— 降低風險 · EASY · SATA —
護理師衛教一位新診斷第一型糖尿病病人足部護理。下列病人陳述顯示其理解指導內容？（選所有適合的）
A nurse is teaching a client with newly diagnosed type 1 diabetes about foot care. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.)
- AI will examine my feet every day for cuts and blisters✓ 正解我會每天檢查我的雙腳是否有割傷和水泡
- BI will soak my feet in hot water to soften calluses我會用熱水泡腳以軟化老繭
- CI will wear cotton socks and comfortable, well-fitting shoes✓ 正解我會穿棉質襪子和舒適、合腳的鞋子
- DI will use a mirror to see the bottoms of my feet✓ 正解我會使用鏡子查看腳底
- EI will apply lotion between my toes to prevent dryness我會將乳液塗抹在腳趾縫間以防乾燥
— Explanation · 中文詳解 —
糖尿病足部照護的核心目標是「預防感染」與「避免潰瘍」。由於糖尿病會導致周邊神經病變（Peripheral Neuropathy），病人可能無法察覺足部的微小傷口，因此每日自我檢查至關重要。護理師應教導病人使用鏡子輔助檢查足底，選擇透氣的棉質襪與合腳鞋履以減少摩擦。臨床思路需強調避免任何可能造成皮膚破損的行為，如浸泡熱水（易燙傷）或在趾間塗抹乳液（易導致潮濕引發黴菌感染）。
Daily foot inspections using a mirror help detect early signs of injury or ulcers, which is critical due to potential peripheral neuropathy. Wearing cotton socks and well-fitting shoes prevents friction and pressure points, while avoiding hot water soaks and interdigital lotions reduces the risks of burns and fungal infections.