末期腎病患者足部問題評估與護理

Assessment and Care of Foot Problems in Patients with End Stage Renal Disease

末期腎病患者足部健康受許多危險因素影響，造成截肢的比例較一般人高。預防末期腎病患者下肢潰瘍和截肢，護理人員在足部健康的評估與護理上扮演極為重要的角色。因此，末期腎病患者在照顧過程中，我們可經由提供適當措施，預防和早期發現可能因忽視足部照顧所產生的嚴重後果。本文介紹末期腎病患者足部問題的原因、危險因子評估、與護理。期望對於末期腎病病患的足部問題防患未然，能提供更多的預防策略與較佳的照顧。

Various risk factors affect the foot health of patients with end stage renal disease (ESRD). The major hazard is a higher amputation rate compared to those without ESRD. To prevent ulceration of lower limbs and the adversity of amputation, nurses play an important role in the assessment and care of foot problems. It is essential to adopt measures that detect and prevent serious problems caused by the ignorance of proper foot care when caring for patients with end stage renal disease. This article introduces the causes, risk factors, risk evaluation and care of foot problems for patients with ESRD. Proactive prevention and better care should help prevent serious foot problems in patients with ESRD.