— 健康促進與維護 · MEDIUM · SATA —
護理師指導一位剛診斷為第二型糖尿病的病人，應包含哪些健康促進策略？（選所有適合的）
A nurse is caring for a client newly diagnosed with Type 2 Diabetes Mellitus. Which health promotion strategies should the nurse include in the teaching plan? (Select all that apply.)
- APerform daily foot inspections for blisters or sores✓ 正解每日檢查足部是否有水泡或潰瘍
- BEngage in at least 150 minutes of moderate aerobic activity per week✓ 正解每週進行至少 150 分鐘的中度有氧運動
- CAvoid all intake of carbohydrates to maintain stable blood glucose避免攝取所有碳水化合物以維持血糖穩定
- DMonitor blood glucose levels as prescribed✓ 正解遵照指示監測血糖
- EMaintain weight within a healthy BMI range✓ 正解將體重維持在健康的 BMI 範圍內
— Explanation · 中文詳解 —
糖尿病自我照護包含足部檢查（預防糖尿病足）、規律有氧運動（增加胰島素敏感度）、遵醫囑監測血糖及體重管理。完全避免碳水化合物並不符合均衡營養需求，重點應在於選擇複合型碳水化合物與控制總量，而非完全戒斷。
Self-management for diabetes includes foot inspection (preventing the diabetic foot), regular aerobic exercise (increasing insulin sensitivity), monitoring blood glucose as prescribed, and weight management. Completely avoiding carbohydrates does not meet balanced nutritional needs; the focus should be on choosing complex carbohydrates and controlling total amounts, not eliminating them entirely.
✦ 台美臨床差異
美國強調糖尿病衛教護理師（CDE）與營養師的團隊照護；台灣目前以門診衛教與個案管理師為主。