— 生理適應 · EASY · MCQ —
一位糖尿病病患有足部潰瘍，護理師在衛教時應包含什麼內容？
A client with diabetes mellitus has a foot ulcer. What should the nurse include in the foot care education?
- ATrim toenails straight across✓ 正解將腳趾甲平直修剪
- BSoak feet in warm water daily每天用溫水浸泡雙腳
- CWalk barefoot at home在家裡赤腳行走
- DApply lotion between the toes在腳趾間塗抹乳液
— Explanation · 中文詳解 —
糖尿病足護理的目標是預防皮膚破損與繼發性感染，因為糖尿病患者常伴隨周邊神經病變（失去痛覺）與血管病變（傷口癒合差）。正確的衛教應強調每日檢查、保持皮膚乾燥、以及修剪指甲的方法。修剪指甲需平剪，避免剪入側邊導致嵌甲（ingrown toenail）與後續感染。浸泡足部過久會導致皮膚浸軟（maceration），增加細菌侵入風險；趾間塗乳液易因潮濕滋生黴菌。
Diabetic foot care education should emphasize trimming toenails straight across to prevent ingrown nails and subsequent infections. Patients should avoid soaking feet, which can cause skin maceration, and applying lotion between toes, which promotes fungal growth. Walking barefoot is also discouraged to prevent unnoticed injuries due to neuropathy.