— 基本照護與舒適 · MEDIUM · MCQ —
護理師教導末梢血管疾病病人足部護理，下列哪句說明病人需要進一步衛教？
A nurse is teaching a client with peripheral vascular disease (PVD) about foot care. Which statement indicates the client needs more teaching?
- AI will soak my feet in warm water for 30 minutes daily✓ 正解我每天會用溫水泡腳30分鐘
- BI will check my feet daily with a mirror for cuts我每天會用鏡子檢查腳部是否有割傷
- CI will wear cotton socks to keep my feet dry我會穿棉質襪子以保持腳部乾燥
- DI will avoid going barefoot at all times我會隨時避免赤腳行走
— Explanation · 中文詳解 —
末梢血管疾病與糖尿病病人常合併感覺遲鈍，長時間泡腳易因水溫過高導致燙傷，且過度浸泡會破壞皮膚天然屏障，增加感染風險。正確護理應每日檢查足部、保持乾燥、避免赤腳以防止外傷。泡腳應採溫水且時間不宜過長，並務必先以手肘測試水溫。
Soaking feet for extended periods is unsafe for clients with peripheral vascular disease as it can cause skin maceration and increase the risk of thermal injury due to potential sensory deficits. Proper foot care includes daily inspection, keeping feet dry with cotton socks, and avoiding barefoot activities to prevent trauma.
✦ 台美臨床差異
美式衛教強調以鏡子檢視足底，台式衛教則常仰賴照顧者協助，對於自主護理的工具運用較少宣導。