The Experiences of Overweight Female Adolescents after Health Promotion Counseling

過重女性青少年於健康促進輔導後的生活經驗

陳美燕(Mei-Yen Chen)；周傳姜(Chuan-Chiang Chou)；許青雲(Ching-Yun Hsu)

過重女性青少年 ； 生活經驗 ； 健康促進輔導 ； female overweight adolescents ； experiences ； health promoting counseling

The Journal of Nursing Research

13卷1期（2005 / 03 / 01）

41 - 48

英文

有關過重青少年在接受體重控制輔導後之生活經驗的研究相當少，針對過重女性青少年採用質性研究方法來探討她們在減重過程的生活經驗之文獻更是不足。本文主要是探討女性過重青少年在參與某護理專科學校健康中心提供的健康促進活動後，其主觀生活經驗描述，共有30位曾經屬於過重或肥胖的該校五年級學生參與。研究者採用焦點團體訪談法，以方便取樣共分七小組，運用小組訪談直到內容未再出現新的主題爲止。訪談的資料以持續性比較法進行內容分析，結果揭示這些參與者減重之經驗主軸爲：活在改變中、渴望與退縮、局外人之感覺、支持就是原動力。此結果提供了健康專業人員認識過重女性青少年對周圍環境敏感的議題。此外，對於學校護理人員在協助過重女性青少年方面，也提供他們在健康促進輔導時有意義的參考資料。

The experiences of female overweight adolescents undergoing weight reduction are rarely reported. There is a paucity of studies using qualitative methodology to evaluate weight-reduction experiences. The aim of this study was to understand the main themes of the experiences of overweight female adolescents undergoing weight reduction after receiving school based health promotion counseling. Qualitative design was adopted and seven focus group discussions were conducted. On the basis of the qualitative method, the data were subjected to content analysis by means of the constant comparison method. A total of 30 female participants studying in a junior college of nursing were recruited in this study. All of them had been overweight or obese throughout the past four years. The findings revealed four themes of weight reduction experiences: living with changes; aspire vs. retreat; sense of alienation; support is a motivator. The outcomes of this study support the value of health promotion counseling conducted at school-based settings. It also provides references for health professionals promoting healthy ways of life.

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