護理師衛教一位第一型糖尿病病人足部護理。下列病人敘述中,哪些表示需要進一步教學?(選所有適合的)
A nurse is teaching a client with Type 1 Diabetes Mellitus about foot care. Which statements by the client indicate a need for further instruction? (Select all that apply.)
- AI will inspect my feet for sores or redness every day.我會每天檢查雙腳是否有傷口或紅腫。
- BI like to soak my feet in warm water for 30 minutes every evening.✓ 正解我喜歡每天晚上用溫水泡腳30分鐘。
- CI will apply lotion between my toes to prevent dryness.✓ 正解我會塗抹乳液在趾縫間以防止乾燥。
- DI will wear closed-toed shoes to protect my feet.我會穿包覆鞋頭的鞋子以保護雙腳。
- EI trim my toenails in a rounded shape to match my toes.✓ 正解我會將趾甲修成圓弧形以配合腳趾形狀。
糖尿病足部護理錯誤點:浸泡熱水易導致燙傷與皮膚浸軟;趾縫塗抹乳液易孳生黴菌;圓弧形修剪趾甲易導致嵌甲引發感染。每日檢查雙腳與穿著包覆型鞋子是正確的行為。這些錯誤習慣均會大幅增加糖尿病患足部潰瘍與感染的風險,必須立即糾正。
Incorrect diabetic foot-care practices: soaking the feet in hot water easily causes burns and skin maceration; applying lotion between the toes promotes fungal growth; rounded toenail trimming predisposes to ingrown nails and infection. Inspecting both feet daily and wearing closed-toe shoes are correct behaviors. These incorrect habits substantially increase the risk of foot ulcers and infection in diabetic patients and must be corrected immediately.
美國有專門的糖尿病衛教師(CDE)與足病醫師(Podiatrist)協助;台灣則高度依賴護理師在門診時間內的衛教。