. Statistically significant differences were found between the three groups, with the younger age group undergoing greater changes, increasing their physical activity and consumption of fresh food, and decreasing both their consumption of fast food at home and alcohol intake. Conclusions These findings suggest that, in the current social and health crisis, the citizens of southern Spain have become aware of the importance of maintaining an appropriate lifestyle to remain healthy, particularly the younger population with less well-consolidated habits.
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Affiliation(s)
- Carmen Flores Navarro-Pérez
- Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009, Seville, Spain
| | - Ángel Fernández-Aparicio
- Department of Nursing, Faculty of Health Sciences, University of Granada, Av. Ilustración, 60, 18016, Granada, Spain
| | - Emilio González-Jiménez
- Department of Nursing, Faculty of Health Sciences, University of Granada, Av. Ilustración, 60, 18016, Granada, Spain.
| | | | - Jacqueline Schmidt-RioValle
- Department of Nursing, Faculty of Health Sciences, University of Granada, Av. Ilustración, 60, 18016, Granada, Spain
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Forero-Bogotá MA, Ojeda-Pardo ML, García-Hermoso A, Correa-Bautista JE, González-Jiménez E, Schmidt-RíoValle J, Navarro-Pérez CF, Gracia-Marco L, Vlachopoulos D, Martínez-Torres J, Ramírez-Vélez R. Body Composition, Nutritional Profile and Muscular Fitness Affect Bone Health in a Sample of Schoolchildren from Colombia: The Fuprecol Study. Nutrients 2017; 9:E106. [PMID: 28165360 PMCID: PMC5331537 DOI: 10.3390/nu9020106] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2016] [Revised: 12/05/2016] [Accepted: 12/13/2016] [Indexed: 01/19/2023] Open
Abstract
The objective of the present study is to investigate the relationships between body composition, nutritional profile, muscular fitness (MF) and bone health in a sample of children and adolescents from Colombia. Participants included 1118 children and adolescents (54.6% girls). Calcaneal broadband ultrasound attenuation (c-BUA) was obtained as a marker of bone health. Body composition (fat mass and lean mass) was assessed using bioelectrical impedance analysis. Furthermore height, weight, waist circumference and Tanner stage were measured and body mass index (BMI) was calculated. Standing long-jump (SLJ) and isometric handgrip dynamometry were used respectively as indicators of lower and upper body muscular fitness. A muscular index score was also computed by summing up the standardised values of both SLJ and handgrip strength. Dietary intake and degree of adherence to the Mediterranean diet were assessed by a 7-day recall questionnaire for food frequency and the Kidmed questionnaire. Poor bone health was considered using a z-score cut off of ≤-1.5 standard deviation. Once the results were adjusted for age and Tanner stage, the predisposing factors of having a c-BUA z-score ≤-1.5 standard deviation included being underweight or obese, having an unhealthy lean mass, having an unhealthy fat mass, SLJ performance, handgrip performance, and unhealthy muscular index score. In conclusion, body composition (fat mass and lean body mass) and MF both influenced bone health in a sample of children and adolescents from Colombia. Thus promoting strength adaptation and preservation in Colombian youth will help to improve bone health, an important protective factor against osteoporosis in later life.
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Affiliation(s)
- Mónica Adriana Forero-Bogotá
- Centro de Estudios para la Medición de la Actividad Física (CEMA), Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogota DC 111221, Colombia.
| | - Mónica Liliana Ojeda-Pardo
- Centro de Estudios para la Medición de la Actividad Física (CEMA), Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogota DC 111221, Colombia.
| | - Antonio García-Hermoso
- Laboratorio de Ciencias de la Actividad Física, el Deporte y la Salud, Universidad de Santiago de Chile, USACH, Región Metropolitana, Santiago 7500618, Chile.
| | - Jorge Enrique Correa-Bautista
- Centro de Estudios para la Medición de la Actividad Física (CEMA), Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogota DC 111221, Colombia.
| | - Emilio González-Jiménez
- Departamento de Enfermería, Facultad de Ciencias de la Salud Avda, De la Ilustración, s/n, (18016), Universidad de Granada, Granada 18071, Spain.
- Grupo CTS-436, Adscrito al Centro de Investigación Mente, Cerebro y Comportamiento (CIMCYC), Universidad de Granada, Granada 18071, Spain.
| | - Jacqueline Schmidt-RíoValle
- Departamento de Enfermería, Facultad de Ciencias de la Salud Avda, De la Ilustración, s/n, (18016), Universidad de Granada, Granada 18071, Spain.
- Grupo CTS-436, Adscrito al Centro de Investigación Mente, Cerebro y Comportamiento (CIMCYC), Universidad de Granada, Granada 18071, Spain.
| | - Carmen Flores Navarro-Pérez
- Departamento de Enfermería, Facultad de Ciencias de la Salud Avda, De la Ilustración, s/n, (18016), Universidad de Granada, Granada 18071, Spain.
- Grupo CTS-436, Adscrito al Centro de Investigación Mente, Cerebro y Comportamiento (CIMCYC), Universidad de Granada, Granada 18071, Spain.
| | - Luis Gracia-Marco
- Children's Health and Exercise Research Centre (CHERC), Sport and Health Sciences, University of Exeter, Exeter EX1 2LU, UK.
- GENUD "Growth, Exercise, Nutrition and Development" Research Group, University of Zaragoza, Zaragoza 50009, Spain.
| | - Dimitris Vlachopoulos
- Children's Health and Exercise Research Centre (CHERC), Sport and Health Sciences, University of Exeter, Exeter EX1 2LU, UK.
| | - Javier Martínez-Torres
- Grupo GICAEDS, Facultad de Cultura Física, Deporte y Recreación, Universidad Santo Tomás, Bogotá DC 111221, Colombia.
| | - Robinson Ramírez-Vélez
- Centro de Estudios para la Medición de la Actividad Física (CEMA), Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogota DC 111221, Colombia.
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Ramírez-Vélez R, Ojeda-Pardo ML, Correa-Bautista JE, González-Ruíz K, Navarro-Pérez CF, González-Jiménez E, Schmidt-RioValle J, Izquierdo M, Lobelo F. Normative data for calcaneal broadband ultrasound attenuation among children and adolescents from Colombia: the FUPRECOL Study. Arch Osteoporos 2015; 11:2. [PMID: 26691632 DOI: 10.1007/s11657-015-0253-0] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/06/2015] [Accepted: 12/09/2015] [Indexed: 02/03/2023]
Abstract
UNLABELLED Quantitative ultrasound (QUS) has been found to be a safe and reliable method for evaluating bone mineral density (BMD). Using calcaneal QUS techniques, the current study contributes to remedying this gap in the literature by establishing normative data among children and adolescents from Colombia. INTRODUCTION Minimal data on BMD changes are available from populations in developing countries. BMD reference values for children and adolescents have not been published for a Latin-American population. The aim of this study was to establish a normal reference range of calcaneal broadband ultrasound attenuation (BUA) in Colombian children and adolescents with ages ranging from 9 to 17.9 years. METHODS A sample of 1001 healthy Colombian youth (boys n = 445 and girls n = 556), children, and adolescents (9-17.9 years old) participated in the study. A calcaneus QUS parameter (BUA) was obtained for boys and girls, stratified by age group. Furthermore, height, weight, fat mass percentage, and body mass index were measured. Centile smoothed curves for the third, tenth, 25th, 50th, 75th, 90th, and 97th percentiles were calculated using the LMS method (L [curve Box-Cox], M [curve median], and S [curve coefficient of variation]). RESULTS Mean (± SD) values for the participants' anthropometric data were 12.9 ± 2.3 years of age, 45.2 ± 11.5 kg weight, 1.51 ± 0.1 m height, 19.5 ± 3.1 kg/m(2) BMI, and 69.5 ± 17.1 dB/MHz BUA. Overall, all variables were significantly higher in boys except in BMI and body fat percentage. Girls generally had higher mean calcaneal BUA (dB/MHz) values than the boys, except in the age ranges 16 and 17.9, p > 0.05. In addition, the BUA (dB/MHz) increased with age throughout childhood and adolescence and reached a plateau by age 15-17.9 for girls. CONCLUSIONS For the first time, our results provide sex- and age-specific BUA reference values for Colombian children and adolescents aged 9-17.9 years. A more specific set of reference values is useful for clinicians and researchers and informs clinical practice to monitor bone mineral status.
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Affiliation(s)
- Robinson Ramírez-Vélez
- Centro de Estudios en Medición de la Actividad Física [CEMA], Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogotá, DC, Colombia.
| | - Mónica Liliana Ojeda-Pardo
- Centro de Estudios en Medición de la Actividad Física [CEMA], Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogotá, DC, Colombia. .,Grupo de Investigación GICAEDS, Facultad de Cultura Física, Deporte y Recreación, Universidad Santo Tomás, Bogotá, DC, Colombia.
| | - Jorge Enrique Correa-Bautista
- Centro de Estudios en Medición de la Actividad Física [CEMA], Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogotá, DC, Colombia.
| | - Katherine González-Ruíz
- Centro de Estudios en Medición de la Actividad Física [CEMA], Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogotá, DC, Colombia.
| | - Carmen Flores Navarro-Pérez
- Departamento de Enfermería, Facultad de Enfermería, Universidad de Granada, C/ Santander N° 1 [52071], Melilla, Spain.
| | - Emilio González-Jiménez
- Departamento de Enfermería, Facultad de Ciencias de la Salud, Avda. De la Ilustración [18016], Universidad de Granada, Granada, Spain. .,Grupo CTS-436, Adscrito al Centro de Investigación Mente Cerebro y Comportamiento [CIMCYC], Granada, Spain.
| | - Jacqueline Schmidt-RioValle
- Departamento de Enfermería, Facultad de Ciencias de la Salud, Avda. De la Ilustración [18016], Universidad de Granada, Granada, Spain. .,Grupo CTS-436, Adscrito al Centro de Investigación Mente Cerebro y Comportamiento [CIMCYC], Granada, Spain.
| | - Mikel Izquierdo
- Grupo de Investigación GICAEDS, Facultad de Cultura Física, Deporte y Recreación, Universidad Santo Tomás, Bogotá, DC, Colombia. .,Department of Health Sciences, Public University of Navarra, Pamplona, Spain.
| | - Felipe Lobelo
- Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
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Flores Navarro-Pérez C, González-Jiménez E, Schmidt-RioValle J, Meneses-Echávez JF, Martínez-Torres J, Ramírez-Vélez R. [SOCIODEMOGRAPHIC FACTORS AND ADEQUACY OF PRENATAL CARE ASSOCIATED PERINATAL MORTALITY IN COLOMBIAN PREGNANT WOMEN]. NUTR HOSP 2015; 32:1091-8. [PMID: 26319825 DOI: 10.3305/nh.2015.32.3.9179] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
BACKGROUND an adequate monitoring and the compliance of the nutritional requirements are essential for fetal development and successful control of pregnancy outcomes. This study aimed to determine the association between sociodemographic factors and the pre-birth monitoring associated with perinatal mortality in pregnant women from Colombia. METHODS this was a cross-sectional analysis from the 2010 Colombian Demographic and Health Survey and the National Nutritional Survey that included 14 754 pregnant women between 13 and 44 years old. Sociodemographic factors included: new born sex, geographic region, socioeconomic status (SISBEN), pre-birth monitoring (weight control, uterus height, blood pressure, fetal cardiac activity, biochemistry essays, urine analysis) and the supplementation of iron, calcium and folic acid, were collected by structured questionnaire. Associations were established through multivariable and binary regression models. RESULTS sociodemographic factors such as living in high-density cities, pacific and western regions and low socioeconomic status (SISBEN I) showed a highest perinatal mortality with rates of 1.7%, 1.5%, 1.4% and 1.4%, respectively. After adjustment by new born sex, geographic region and SISBEN score, an adequate monitoring of weight control (OR = 5.12), blood pressure (OR = 5.18), biochemistry essays (OR = 2.19), supplementation of iron (OR = 2.09), calcium (OR=1.73) and folic acid (OR = 2.73) were associated as facilitators of perinatal mortality. CONCLUSIONS perinatal mortality is determined by the sociodemographic factors and pre-birth follow-up included in this study. Government and decision makers can take these results to garbage actions aiming to improve pregnancy monitoring.
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Affiliation(s)
- Carmen Flores Navarro-Pérez
- Departamento de Enfermería. Facultad de Enfermería. C/ Santander N.º 1 (52071). Universidad de Granada, Melilla (España)..
| | - Emilio González-Jiménez
- Departamento de Enfermería. Facultad de Ciencias de la Salud. Avda. De la Ilustración (18016). Universidad de Granada, España..
| | - Jacqueline Schmidt-RioValle
- Departamento de Enfermería. Facultad de Ciencias de la Salud. Avda. De la Ilustración (18016). Universidad de Granada, España..
| | | | - Javier Martínez-Torres
- Grupo "El Cuidar". Programa de Enfermería. Universidad de Pamplona. Norte de Santander, Colombia (Colombia)..
| | - Robinson Ramírez-Vélez
- Grupo GICAEDS. Facultad de Cultura Física, Deporte y Recreación. Universidad Santo Tomás. Bogotá. DC (Colombia)..
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