護理師衛教一位剛診斷為第二型糖尿病的病人關於足部護理,下列哪些敘述顯示病人需要進一步指導?(選所有適合的)
A nurse is educating a client with newly diagnosed type 2 diabetes about foot care. Which statements indicate that the client needs further teaching? (Select all that apply.)
- AI will soak my feet in hot water every night✓ 正解我每晚都會用熱水泡腳
- BI will check my feet daily for blisters and sores我會每天檢查雙腳是否有水泡和傷口
- CI will use a heating pad to keep my feet warm in winter✓ 正解冬天我會使用熱敷墊來保暖雙腳
- DI will apply lotion between my toes to prevent dryness✓ 正解我會將乳液塗抹在趾間以防乾燥
- EI will break in new shoes slowly over a few weeks我會花幾週時間慢慢磨合新鞋
糖尿病足部護理重點:避免高溫(燙傷)、避免潮濕(黴菌感染)。A、C 選項易導致神經病變病人的嚴重燙傷;D 選項趾間擦乳液會導致潮濕,誘發黴菌生長,應保持趾間乾燥。B 為正確行為;E 為適當的鞋子適應方式。
The key principles of diabetic foot care are avoiding high heat (burns) and avoiding moisture (fungal infection). Options A and C can easily cause severe burns in patients with neuropathy; option D, applying lotion between the toes, creates a moist environment that promotes fungal growth and should be avoided to keep the toe webs dry. Option B is a correct behavior, and option E describes an appropriate way to break in new shoes.
美國有較發達的 Podiatry(足病學)專科,台灣則多由內分泌科或傷口護理師進行足部衛教。