— 生理適應 · EASY · SATA —
護理師針對糖尿病病人進行足部護理衛教，下列哪些項目應納入計畫？（選所有適合的）
A client with diabetes mellitus is being educated on foot care. Which actions should the nurse include in the teaching plan? (Select all that apply.)
- AInspect feet daily for redness or sores✓ 正解每日檢查雙腳是否有紅腫或潰瘍
- BUse a mirror to check the bottom of feet✓ 正解使用鏡子檢查腳底
- CSoak feet in warm water for 30 minutes daily每日用溫水浸泡雙腳30分鐘
- DApply lotion between the toes to prevent cracking在趾間塗抹乳液以防止乾裂
- EWear well-fitting, closed-toe shoes✓ 正解穿著合腳且包覆腳趾的鞋子
— Explanation · 中文詳解 —
糖尿病足部照護重點在於預防皮膚潰瘍與感染。每日檢查腳底是關鍵，避免過度浸泡（會導致皮膚浸軟裂開）及塗抹趾間（易誘發黴菌感染）。鞋子應保護足部避免受傷。正確做法包括每日視察、使用鏡子看底部、穿著合適鞋履。
Diabetic foot care focuses on preventing ulcers and infections through daily visual inspections, including using a mirror to check the soles of the feet. Patients should wear well-fitting, closed-toe shoes for protection and avoid soaking feet or applying lotion between the toes, as these practices can lead to skin maceration or fungal growth.
✦ 台美臨床差異
美台糖尿病衛教指引對於足部護理重點一致，皆強調每日檢查及嚴禁赤腳行走。