護理師教導一位新診斷第一型糖尿病病人的足部護理。下列哪位病人的說法顯示需要進一步指導?(選所有適合的)
A nurse is teaching a client with newly diagnosed Type 1 Diabetes about foot care. Which statements by the client indicate a need for further instruction? (Select all that apply.)
- AI will soak my feet in hot water every night.✓ 正解我每天晚間都會用熱水泡腳
- BI will cut my toenails straight across.我會將趾甲直線修剪
- CI will go barefoot indoors to let my skin breathe.✓ 正解我在室內會赤腳讓皮膚呼吸
- DI will check my feet daily using a mirror.我會每天使用鏡子檢查雙腳
- EI will use a moisturizing lotion between my toes.✓ 正解我會將潤膚乳塗抹在趾縫間
糖尿病足部護理的核心是預防微血管病變及神經病變導致的足部潰瘍與感染。糖尿病病人常因周邊神經病變(Peripheral Neuropathy)導致感覺遲鈍,無法準確感受溫度與疼痛,因此極易發生燙傷或外傷而不自知。護理指導應強調保護皮膚完整性及避免感染風險。正確的行為包括每日檢查足部、直剪指甲以防甲溝炎;而泡熱水、赤腳行走及於趾縫間塗抹乳液皆會增加燙傷、外傷或黴菌感染風險,需進一步指導。
The core of diabetic foot care is to prevent foot ulcers and infections caused by microvascular and neurological disease. Clients with diabetes frequently have peripheral neuropathy, which dulls sensation and makes it difficult for them to perceive temperature or pain accurately; burns and trauma can therefore occur without the client's awareness. Education should emphasize protecting skin integrity and avoiding infection risk. Correct behaviors include daily inspection of the feet and cutting toenails straight across; soaking the feet in hot water, walking barefoot, and applying lotion between the toes all increase the risk of burns, trauma, or fungal infection and require further instruction.