— 健康促進與維護 · MEDIUM · SATA —
護理師為新診斷第二型糖尿病病人進行出院指導，應包含哪些內容？（選所有適合的）
A nurse is providing discharge teaching to a patient with newly diagnosed Type 2 diabetes. Which of the following should be included in the teaching plan? (Select all that apply.)
- AInspect feet daily for cuts or sores✓ 正解每日檢查足部是否有割傷或潰瘍
- BMaintain HbA1c levels below 7% as a general target✓ 正解將糖化血色素維持在 7% 以下作為一般目標
- CRotate injection sites to prevent lipodystrophy✓ 正解旋轉注射部位以預防脂肪營養不良
- DWear well-fitting shoes and cotton socks✓ 正解穿著合適的鞋子和棉質襪子
- ECheck blood glucose only when feeling symptomatic僅在有症狀時檢查血糖
— Explanation · 中文詳解 —
糖尿病教育涵蓋足部照護、血糖控制目標及藥物安全性。每日檢查足部可預防潰瘍惡化，輪替注射部位預防脂肪增生。HbA1c < 7% 是多數成人標準。選項 E 錯誤，血糖監測需按醫囑或規律執行，不可依賴症狀，因為高血糖常無顯著症狀。
Comprehensive diabetes education includes daily foot inspections to detect injuries early due to neuropathy, maintaining an HbA1c below 7% to prevent complications, rotating injection sites to avoid lipodystrophy, and wearing proper footwear. Monitoring should be done regularly as prescribed, not just when symptoms occur.
✦ 台美臨床差異
美國糖尿病衛教師（CDE）制度完善，台灣則由糖尿病共同照護網團隊負責，兩者皆強調衛教自主管理。