Chae Sun-Mi, Yeo Ji-Young, Hwang Ji-Hye, Lee Ji-Hye, Lim Jiyoung, Kwon Insook
Seoul National University College of Nursing, The Research Institute of Nursing Science, 103 Daehak-ro, Jongno-gu, Seoul, Republic of Korea.
Seoul National University College of Nursing, The Research Institute of Nursing Science, 103 Daehak-ro, Jongno-gu, Seoul, Republic of Korea.
J Pediatr Nurs. 2017 Mar-Apr;33:4-9. doi: 10.1016/j.pedn.2016.12.003. Epub 2016 Dec 18.
This qualitative descriptive study sought to identify perceptions about and status of weight control in adolescents from the perspective of adolescents and their teachers.
Focus groups were used with six separate groups, 20 adolescents divided into four groups and 14 teachers divided into two groups. The qualitative data were analyzed using a thematic analysis in NVivo 11.0. Consolidated criteria for reporting qualitative studies (COREQ) were followed.
We extracted three themes and 12 sub-themes with 52 meaningful codes. Both adolescents and teachers stated that perceptions about weight control in adolescents were overly weighted toward management of one's appearance. The adolescents reported an increase in weight gained during adolescence, especially after entering high school, and they noted a lack of participation in physical activities and the presence of unhealthy dietary behaviors. However, adolescents perceived excessive weight gain during adolescence as natural, as long as they studied hard. Their teachers and parents were also permissive about weight gain resulted from study. The participants suggested that a weight control program for adolescents should be conducted in schools and should include every student in order to avoid discrimination. In addition, teacher involvement was emphasized to promote participation of adolescents in a school program.
Our findings indicate that adolescents, especially those in a society emphasizing academics, need to practice healthy weight control behaviors. A school-based weight control program involving teachers and peers would be suitable and should be provided to all students regardless of weight classification.
这项定性描述性研究旨在从青少年及其教师的角度，确定青少年对体重控制的看法和体重控制状况。
采用焦点小组法，分为六个独立小组，20名青少年分为四组，14名教师分为两组。使用NVivo 11.0中的主题分析法对定性数据进行分析。遵循定性研究报告的综合标准（COREQ）。
我们提取了三个主题和12个子主题，带有52个有意义的编码。青少年和教师均表示，青少年对体重控制的看法过度侧重于对外表的管理。青少年报告称，青春期体重增加，尤其是进入高中后，他们指出缺乏体育活动参与以及存在不健康的饮食行为。然而，青少年认为青春期体重过度增加是自然的，只要他们努力学习。他们的教师和父母对因学习导致的体重增加也持放任态度。参与者建议，应为青少年开展学校体重控制项目，且应涵盖每一位学生以避免歧视。此外，强调教师的参与以促进青少年参与学校项目。
我们的研究结果表明，青少年，尤其是处于强调学业的社会环境中的青少年，需要践行健康的体重控制行为。一个涉及教师和同伴的基于学校的体重控制项目将会是合适的，并且应该提供给所有学生，无论其体重分类如何。
