— 降低風險 · MEDIUM · SATA —
護理師在進行第一型糖尿病人的足部護理衛教，應包含哪些重點？（選所有適合的）
A nurse is teaching a client with Type 1 Diabetes about foot care. Which of the following statements should be included? (Select all that apply.)
- ACheck feet daily for blisters, cuts, or redness✓ 正解每日檢查雙腳是否有水泡、割傷或發紅
- BUse a mirror to inspect the bottom of the feet✓ 正解使用鏡子檢查腳底
- CSoak feet in warm water for 30 minutes daily每日用溫水浸泡雙腳30分鐘
- DApply lotion between the toes to prevent drying在趾縫間塗抹乳液以防乾燥
- EWear well-fitting, closed-toe shoes✓ 正解穿著合腳且包覆鞋頭的鞋子
— Explanation · 中文詳解 —
糖尿病足部照護的目標是預防潰瘍與感染。由於周邊神經病變會導致痛覺與溫度覺喪失，病人常無法察覺微小的足部損傷。因此，衛教重點在於「每日檢查」與「預防性保護」。正確的足部照護包括使用鏡子檢查底部以防忽略盲點、穿著合適的鞋子以防磨損。同時，應避免過度浸泡造成皮膚浸軟，並避免塗抹乳液於趾縫以免潮濕導致黴菌滋生。
Daily foot inspections, including using a mirror for the soles, are essential to detect injuries early due to potential peripheral neuropathy. Clients should wear well-fitting, closed-toe shoes for protection, avoid soaking feet to prevent skin breakdown, and refrain from applying lotion between toes to reduce fungal risk.