護理師指導糖尿病病人出院計畫,病人說出哪些話代表理解?(選所有適合的)
A nurse is teaching a client about discharge planning for diabetes management. Which statements indicate the client understands? (Select all that apply.)
- AI will inspect my feet daily for cuts or blisters✓ 正解我會每天檢查我的腳是否有割傷或水泡
- BI will rotate my injection sites to prevent lipohypertrophy✓ 正解我會旋轉注射部位以防止脂肪營養不良
- CI will skip my insulin dose if my blood sugar is normal如果我的血糖正常,我會跳過胰島素劑量
- DI will carry a fast-acting carbohydrate source at all times✓ 正解我會隨時攜帶速效碳水化合物來源
- EI will report any symptoms of vision changes to my provider✓ 正解我會向醫師報告任何視覺改變的症狀
糖尿病教育重點包括:每日足部檢查(避免傷口惡化)、注射部位輪替(預防脂肪增生影響吸收)、隨身攜帶急救糖源(應對低血糖)、定期回診監測視網膜病變。關於 C 選項,胰島素劑量必須遵照醫囑,即使血糖正常也不可自行停藥,以免導致高血糖反彈。
Key elements of diabetes education include: daily foot inspection (to detect wounds before they worsen), rotating injection sites (to prevent lipohypertrophy that interferes with absorption), carrying a fast-acting source of carbohydrate at all times (to treat hypoglycemia), and regular follow-up for retinopathy. Regarding option C, insulin doses must be taken as prescribed; even when blood glucose appears normal, the client must not stop insulin on their own, or rebound hyperglycemia will occur.
美國有針對糖尿病患的 CDE(認證衛教師),衛教資源極為系統化;台灣則由醫院衛教小組執行,社區醫療資源整合上近年正積極提升。