糖尿病老人的足部照護

Diabetic Foot Care: Focus on the Elderly

10.6530/YYN.2011.5(1).08

靳燕芬(Yen-Fan Chin)；王婉璇(Woan-Shyuan Wang)；王碧華(Bi-Hwa Wang)；黃子庭(Tzu-Ting Huang)

糖尿病 ； 老人 ； 足部照護 ； diabetes mellitus ； elderly ； foot care

源遠護理

5卷1期（2011 / 05 / 01）

60 - 65

繁體中文

老化導致關節活動度下降、韌帶鬆弛、足跟及蹠骨頭脂肪墊變薄、及皮膚乾燥，提高足部問題之盛行率。糖尿病增加老人併發周邊感覺神經病變及血管病變之機率，更加劇足部問題之惡化及增加罹患足部潰瘍之危險。一旦罹患足部潰瘍，糖尿病老人截肢率高。為避免足部問題影響糖尿病老人之生活品質及導致下肢截肢，患者應接受足部照護護理指導及定期接受足部檢查。目前糖尿病老人的足部照護並不理想，護理人員應主動提供糖尿病老人病患與主要照顧者合宜之護理指導，包括每日檢視足部、足部皮膚之保養及保護。

Aging process in joints includes decreased range of motion, relaxed ligaments, reduced thickness of fatty pads in the heels and metatarsal heads, and dryness of skin. Older adults with Diabetes Mellitus are at increased risk in developing foot ulcers due to peripheral arterial disease and sensory neuropathy. Many elder diabetic patients experience injured in the feet. Once diabetic patients develop foot ulcers, the risk of eventual limb amputation is high. All elder diabetic patients should receive regular foot examination and education on foot care. Nursing care plan requires daily foot inspection, foot skin care, and preventive education for patient and primary care taker.