護理師教導一位新診斷第一型糖尿病病人關於足部護理的重點。下列何者正確?(選所有適合的)
A nurse is teaching a client with newly diagnosed type 1 diabetes about foot care. Which of the following should be included in the instructions? (Select all that apply.)
- AExamine feet daily for blisters, sores, or red areas✓ 正解每日檢查雙腳是否有水泡、潰瘍或紅腫區域
- BWear cotton or wool socks to absorb moisture✓ 正解穿著棉質或羊毛襪以吸收汗水
- CSoak feet in warm water for 30 minutes daily to soften skin每日用溫水浸泡雙腳30分鐘以軟化皮膚
- DCut toenails straight across to prevent ingrown nails✓ 正解將指甲平直修剪以預防嵌甲
- EApply moisturizer between the toes to prevent cracking在趾間塗抹保濕乳液以預防乾裂
糖尿病足部護理核心在於預防皮膚潰瘍與感染。每日檢查(A)、穿著棉質吸汗襪(B)以及平剪指甲(D)皆為正確建議。浸泡熱水(C)過久會造成皮膚軟化、破損,且可能因神經病變無法判斷水溫導致燙傷。趾縫間塗乳液(E)會造成潮濕,增加黴菌感染風險。
The core of diabetic foot care is preventing skin ulcers and infection. Daily inspection (A), wearing absorbent cotton or wool socks (B), and trimming toenails straight across (D) are all correct recommendations. Prolonged hot-water soaks (C) cause skin maceration and breakdown and can result in burns because neuropathy impairs the client's ability to gauge water temperature. Applying moisturizer between the toes (E) increases moisture and the risk of fungal infection.
美台糖尿病衛教觀點一致。美國強調由足病醫師(Podiatrist)進行專業諮詢;台灣則多由糖尿病衛教團隊指導。