— 降低風險 · MEDIUM · SATA —
護理師指導一位第一型糖尿病病人足部護理，應包含哪些內容？（選所有適合的）
A nurse is teaching a client with Type 1 Diabetes about foot care. Which of the following instructions should the nurse include? (Select all that apply.)
- AInspect feet daily for redness or sores✓ 正解每日檢查雙腳是否有紅腫或潰瘍
- BSoak feet in warm water for 30 minutes daily每日用溫水浸泡雙腳 30 分鐘
- CApply moisturizer between toes在趾間塗抹潤膚乳
- DWear well-fitting, closed-toe shoes✓ 正解穿著合腳且包覆鞋頭的鞋子
- ECut toenails straight across✓ 正解將腳指甲水平修剪
— Explanation · 中文詳解 —
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，導致對疼痛感遲鈍且傷口癒合能力差。正確的護理原則包括每日自我檢查、避免足部損傷及保持適當的腳趾甲修剪方式，以降低感染與潰瘍風險。護理師應強調這些行為能有效避免足部壞疽導致的截肢風險。
The core of diabetic foot care is preventing skin breakdown because diabetic clients often have peripheral neuropathy and vasculopathy, leading to reduced pain sensation and poor wound healing. Correct nursing principles include daily self-inspection, avoiding foot injury, and proper toenail trimming to reduce infection and ulcer risk. Nurses should emphasize that these behaviors effectively prevent gangrene and limb amputation.