— 降低風險 · MEDIUM · SATA —
護理師對第一型糖尿病病人進行足部護理衛教。下列哪些敘述顯示病人正確理解？（選所有適合的）
A nurse is teaching a client with Type 1 diabetes about foot care. Which statements by the client indicate a correct understanding? (Select all that apply.)
- AI will check my feet daily for blisters and sores✓ 正解我會每天檢查腳部是否有水泡和潰瘍
- BI will apply lotion between my toes to prevent dryness我會塗抹乳液在趾縫間以防止乾燥
- CI will wear well-fitting, closed-toe shoes✓ 正解我會穿著合腳且包覆鞋頭的鞋子
- DI will soak my feet in hot water daily to improve circulation我會每天用熱水浸泡雙腳以促進循環
- EI will cut my toenails straight across✓ 正解我會將腳指甲平直修剪
— Explanation · 中文詳解 —
糖尿病足護理目標為減少損傷與感染。每日檢查足部、穿著舒適且包覆性良好的鞋子、剪指甲呈直線狀皆正確。不可在趾縫塗乳液以免潮濕滋生黴菌，也不可使用過熱的水泡腳，因為糖尿病病人常有神經病變而無法感知溫度，極易造成燙傷。
Daily foot inspections, wearing protective closed-toe shoes, and trimming nails straight across are essential to prevent injury and infection. Applying lotion between toes increases moisture and fungal risk, while soaking feet in hot water poses a burn hazard due to potential neuropathy.
✦ 台美臨床差異
美台衛教重點一致，但在美國護理師常會結合足科醫師（Podiatrist）進行專業諮詢。