— 健康促進與維護 · MEDIUM · MCQ —
護理師正在教導病人有關預防糖尿病患者足部傷害。何種是關鍵指導？
A nurse is providing education on preventing foot injuries in clients with diabetes. Which is a crucial instruction?
- AWalk barefoot at home to toughen the skin在家赤腳走路以強化皮膚
- BSoak feet in hot water for extended periods長時間用熱水泡腳
- CWear open-toed sandals daily每天穿露趾涼鞋
- DInspect feet daily for cuts, blisters, or redness✓ 正解每日檢查腳部是否有割傷、水泡或紅腫
— Explanation · 中文詳解 —
糖尿病患者因周邊神經病變（Peripheral neuropathy），對痛覺、溫度的感知減弱，導致足部受傷而不自知。若未及時發現，微小傷口極易發展成潰瘍甚至壞疽（Gangrene）。因此，「每日足部檢查（Daily foot inspection）」是預防糖尿病足併發症的最關鍵衛教。護理師應指導病人使用鏡子觀察腳底，尋找有無紅腫、水泡、割傷或裂痕。
Due to peripheral neuropathy, diabetic clients often have reduced sensation to pain and temperature, making them unaware of minor foot injuries that can rapidly progress to ulcers or gangrene. Daily foot inspection is the crucial preventive measure, allowing for early detection of cuts, blisters, or redness. Walking barefoot, soaking feet in hot water, or wearing inadequate footwear increases the risk of unnoticed injury and infection.