護理師指導糖尿病病人如何進行正確的足部護理。下列哪些指導內容正確?(選所有適合的)
A nurse is teaching a client about proper foot care for diabetes mellitus. Which instructions are accurate? (Select all that apply.)
- AInspect feet daily for cuts and blisters✓ 正解每日檢查足部是否有割傷和水泡
- BApply lotion between the toes在趾間塗抹乳液
- CWear well-fitting, leather shoes✓ 正解穿著合腳的皮製鞋子
- DCut toenails straight across✓ 正解將指甲平直修剪
- EUse a thermometer to check bath water temperature✓ 正解使用溫度計檢查洗澡水溫
糖尿病足部護理的目標是預防潰瘍、感染與壞疽。由於糖尿病常伴隨周邊神經病變(Peripheral Neuropathy),病人可能對疼痛、溫度或壓力感覺遲鈍,因此每日自我檢查是護理重點。平剪指甲可預防甲溝炎,合適鞋履減少摩擦傷。特別注意,乳液塗抹在腳趾間會導致水分堆積,創造溫暖潮濕的環境,容易滋生細菌與黴菌,引發足癬或感染,這是臨床上常見的衛教誤區。
The goal of foot care in diabetes is to prevent ulcers, infection, and gangrene. Because diabetes is frequently accompanied by peripheral neuropathy, clients may have diminished sensation to pain, temperature, or pressure, so daily self-inspection is essential. Cutting toenails straight across prevents ingrown toenails, and well-fitting shoes reduce friction injuries. Importantly, applying lotion between the toes traps moisture and creates a warm, damp environment that fosters bacterial and fungal growth, leading to tinea or infection—a common patient-teaching pitfall.