— 降低風險 · EASY · SATA —
護理師對第一型糖尿病病人進行足部護理衛教。下列哪些陳述代表病人已理解？（選所有適合的）
A nurse is teaching a client with Type 1 Diabetes about foot care. Which statements indicate understanding? (Select all that apply.)
- AI will check my feet daily for blisters or red spots✓ 正解我會每天檢查我的腳是否有水泡或紅斑
- BI will soak my feet in hot water to soften calluses我會用熱水泡腳以軟化老繭
- CI will wear well-fitting leather or canvas shoes✓ 正解我會穿合腳的皮革或帆布鞋
- DI will trim my toenails straight across✓ 正解我會將趾甲橫向修剪
- EI will apply lotion between my toes to prevent dryness我會塗抹乳液在趾間以防止乾燥
— Explanation · 中文詳解 —
糖尿病足部護理核心在於預防皮膚潰瘍與感染。每日檢查足部可及早發現病灶；穿著合適鞋子減少摩擦；修剪腳指甲應平剪，避免捲入肉內。不可浸泡熱水，以免燙傷（神經病變無法感知）；不可在趾間塗抹乳液，以免潮濕導致黴菌感染。
The core of diabetic foot care is the prevention of skin ulcers and infection. Daily foot inspection allows early detection of lesions; wearing well-fitting shoes reduces friction; toenails should be trimmed straight across to avoid ingrowing. Soaking the feet in hot water is contraindicated, as neuropathy may prevent the client from feeling the temperature and burns may occur. Lotion should not be applied between the toes, as moisture promotes fungal infection.
✦ 台美臨床差異
美國護理師強調足部護理教育的結構化評估工具使用，台灣則多整合在糖尿病衛教小組的團體衛教中。