糖尿病足部檢查實務創作

A Creative Approach to Teaching Diabetic Foot Examinations

足部病變是糖尿病常見的慢性併發症，也往往是病人必須住院治療的主要原因之一。正確且完整的執行糖尿病患足部檢查，可以延緩或減少足部病變的機率，進一步也能降低截肢與死亡的發生率。為提升護理師學習「足部檢查」步驟及工具應用之學習成效，使其能熟練的運用於臨床工作提升照護品質，本文呈現運用「曼陀羅思考法」及「心智圖」等創意思考技法，將教學內容進行擴散思考及檢核分析，找出可行教學策略；並以「口訣」及「圖像記憶」創意教學法，來協助護理師對「糖尿病足部檢查」技術流程之學習，進而執行正確的足部檢查以預防糖尿病人的足部病變發生。

Foot infections are a common chronic complication and a major reason for hospitalization in patients with diabetes. Performing foot examinations correctly and thoroughly may reduce diabetic foot risks and save patients from amputation and death. To assist professional nurses to learn the procedures and tools involved in foot examination, this study proposes that nurse trainers use creative thinking methods, such as those of Mandala, and mind mapping to conduct divergent thinking and analysis of training content define feasible training strategies. This study also proposes the use of rhymes and graphics such as creative mnemonics to help professional nurses expedite their learning of foot examination and preventive foot care techniques.