一位剛被診斷為第一型糖尿病的病人正在接受足部照護衛教,下列何者顯示需要進一步教學?(選所有適合的)
A client with a new diagnosis of type 1 diabetes mellitus is being educated on foot care. Which statements by the client indicate a need for further teaching? (Select all that apply.)
- AI will soak my feet in hot water every night.✓ 正解我會每天晚上用熱水泡腳
- BI will inspect my feet daily for blisters.我會每天檢查足部是否有水泡
- CI will apply lotion between my toes.✓ 正解我會將乳液塗抹在趾縫之間
- DI will wear cotton socks.我會穿棉質襪子
- EI will trim my toenails straight across.我會將趾甲橫向修剪
糖尿病病人因末梢神經病變(Peripheral neuropathy)與周邊血管疾病(PVD),足部感覺遲鈍且癒合能力差。護理目標在於預防皮膚破損與感染。熱水浸泡容易導致燙傷,而趾縫塗抹乳液會因水分滯留造成黴菌感染。正確照護應保持足部清潔乾燥,每日檢查,修剪指甲應平剪以防嵌甲(Ingrown toenails)。
Because of peripheral neuropathy and peripheral vascular disease (PVD), diabetic clients have decreased foot sensation and impaired healing. The goal of nursing care is to prevent skin breakdown and infection. Soaking the feet in hot water can easily cause burns, and applying lotion between the toes traps moisture and promotes fungal infection. Proper care includes keeping the feet clean and dry, inspecting them daily, and trimming nails straight across to prevent ingrown toenails.
美國臨床護理實務極強調「病人教育(Patient Education)」的自主性與具體化,衛教內容常包含「使用鏡子檢查足底」以彌補視線死角,這在 NCLEX 考試中是常見的考點。