— 生理適應 · EASY · SATA —
護理師指導第一型糖尿病患足部護理，應包含哪些內容？（選所有適合的）
A nurse is teaching a client with Type 1 Diabetes Mellitus about foot care. Which actions should the nurse include? (Select all that apply.)
- AInspect feet daily for cuts or blisters✓ 正解每日檢查足部是否有割傷或水泡
- BWear cotton socks to absorb moisture✓ 正解穿著棉質襪子以吸收汗水
- CSoak feet in warm water for 30 minutes daily每日用溫水浸泡雙腳 30 分鐘
- DCut toenails straight across✓ 正解將趾甲平直修剪
- EApply lotion between the toes在趾縫間塗抹乳液
— Explanation · 中文詳解 —
糖尿病足部護理的核心目標在於預防皮膚完整性受損，因糖尿病患常伴隨周邊神經病變（Peripheral Neuropathy）與血管病變，痛覺遲鈍且癒合能力差，微小傷口即可導致嚴重的足部潰瘍與感染。護理指導應強調每日檢查、保持腳部乾燥及正確修剪指甲。浸泡腳部會使皮膚過度軟化導致破皮，且趾縫間塗抹乳液會因潮濕導致黴菌感染，皆應避免。
Foot care for type 1 diabetes aims to prevent skin breakdown because peripheral neuropathy and vascular disease reduce sensation and healing. Daily inspection, cotton socks to keep feet dry, and trimming toenails straight across are essential. Soaking feet macerates skin and risks burns from temperatures the client cannot perceive; applying lotion between the toes creates moisture that promotes fungal infection.