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基本照護與舒適 · MEDIUM · SATA

護理師正為一位新診斷第一型糖尿病的病人進行足部護理衛教。應包含哪些介入措施?(選所有適合的)

A nurse is preparing to care for a client who is newly diagnosed with Type 1 diabetes. Which interventions should the nurse include for foot care teaching? (Select all that apply.)

  • AInspect feet daily for cuts, blisters, or redness✓ 正解
    每日檢查足部是否有割傷、水泡或紅腫
  • BSoak feet in warm water for 30 minutes daily
    每日用溫水浸泡雙腳 30 分鐘
  • CWear cotton or wool socks with well-fitted shoes✓ 正解
    穿著棉質或羊毛襪及合腳的鞋子
  • DApply lotion between the toes to prevent cracking
    在趾間塗抹乳液以防乾裂
  • ECut toenails straight across to prevent ingrown nails✓ 正解
    將趾甲平直修剪以預防嵌甲
Explanation · 中文詳解

糖尿病足部照護的核心在於預防因感覺神經病變(Peripheral Neuropathy)導致的微小創傷惡化為潰瘍或感染。護理介入重點包括每日檢查皮膚完整性、穿著合適鞋襪以減少壓力點、正確修剪趾甲以防嵌甲。同時需教育病人避免熱傷害與濕氣積聚,因為糖尿病病人對熱與痛的感知能力下降,且高血糖環境有利於黴菌生長。

Daily foot inspections are essential to detect early signs of injury, as peripheral neuropathy reduces sensation and increases ulcer risk. Proper footwear, including cotton or wool socks and well-fitted shoes, protects against pressure points and moisture. Additionally, cutting toenails straight across prevents ingrown nails, while avoiding prolonged soaking and interdigital lotions reduces the risk of skin breakdown and fungal infections.

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