護理師針對新診斷糖尿病的病患進行出院衛教,下列病患的哪些話顯示需要進一步教學?(選所有適合的)
A nurse is providing discharge instructions to a client with a new diagnosis of diabetes mellitus. Which of the following statements by the client indicate a need for further teaching? (Select all that apply.)
- AI will change my insulin dosage if I feel like my blood sugar is high✓ 正解如果我感覺血糖偏高,我會調整我的胰島素劑量
- BI should wear a medical alert bracelet at all times我應該隨時佩戴醫療警示手環
- CI will rotate the injection sites for my insulin to prevent lipodystrophy我會輪替胰島素注射部位以預防脂肪營養不良
- DI can skip my insulin if I am not planning to eat a large meal✓ 正解如果我不打算吃大餐,我可以跳過胰島素注射
- EI will monitor my blood glucose level at least once a day as prescribed我會遵照指示每天至少監測一次血糖
糖尿病患者絕對不可擅自調整胰島素劑量(A)或因未進食而跳過注射(D),這會導致嚴重高血糖或酮酸中毒。其餘選項皆為正確的糖尿病照護觀念:配戴警示手環(B)、注射部位輪替(C)以及遵醫囑監測血糖(E)皆正確,無需再教。
Diabetic patients must never adjust the insulin dose on their own (A) or skip injections because they did not eat (D); doing so could result in severe hyperglycemia or ketoacidosis. The remaining options reflect correct diabetes self-care: wearing a medical alert bracelet (B), rotating injection sites (C), and monitoring blood glucose as ordered (E) are all correct and require no further reteaching.
美國重視衛教後的 Teach-back 確認;台灣多採書面衛教,但在住院期間的衛教確認落實度不一。