— 基本照護與舒適 · MEDIUM · SATA —
一位糖尿病病人詢問足部護理，護理師應提供哪些衛教內容？（選所有適合的）
A client with diabetes mellitus asks about foot care instructions. Which statements should the nurse include? (Select all that apply.)
- AInspect your feet daily for blisters or cuts✓ 正解每日檢查雙腳是否有水泡或割傷
- BSoak your feet in warm water for 30 minutes daily每日用溫水浸泡雙腳 30 分鐘
- CUse a mirror to visualize the bottom of your feet✓ 正解使用鏡子檢視腳底
- DApply lotion between the toes to prevent cracking在趾間塗抹乳液以防乾裂
- EWear clean, absorbent cotton socks✓ 正解穿著乾淨、吸濕的棉襪
— Explanation · 中文詳解 —
糖尿病足部護理重點在於避免傷口感染與維持皮膚完整性。每日檢查與使用鏡子確保足底無損。選擇吸汗材質襪子可維持足部乾爽。錯誤選項中，浸泡過久會導致皮膚浸軟（maceration），塗抹於腳趾縫間易引起黴菌感染。
Diabetic foot care focuses on preventing wound infection and maintaining skin integrity. Daily inspection, including using a mirror to ensure the soles are free of injury, is essential. Wearing moisture-wicking socks helps keep the feet dry. Incorrect actions include prolonged soaking, which leads to skin maceration, and applying lotion between the toes, which encourages fungal infection.
✦ 台美臨床差異
美台皆強調衛教的重要性，特別是針對神經病變病人的教育，台灣護理師常配合傷口護理師衛教。