— 照護管理 · MEDIUM · SATA —
護理師準備指導一位新診斷糖尿病的病人出院。下列哪些病人行為顯示其理解出院衛教內容？（選所有適合的）
A nurse is preparing to discharge a client with a new diagnosis of diabetes mellitus. Which of the following client actions indicate an understanding of the discharge instructions? (Select all that apply.)
- ADemonstrates proper insulin self-injection technique✓ 正解示範正確的胰島素自我注射技術
- BCorrectly states the signs and symptoms of hypoglycemia✓ 正解正確敘述低血糖的徵兆與症狀
- CVerifies that they will eat only once a day to lower blood sugar確認他們每天只進食一次以降低血糖
- DIdentifies the importance of regular blood glucose monitoring✓ 正解指出定期監測血糖的重要性
- EStates they will avoid checking feet because it causes skin irritation表示他們將避免檢查腳部，因為這會引起皮膚刺激
— Explanation · 中文詳解 —
衛教成效評估應確認病人能正確操作技術（胰島素注射）、辨識危機症狀（低血糖）並理解自我照護（監測血糖）。C 為錯誤觀念，禁食會導致嚴重血糖波動；E 錯誤，足部檢查是糖尿病照護的核心，必須每日檢查以預防潰瘍。
Understanding of discharge instructions is demonstrated by the client's ability to correctly inject insulin, identify hypoglycemia symptoms, and recognize the importance of regular blood glucose monitoring. Skipping meals or avoiding foot inspections are unsafe practices that indicate a lack of understanding.
✦ 台美臨床差異
美國有專門的糖尿病衛教師（CDE），台灣亦有，但初期衛教仍多由病房護理師負責。