護理師指導一位新診斷第一型糖尿病病人足部照護。哪些描述顯示病人需要進一步教育?(選所有適合的)
A nurse is teaching a client with newly diagnosed Type 1 Diabetes Mellitus about foot care. Which statements by the client indicate a need for further teaching? (Select all that apply.)
- AI will soak my feet in hot water every evening✓ 正解我會每天晚上用熱水泡腳
- BI will apply lotion between my toes to prevent cracking✓ 正解我會將乳液塗抹在趾間以防止乾裂
- CI will inspect my feet daily using a mirror我會每天使用鏡子檢查雙腳
- DI will wear cotton socks and comfortable shoes我會穿棉質襪子和舒適的鞋子
- EI will trim my toenails straight across我會將趾甲橫向修剪
糖尿病病人足部感覺異常,泡熱水容易燙傷且造成皮膚浸潤增加感染風險。足趾間塗抹乳液會導致潮濕,成為黴菌與細菌溫床。其餘選項皆正確:每日鏡檢確認有無傷口、穿著透氣棉襪保護、平剪指甲避免嵌甲,皆為糖尿病足照護的核心建議。
Diabetic clients have impaired foot sensation; soaking in hot water can cause burns and skin maceration that raises infection risk. Lotion between the toes traps moisture and promotes fungal and bacterial growth. The other statements are correct: daily inspection with a mirror, breathable cotton socks with comfortable shoes, and straight nail trimming to prevent ingrown nails are core diabetic foot care recommendations.
台灣糖尿病衛教多由個案管理師執行;美國則涵蓋更多自我管理教育 (DSME) 方案與社區支持系統。