— 降低風險 · EASY · SATA —
護理師指導一位新確診第一型糖尿病病人的足部照護，下列哪些陳述代表病人需要進一步教育？（選所有適合的）
A nurse is teaching a client with newly diagnosed Type 1 diabetes about foot care. Which statements by the client indicate a need for further teaching? (Select all that apply.)
- AI will soak my feet in warm water every night✓ 正解我每天晚上都會用溫水泡腳
- BI will dry between my toes carefully after bathing洗澡後我會仔細擦乾趾間
- CI will buy new shoes in the afternoon when my feet are largest我會選擇下午腳部最大時購買新鞋
- DI will use a heating pad if my feet feel cold at night✓ 正解如果晚上覺得腳冷，我會使用熱敷墊
- EI will inspect my feet for sores or redness every day我每天都會檢查腳部是否有傷口或紅腫
— Explanation · 中文詳解 —
糖尿病足部照護禁止浸泡腳部（導致皮膚過軟受損）與使用熱敷墊（避免燙傷因末梢神經病變而無法察覺）。其餘選項正確：洗澡後擦乾腳趾間可預防黴菌感染；下午買鞋因腳部腫脹較符合實際需求；每日檢查足部可早期發現傷口並預防感染。
Soaking feet and using heating pads indicate a need for further teaching because soaking can cause skin maceration and heating pads pose a burn risk due to potential peripheral neuropathy. Proper foot care includes drying between toes, inspecting daily, and purchasing shoes in the afternoon when feet are largest.
✦ 台美臨床差異
台灣糖尿病衛教學會與美國 ADA 對足部照護指引高度一致，強調避免高溫與潮濕。