護理師為第二型糖尿病病人進行護理計畫,下列哪項行動應包含在足部照護中?
Which action should the nurse include when planning care for a client with Type 2 diabetes to maintain foot health?
- ACheck feet daily for blisters, cuts, and redness✓ 正解每日檢查雙腳是否有水泡、割傷和紅腫
- BSoak feet in warm water daily每日用溫水浸泡雙腳
- CCut toenails in a curved shape將趾甲修剪成弧形
- DUse heating pads to keep feet warm使用熱敷墊保暖雙腳
糖尿病足部照護的核心在於預防皮膚完整性受損,因糖尿病病人常合併周邊神經病變(Peripheral neuropathy)與血管病變,對痛覺、溫覺不敏感且癒合能力差。每日徹底檢查足部是早期發現紅腫、水泡或潰瘍的最佳手段,能有效預防小傷口惡化為嚴重感染或壞疽。護理計畫應強調預防勝於治療,避免任何可能導致表皮損傷的行為。
The core of diabetic foot care is preventing breakdown of skin integrity, because clients with diabetes often have coexisting peripheral neuropathy and vascular disease, with reduced sensitivity to pain and temperature and impaired healing. Daily thorough inspection of the feet is the best way to detect early redness, blisters, or ulcers, and effectively prevents minor wounds from progressing into serious infection or gangrene. The plan of care should emphasize prevention rather than treatment, and avoid any behavior that could lead to skin breakdown.