新版216个护理诊断NANDA护理诊断.docx

1、新版216个护理诊断NANDA护理诊断新版216个护理诊断NANDA护理诊断NANDA-I护理诊断20122014(共216页)1.领域1:健康促进(Health Promotion)2.类别1:健康意识(Health Awareness)3.娱乐活动缺乏(Deficient Diversional Activity)(00097)4.静态得生活方式(Sedentary Lifestyle)(00168)5.类别2:健康管理(Health Management)6.缺乏公共卫生(Deficient munity Health)(00215)7.有危险倾向得健康行为(Risk-Prone Hea

2、lth Behavior)(00188)8.健康维持无效(Ineffective Health Maintenance)(00099)9.有增强免疫状态得愿望(Readiness for Enhanced Immunization Status)(00186)10.防护无效(Ineffective Protection)(00043)11.自我健康维持无效(Ineffective Self-Health Management)(00078)12.有增强自我健康管理得愿望(Readiness for Enhanced Self-Health Management)(00162)家庭执行治疗方案无

3、效(Ineffective Family Therapeutic Regimen Management)(00080)13.领域2:营养(Nutrition)14.类别1:摄入(Ingestion)15.母乳不足(Insufficient Breast Milk)(00216)16.婴儿喂养无效(Ineffective Infant Feeding Pattern)(00107)17.营养失调:低于机体需要量(Imbalanced Nutrition:Less Than Body Requirements)(00002)营养失调:高于机体需要量(Imbalanced Nutrition:Mor

4、e Than Body Requirements)(00001)有增强营养得愿望(Readiness for Enhanced Nutrition)(00163)18.有营养失调得危险:高于机体需要量(Risk for Imbalanced Nutrition:More Than Body Requirements)(00003)19.吞咽能力受损(Impaired Swallowing)(00103)20.类别2:消化(Digestion)21.类别3:吸收(Absorption)22.类别4:代谢(Metabolism)23.有血糖不稳定得危险(Risk for Unstable Bloo

5、d Glucose Level)(00179)24.新生儿黄疸(Neonatal Jaundice)(00194)25.有新生儿黄疸得危险(Risk for Neonatal Jaundice)(00230)26.有肝功能受损得危险(Risk for Impaired Liver Function)(00178)27.类别5:水化28.有电解质失衡得危险(Risk for Electrolyte Imbalance)(00195)29.有维持体液平衡得愿望(Readiness for Enhanced Fluid Balance)(00160)30.体液不足(Deficient Fluid V

6、olume)(00027)31.体液过多(Excess Fluid Volume)(00026)32.有体液不足得危险(Risk for Deficient Fluid Volume)(00028)33.有体液失衡得危险(Risk for Imbalanced Fluid Volume)(00025)34.领域3:排泄(Elimination and Exchange)35.类别1:排尿功能(Urinary Function)36.功能性尿失禁(Functional Urinary Incontinence)(00020)37.充溢性尿失禁(Overflow Urinary Incontine

7、nce)(00176)38.反射性尿失禁(Reflex Urinary Incontinence)(00018)39.压力性尿失禁(Stress Urinary Incontinence)(00017)40.急迫性尿失禁(Urge Urinary Incontinence)(00019)41.有急迫性尿失禁得危险(Risk for Urge Urinary Incontinence)(00022)42.排尿形态改变(Impaired Urinary Elimination)(00016)43.有排尿形态恢复正常得愿望(Readiness for Enhanced Urinary Elimina

8、tion)(00166)尿潴留(Urinary Retention)(00023)44.类别2:胃肠功能(Gastrointestinal Function)45.便秘(Constipation)(00011)46.感知性便秘(Perceived Constipation)(00012)47.有便秘得危险(Risk for Constipation)(00015)48.腹泻(Diarrhea)(00013)49.胃肠动力紊乱(Dysfunctional Gastrointestinal Motility)(00196)50.有胃肠动力紊乱得危险(Risk for Dysfunctional G

9、astrointestinal Motility)(00197)排便失禁(Bowel Incontinence)(00014)51.类别3:皮肤功能(Integumentary Function)52.类别4:呼吸功能(Respiratory Function)53.气体交换受损(Impaired Gas Exchange)(00030)54.领域4:活动休息(Activit yRest)55.类别1:睡眠/休息(Sleep/Rest)56.失眠(Insomnia)(00095)57.睡眠剥夺(Sleep Deprivation)(00096)58.有睡眠形态增进得愿望(Readiness f

10、or Enhanced Sleep)(00165)59.睡眠形态紊乱(Disturbed Sleep Pattern)(00198)60.类别2:活动/运动(Activity/Exercise)61.有废用综合征得危险(Risk for Disuse Syndrome)(00040)62.床上活动障碍(Impaired Bed Mobility)(00091)63.躯体移动障碍(Impaired Physical Mobility)(00085)64.借助轮椅活动障碍(Impaired Wheelchair Mobility)(00089)65.移位能力障碍(Impaired Transfer

11、 Ability)(00090)66.行走障碍(Impaired Walking)(00088)67.类别3:能量平衡(Energy Balance)68.能量场紊乱(Disturbed Energy Field)(00050)69.疲乏(Fatigue)(00093)70.漫游(Wandering)(00154)71.类别4:心血管/肺部反应(Cardiovascular/Pulmonary Responses)72.活动无耐力(Activity Intolerance)(00092)73.有活动无耐力得危险(Risk for Activity Intolerance)(00094)74.低

12、效性呼吸形态(Ineffective Breathing Pattern)(00032)75.心输出量减少(Decreased Cardiac Output)(00029)76.有胃肠灌注不足得危险(Risk for Ineffective Gastrointestinal Perfusion)(00202)77.有肾脏灌注不足得危险(Risk for Ineffective Renal Perfusion)(00203)78.不能维持自主呼吸(Impaired Spontaneous Ventilation)(00033)79.周围组织灌注不足(Ineffective Peripheral

13、Tissue Perfusion)(00204)80.有心脏组织灌注不足得危险(Risk for Decreased Cardiac Tissue Perfusion)(00200)有脑组织灌注不足得危险(Risk for Ineffective Cerebral Tissue Perfusion)(00201)有周围组织灌注不足得危险(Risk for Ineffective Peripheral Tissue Perfusion)(00228)呼吸机依赖(Dysfunctional Ventilatory Weaning Response)(00034)类别5:自我照顾(Self-Care

14、)81.持家能力障碍(Impaired Home Maintenance)(00098)82.有增强自理得愿望(Readiness for Enhanced Self-Care)(00182)83.沐浴自理缺陷(Bathing Self-Care Deficit)(00108)84.穿衣自理缺陷(Dressing Self-Care Deficit)(00109)85.进食自理缺陷(Feeding Self-Care Deficit)(00102)86.如厕自理缺陷(Toileting Self-Care Deficit)(00110)87.忽视自我健康管理(Self-Neglect)(001

15、93)88.领域5:知觉认知(PerceptionCognition)89.类别1:注意力(Attention)90.忽视单侧身体(Unilateral Neglect)(00123)91.类别2:定向力(Orientation)92.环境解析障碍综合征(Impaired Environmental Interpretation Syndrome)(00127)类别3:感觉/知觉(Sensation/Perception)93.类别4:认知(Cognition)94.急性意识障碍(Acute Confusion)(00128)95.慢性意识障碍(Chronic Confusion)(00129

16、)96.有急性意识障碍得危险(Risk for Acute Confusion)(00173)97.自我控制无效(Ineffective Impulse Control)(00222)98.知识缺乏(Deficient Knowledge)(00126)99.有增加知识得愿望(Readiness for Enhanced Knowledge)(00161)100.记忆受损(Impaired Memory)(00131)101.类别5:沟通(munication)102.有加强沟通得愿望(Readiness for Enhanced munication)(00157)103.语言沟通障碍(Im

17、paired Verbal munication)(00051)104.领域6:自我知觉(Self-Perception)105.类别1:自我概念(Self-Concept)106.绝望(Hopelessness)(00124)107.有危及个人尊严得危险(Risk for promised Human Dignity)(00174)108.有孤独得危险(Risk for Loneliness)(00054)109.自我认同紊乱(Disturbed Personal Identity)(00121)110.有自我认同紊乱得危险(Risk for Disturbed Personal Ident

18、ity)(00225)111.有增强自我概念得愿望(Readiness for Enhanced Self-Concept)(00167)类别2:自尊Self-Esteem112.慢性低自尊(Chronic Low Self-Esteem)(00119)113.情境性低自尊(Situational Low Self-Esteem)(00120)114.有慢性低自尊得危险(Risk for Chronic Low Self-Esteem)(00224)115.有情境性低自尊得危险(Risk for Situational Low Self-Esteem)(00153)类别3:自我形象(Body

19、Image)116.自我形象紊乱(Disturbed Body Image)(00118)117.领域7:角色关系(Role Relationships)118.类别1:照顾者角色(Caregiving Roles)119.母乳喂养无效(Ineffective Breastfeeding)(00104)120.母乳喂养中断(Interrupted Breastfeeding)(00105)121.有增强母乳喂养得愿望(Readiness for Enhanced Breastfeeding)(00106)122.照顾者角色紧张(Caregiver Role Strain)(00061)123.

20、有照顾者角色紧张得危险(Risk for Caregiver Role Strain)(00062)124.抚养障碍(Impaired Parenting)(00056)125.有增进抚养能力得愿望(Readiness for Enhanced Parenting)(00164)126.有抚养障碍得危险(Risk for Impaired Parenting)(00057)127.类别2:家庭关系(Family Relationships)128.有依附关系障碍得危险(Risk for Impaired Attachment)(00058)129.家庭运作紊乱(Dysfunctional Fa

21、mily Processes)(00063)130.家庭运作中断(Interrupted Family Processes)(00060)131.有家庭运作稳定得愿望(Readiness for Enhanced Family Processes)(00159)类别3:角色表现(Role Performance)132.无效得关系(Ineffective Relationship)(00223)133.有增进关系得愿望(Readiness for Enhanced Relationship)(00207)134.有关系无效得危险(Risk for Ineffective Relationshi

22、p)(00229)135.父母角色冲突(Parental Role Conflict)(00064)136.角色紊乱(Ineffective Role Performance)(00055)137.社交障碍(Impaired Social Interaction)(00052)138.领域8:性学(Sexuality)139.类别1:性别认同(Sexual Identity)140.类别2:性功能(Sexual Function)141.性功能障碍(Sexual Dysfunction)(00059)142.性生活形态改变(Ineffective Sexuality Pattern)(0006

23、5)143.类别3:生殖(Reproduction)144.分娩过程无效(Ineffective Childbearing Process)(00221)145.有增进分娩过程得愿望(Readiness for Enhanced Childbearing Process)(00208)有分娩过程无效得危险(Risk for Ineffective Childbearing Process)(00227)有母体-胎儿受干扰得危险(Risk for Disturbed Maternal-Fetal Dyad)(00209)146.领域9:调适压力耐受(CopingStress Tolerance)

24、147.类别1:创伤后反应(Post-Trauma Responses)148.创伤后综合征(Post-Trauma Syndrome)(00141)149.有创伤后综合征得危险(Risk for Post-Trauma Syndrome)(00145)150.强暴创伤综合征(Rape-Trauma Syndrome)(00142)151.迁移应激综合征(Relocation Stress Syndrome)(00114)152.有迁移应激综合征得危险(Risk for Relocation Stress Syndrome)(00149)类别2:应对反应(Coping Responses)15

25、3.活动计划无效(Ineffective Activity Planning)(00199)154.有活动计划无效得危险(Risk for Ineffective Activity Planning)(00226)155.焦虑(Anxiety)(00146)156.防御性应对(Defensive Coping)(00071)157.应对无效(Ineffective Coping)(00069)158.有增强应对得愿望(Readiness for Enhanced Coping)(00158)159.社区应对无效(Ineffective munity Coping)(00077)160.社区有增

26、强应对得愿望(Readiness for Enhanced munity Coping)(00076)161.家庭妥协性应对(promised Family Coping)(00074)162.家庭应对缺陷(Disabled Family Coping)(00073)163.家庭有增强应对得愿望(Readiness for Enhanced Family Coping)(00075)164.死亡焦虑(Death Anxiety)(00147)165.无效性否认(Ineffective Denial)(00072)166.成人生存功能衰退(Adult Failure to Thrive)(001

27、01)167.恐惧(Fear)(00148)168.悲痛(Grieving)(00136)169.复杂性哀伤(plicated Grieving)(00135)170.有复杂性哀伤得危险(Risk for plicated Grieving)(00172)171.有增强能力得愿望(Readiness for Enhanced Power)(00187)172.无能为力(Powerlessness)(00125)173.有无能为力得危险(Risk for Powerlessness)(00152)174.个人复原能力受损(Impaired Individual Resilience)(00210

28、)175.有增强复原能力得愿望(Readiness for Enhanced Resilience)(00212)176.有危及复原得危险(Risk for promised Resilience)(00211)177.长期悲伤(Chronic Sorrow)(00137)178.超负荷压力(Stress Overload)(00177)179.类别3:神经行为压力(Neurobehavioral Stress)180.自主性反射障碍(Autonomic Dysreflexia)(00009)181.有自主反射障碍得危险(Risk for Autonomic Dysreflexia)(0001

29、0)182.婴儿行为紊乱(Disorganized Infant Behavior)(00116)183.婴儿有行为能力增强得潜力(Readiness for Enhanced Organized Infant Behavior)(00117)有婴儿行为紊乱得危险(Risk for Disorganized Infant Behavior)(00115)184.颅内调试能力下降(Decreased Intracranial Adaptive Capacity)(00049)185.领域10:生命原则(Life Principles)186.类别1:价值观(Values)187.有增进希望得愿望

30、(Readiness for Enhanced Hope)(00185)188.类别2:信念(Beliefs)189.有促进精神健康增强得愿望(Readiness for Enhanced Spiritual Well-Being)(00068)190.类别3:价值/信念/行动一致(Value/Belief/Action Congruence)191.有增强决策得愿望(Readiness for Enhanced Decision-Making)(00184)192.决策冲突(Decisional Conflict)(00083)193.道德困扰(Moral Distress)(00175)1

31、94.不合作(Nonpliance)(00079)195.虔信受损(Impaired Religiosity)(00169)196.有增进虔信得愿望(Readiness for Enhanced Religiosity)(00171)197.有虔信受损得危险(Risk for Impaired Religiosity)(00170)198.精神困扰(Spiritual Distress)(00066)199.有精神困扰得危险(Risk for Spiritual Distress)(00067)200.领域11:安全保护(SafetyProtection)201.类别1:感染(Infection)202.有感染得危险(Risk for Infection)(00004)203.类别2:身体伤害(Physical Injury)204.清理呼吸道无效(Ineffective Airway Clearance)(00031)205.有误吸得危险(Risk for Aspiration)(00039)206.有出血得危险(Risk for Bleeding)(00206)207.牙齿受损(Impaired Dentition)(00048)208.有干眼症得危险(Risk for Dry Eye)(00219)209.有跌倒得