— 降低風險 · EASY · MCQ —
護理師照護一位新診斷為糖尿病的病人。下列哪項建議應列入病人的足部照護計畫中？
A nurse is caring for a client with a new diagnosis of diabetes mellitus. Which of the following should the nurse include in the client's teaching plan for foot care?
- AWalk barefoot at home to improve circulation在家赤腳行走以促進循環
- BCut toenails straight across✓ 正解直線修剪趾甲
- CApply lotion between the toes在趾間塗抹乳液
- DSoak feet in warm water daily to soften the skin每日用溫水泡腳以軟化皮膚
— Explanation · 中文詳解 —
糖尿病病人因末梢神經病變，足部受傷而不自知。正確的足部照護包括修剪趾甲需採直線修剪以防甲溝炎；不宜浸泡過久以防皮膚浸軟；嚴禁赤腳以免受傷；不宜在趾縫塗抹乳液以免導致黴菌感染。應每日檢查足部是否有紅腫或傷口。
Diabetic clients may not feel foot injuries due to peripheral neuropathy. Proper foot care includes trimming toenails straight across to prevent ingrown nails, not soaking feet (causes maceration), avoiding walking barefoot (injury risk), and not applying lotion between toes (fungal risk). Daily inspection for redness or wounds is essential.
✦ 台美臨床差異
兩地糖尿病衛教對於足部照護的原則一致，美國更強調由專科醫師或 podiatrist 進行修剪。