護理師向第一型糖尿病病人衛教足部護理，下列何者顯示病人已了解？
A nurse is teaching a client with Type 1 Diabetes Mellitus about foot care. Which statement by the client indicates an understanding of the instruction?
- AI will soak my feet in hot water every night.我每晚都會用熱水泡腳
- BI will use a heating pad if my feet feel cold.如果我的腳覺得冷，我會使用電熱毯
- CI will go barefoot indoors to let my feet breathe.我在室內會赤腳走，讓腳透氣
- DI will dry between my toes after bathing.✓ 正解洗澡後我會擦乾趾縫間的水分
糖尿病足部照護的核心在於預防皮膚完整性受損與繼發性感染。由於第一型糖尿病病人常合併周邊神經病變（Peripheral Neuropathy），對溫度、痛覺的感知能力顯著下降，這使得他們極易在不自覺的情況下遭受熱傷害或微小傷口感染。正確選項 D 指出需保持趾縫乾燥，因為趾縫間積聚的水分會創造出有利於黴菌（如足癬）生長的濕熱環境，進而導致皮膚破裂與細菌入侵。臨床護理思路應優先考慮預防感染與減少神經病變帶來的物理傷害風險。
Proper foot care for clients with Type 1 Diabetes focuses on preventing skin breakdown and infection, especially given the risk of peripheral neuropathy. Drying thoroughly between the toes after bathing is essential because moisture accumulation creates a warm environment conducive to fungal growth, such as athlete's foot. This simple hygiene practice helps maintain skin integrity and prevents secondary bacterial infections.