— 基本照護與舒適 · MEDIUM · SATA —
對於周邊神經病變的病人，哪些護理措施能預防足部損傷？（選所有適合的）
Which of the following interventions are appropriate for a client with peripheral neuropathy to prevent foot injury? (Select all that apply.)
- ACheck feet daily for blisters or cuts✓ 正解每日檢查雙腳是否有水泡或割傷
- BWear well-fitting leather or canvas shoes✓ 正解穿著合腳的皮革或帆布鞋
- CSoak feet in warm water daily每日用溫水浸泡雙腳
- DCut toenails straight across✓ 正解將趾甲直線修剪
- EAlways wear cotton socks✓ 正解總是穿著棉質襪子
— Explanation · 中文詳解 —
周邊神經病變病人感覺缺失，極易受傷而不自知。每日檢查足部、穿著合腳鞋子、正確修剪腳趾甲及保持乾燥通風（棉質襪）皆正確。切勿長時間浸泡熱水，因病人對溫度感覺遲鈍，極易導致燙傷，且過度浸泡會使皮膚破裂，利於細菌滋生。
Daily foot inspections, wearing well-fitting shoes, trimming toenails straight across, and wearing moisture-absorbing cotton socks are essential to prevent injury in clients with peripheral neuropathy. Soaking feet in warm water is contraindicated because impaired sensation increases the risk of thermal burns and skin maceration.
✦ 台美臨床差異
美國糖尿病教育（CDE）包含極完整的足部衛教；台灣因健保制度，門診時間短，足部衛教多賴住院期間完成。