— 健康促進與維護 · MEDIUM · MCQ —
護理師正在教導病人有關糖尿病的管理。下列何種陳述表示病人對預防足部併發症有良好理解？
A nurse is providing education on managing diabetes. Which statement by the client indicates a good understanding of preventing foot complications?
- AIt's okay to walk barefoot at home if my feet feel fine.如果我的腳感覺沒問題，在家裡光腳走是可以的。
- BI should wear sandals with an open toe to allow my feet to breathe.我應該穿開放式鞋頭的涼鞋，讓我的腳透氣。
- CI will soak my feet in hot water every night to improve circulation.我每天晚間都會用熱水泡腳以改善循環。
- DI will inspect my feet daily for any changes.✓ 正解我會每天檢查我的腳是否有變化。
— Explanation · 中文詳解 —
糖尿病病人常因末梢神經病變（Peripheral neuropathy）與循環不良，導致足部受傷而不自知。護理的核心在於『主動預防』與『每日檢查』。每日檢查足部有無紅腫、水泡、割傷或皮膚裂紋是預防糖尿病足潰瘍（Diabetic foot ulcer）的最重要措施。護理師應強化病人對足部保護的自我效能。
Clients with diabetes frequently sustain foot injuries without awareness due to peripheral neuropathy and impaired circulation. Nursing care emphasizes 'active prevention' and 'daily inspection.' Inspecting the feet daily for redness, swelling, blisters, cuts, or skin fissures is the most important measure for preventing diabetic foot ulcers. The nurse should reinforce the client's self-efficacy in foot protection.