護理師照護一位第一型糖尿病病人,進行足部護理指導。下列病人所述內容,哪些顯示需要進一步衛教?(選所有適合的)
A nurse is caring for a client who is diagnosed with type 1 diabetes mellitus. The nurse is teaching the client about foot care to reduce the risk of complications. Which statements by the client indicate a need for further teaching? (Select all that apply.)
- AI will inspect my feet for sores every day我會每天檢查足部是否有傷口
- BI soak my feet in hot water every night before bed✓ 正解我每晚睡前會用熱水泡腳
- CI will apply lotion to my feet, but avoid the spaces between the toes我會塗抹乳液在足部,但避開趾縫
- DI cut my toenails straight across我會直向修剪趾甲
- EI walk barefoot around the house to let my feet breathe✓ 正解我會在家裡赤腳走路讓足部透氣
糖尿病足部照護的目標是預防潰瘍與感染,因為糖尿病患者常伴隨末梢神經病變(Neuropathy)與循環不良。護理指導應強調:每日檢查足部、指甲橫剪、穿著合腳鞋襪、塗抹乳液但避開趾縫(預防黴菌)。禁忌行為包括:赤腳走動(易受傷而不自知)、用熱水浸泡(易燙傷)、自行處理雞眼或厚繭。病人若有錯誤認知,需立即進行糾正。
The goal of diabetic foot care is to prevent ulceration and infection, since patients with diabetes commonly have peripheral neuropathy and impaired circulation. Teaching should emphasize daily foot inspection, cutting toenails straight across, wearing properly fitting shoes and socks, and applying lotion while avoiding the spaces between the toes (to prevent fungal infection). Contraindicated behaviors include walking barefoot (injuries may go unnoticed), soaking in hot water (risk of burns), and self-treatment of corns or calluses. Any misconceptions expressed by the patient should be corrected immediately.