護理師衛教一位剛診斷為第二型糖尿病的病人關於足部護理。病人說出哪句話代表理解指導？
A nurse is teaching a client with newly diagnosed type 2 diabetes about foot care. Which statement by the client indicates an understanding of the instructions?
- AI will trim my toenails close to the skin我會將趾甲修剪得很貼近皮膚
- BI will apply lotion between my toes after bathing洗澡後我會將乳液塗抹在趾縫間
- CI will wear cotton socks and comfortable shoes✓ 正解我會穿棉質襪子和舒適的鞋子
- DI will soak my feet in warm water every night我會每晚用溫水泡腳
第二型糖尿病（Type 2 Diabetes Mellitus）的長期併發症之一是周邊神經病變（Peripheral Neuropathy）和血管病變，這會導致足部感覺遲鈍、血液循環不良，使足部極易受傷且癒合緩慢，增加感染的風險。因此，足部護理是糖尿病管理中極為重要的一環。 正確答案 C（穿著棉質襪和舒適的鞋子）體現了預防傷害和促進足部健康的關鍵原則。棉質襪能吸收汗水，保持足部乾燥，減少真菌感染機會；合腳的鞋子則能避免摩擦、壓迫，預防水泡、潰瘍的產生。 選項 D（每晚泡腳）潛藏風險，因為糖尿病患者對水溫感知較差，可能因浸泡過久或水溫過高而燙傷。選項 B（在趾縫間塗抹乳液）可能導致濕氣滯留，增加黴菌滋生與感染的機會，乳液應塗抹於足部皮膚，避開趾縫。選項 A（將指甲剪貼近皮膚）過度修剪可能造成指甲周圍皮膚破損，引發感染，應剪至與趾尖齊平或略長，並修圓角。
Wearing cotton socks and well-fitted shoes helps prevent skin breakdown by keeping feet dry and reducing friction, which is crucial for clients with peripheral neuropathy. Other options are incorrect because soaking feet can cause maceration, lotion between toes promotes fungal growth, and trimming nails too short increases injury risk.