新版216个护理诊断NANDA护理诊断.docx
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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2012~2014〔共216页〕
1.领域1:
健康促进〔HealthPromotion〕
2.类别1:
健康意识〔HealthAwareness〕
3.娱乐活动缺乏〔DeficientDiversionalActivity〕〔00097〕
4.静态的生活方式〔SedentaryLifestyle〕〔00168〕
5.类别2:
健康管理〔HealthManagement〕
6.缺乏公共卫生〔DeficientmunityHealth〕〔00215〕
7.有危险倾向的健康行为〔Risk-ProneHealthBehavior〕〔00188〕
8.健康维持无效〔IneffectiveHealthMaintenance〕〔00099〕
9.有增强免疫状态的愿望〔ReadinessforEnhancedImmunizationStatus〕〔00186〕
10.防护无效〔IneffectiveProtection〕〔00043〕
11.自我健康维持无效〔IneffectiveSelf-HealthManagement〕〔00078〕
12.有增强自我健康管理的愿望〔ReadinessforEnhancedSelf-HealthManagement〕〔00162〕家庭执行治疗方案无效〔IneffectiveFamilyTherapeuticRegimenManagement〕〔00080〕
13.领域2:
营养〔Nutrition〕
14.类别1:
摄入〔Ingestion〕
15.母乳不足〔InsufficientBreastMilk〕〔00216〕
16.婴儿喂养无效〔IneffectiveInfantFeedingPattern〕〔00107〕
17.营养失调:
低于机体需要量〔ImbalancedNutrition:
LessThanBodyRequirements〕〔00002〕营养失调:
高于机体需要量(ImbalancedNutrition:
MoreThanBodyRequirements〕〔00001〕有增强营养的愿望〔ReadinessforEnhancedNutrition〕〔00163〕
18.有营养失调的危险:
高于机体需要量〔RiskforImbalancedNutrition:
MoreThanBodyRequirements〕〔00003〕
19.吞咽能力受损〔ImpairedSwallowing〕〔00103〕
20.类别2:
消化〔Digestion〕
21.类别3:
吸收〔Absorption〕
22.类别4:
代谢〔Metabolism〕
23.有血糖不稳定的危险〔RiskforUnstableBloodGlucoseLevel〕〔00179〕
24.新生儿黄疸〔NeonatalJaundice〕〔00194〕
25.有新生儿黄疸的危险〔RiskforNeonatalJaundice〕〔00230〕
26.有肝功能受损的危险〔RiskforImpairedLiverFunction〕〔00178〕
27.类别5:
水化
28.有电解质失衡的危险〔RiskforElectrolyteImbalance〕〔00195〕
29.有维持体液平衡的愿望〔ReadinessforEnhancedFluidBalance〕〔00160〕
30.体液不足〔DeficientFluidVolume〕〔00027〕
31.体液过多〔ExcessFluidVolume〕〔00026〕
32.有体液不足的危险〔RiskforDeficientFluidVolume〕〔00028〕
33.有体液失衡的危险〔RiskforImbalancedFluidVolume〕〔00025〕
34.领域3:
排泄〔EliminationandExchange〕
35.类别1:
排尿功能〔UrinaryFunction〕
36.功能性尿失禁〔FunctionalUrinaryIncontinence〕〔00020〕
37.充溢性尿失禁〔OverflowUrinaryIncontinence〕〔00176〕
38.反射性尿失禁〔ReflexUrinaryIncontinence〕〔00018〕
39.压力性尿失禁〔StressUrinaryIncontinence〕〔00017〕
40.急迫性尿失禁〔UrgeUrinaryIncontinence〕〔00019〕
41.有急迫性尿失禁的危险〔RiskforUrgeUrinaryIncontinence〕〔00022〕
42.排尿形态改变〔ImpairedUrinaryElimination〕〔00016〕
43.有排尿形态恢复正常的愿望〔ReadinessforEnhancedUrinaryElimination〕〔00166〕尿潴留〔UrinaryRetention〕〔00023〕
44.类别2:
胃肠功能〔GastrointestinalFunction〕
45.便秘〔Constipation〕〔00011〕
46.感知性便秘〔PerceivedConstipation〕〔00012〕
47.有便秘的危险〔RiskforConstipation〕〔00015〕
48.腹泻〔Diarrhea〕〔00013〕
49.胃肠动力紊乱〔DysfunctionalGastrointestinalMotility〕〔00196〕
50.有胃肠动力紊乱的危险〔RiskforDysfunctionalGastrointestinalMotility〕〔00197〕排便失禁〔BowelIncontinence〕〔00014〕
51.类别3:
皮肤功能〔IntegumentaryFunction〕
52.类别4:
呼吸功能〔RespiratoryFunction〕
53.气体交换受损〔ImpairedGasExchange〕〔00030〕
54.领域4:
活动∕休息〔Activity∕Rest〕
55.类别1:
睡眠/休息〔Sleep/Rest〕
56.失眠〔Insomnia〕〔00095〕
57.睡眠剥夺〔SleepDeprivation〕〔00096〕
58.有睡眠形态增进的愿望〔ReadinessforEnhancedSleep〕〔00165〕
59.睡眠形态紊乱〔DisturbedSleepPattern〕〔00198〕
60.类别2:
活动/运动〔Activity/Exercise〕
61.有废用综合征的危险〔RiskforDisuseSyndrome〕〔00040〕
62.床上活动障碍〔ImpairedBedMobility〕〔00091〕
63.躯体移动障碍〔ImpairedPhysicalMobility〕〔00085〕
64.借助轮椅活动障碍〔ImpairedWheelchairMobility〕〔00089〕
65.移位能力障碍〔ImpairedTransferAbility〕〔00090〕
66.行走障碍〔ImpairedWalking〕〔00088〕
67.类别3:
能量平衡〔EnergyBalance〕
68.能量场紊乱〔DisturbedEnergyField〕〔00050〕
69.疲乏〔Fatigue〕〔00093〕
70.漫游〔Wandering〕〔00154〕
71.类别4:
心血管/肺部反响〔Cardiovascular/PulmonaryResponses〕
72.活动无耐力〔ActivityIntolerance〕〔00092〕
73.有活动无耐力的危险〔RiskforActivityIntolerance〕〔00094〕
74.低效性呼吸形态〔IneffectiveBreathingPattern〕〔00032〕
75.心输出量减少〔DecreasedCardiacOutput〕〔00029〕
76.有胃肠灌注不足的危险〔RiskforIneffectiveGastrointestinalPerfusion〕〔00202〕
77.有肾脏灌注不足的危险〔RiskforIneffectiveRenalPerfusion〕〔00203〕
78.不能维持自主呼吸〔ImpairedSpontaneousVentilation〕〔00033〕
79.周围组织灌注不足〔IneffectivePeripheralTissuePerfusion〕〔00204〕
80.有心脏组织灌注不足的危险〔RiskforDecreasedCardiacTissuePerfusion〕〔00200〕有脑组织灌注不足的危险〔RiskforIneffectiveCerebralTissuePerfusion〕〔00201〕有周围组织灌注不足的危险〔RiskforIneffectivePeripheralTissuePerfusion〕〔00228〕呼吸机依赖〔DysfunctionalVentilatoryWeaningResponse〕〔00034〕类别5:
自我照顾〔Self-Care〕
81.持家能力障碍〔ImpairedHomeMaintenance〕〔00098〕
82.有增强自理的愿望〔ReadinessforEnhancedSelf-Care〕〔00182〕
83.沐浴自理缺陷〔BathingSelf-CareDeficit〕〔00108〕
84.穿衣自理缺陷〔DressingSelf-CareDeficit〕〔00109〕
85.进食自理缺陷〔FeedingSelf-CareDeficit〕〔00102〕
86.如厕自理缺陷〔ToiletingSelf-CareDeficit〕〔00110〕
87.无视自我健康管理〔Self-Neglect〕〔00193〕
88.领域5:
知觉∕认知〔Perception∕Cognition〕
89.类别1:
注意力〔Attention〕
90.无视单侧身体〔UnilateralNeglect〕〔00123〕
91.类别2:
定向力〔Orientation〕
92.环境解析障碍综合征〔ImpairedEnvironmentalInterpretationSyndrome〕〔00127〕类别3:
感觉/知觉〔Sensation/Perception〕
93.类别4:
认知〔Cognition〕
94.急性意识障碍〔AcuteConfusion〕〔00128〕
95.慢性意识障碍〔ChronicConfusion〕〔00129〕
96.有急性意识障碍的危险〔RiskforAcuteConfusion〕〔00173〕
97.自我控制无效〔IneffectiveImpulseControl〕〔00222〕
98.知识缺乏〔DeficientKnowledge〕〔00126〕
99.有增加知识的愿望〔ReadinessforEnhancedKnowledge〕〔00161〕
100.记忆受损〔ImpairedMemory〕〔00131〕
101.类别5:
沟通〔munication〕
102.有加强沟通的愿望〔ReadinessforEnhancedmunication〕〔00157〕
103.语言沟通障碍〔ImpairedVerbalmunication〕〔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.有危与个人尊严的危险〔RiskforpromisedHumanDignity〕〔00174〕
108.有孤独的危险〔RiskforLoneliness〕〔00054〕
109.自我认同紊乱〔DisturbedPersonalIdentity〕〔00121〕
110.有自我认同紊乱的危险〔RiskforDisturbedPersonalIdentity〕〔00225〕
111.有增强自我概念的愿望〔ReadinessforEnhancedSelf-Concept〕〔00167〕类别2:
自尊Self-Esteem
112.慢性低自尊〔ChronicLowSelf-Esteem〕〔00119〕
113.情境性低自尊〔SituationalLowSelf-Esteem〕〔00120〕
114.有慢性低自尊的危险〔RiskforChronicLowSelf-Esteem〕〔00224〕
115.有情境性低自尊的危险〔RiskforSituationalLowSelf-Esteem〕〔00153〕类别3:
自我形象〔BodyImage〕
116.自我形象紊乱〔DisturbedBodyImage〕〔00118〕
117.领域7:
角色关系〔RoleRelationships〕
118.类别1:
照顾者角色〔CaregivingRoles〕
119.母乳喂养无效〔IneffectiveBreastfeeding〕〔00104〕
120.母乳喂养中断〔InterruptedBreastfeeding〕〔00105〕
121.有增强母乳喂养的愿望〔ReadinessforEnhancedBreastfeeding〕〔00106〕
122.照顾者角色紧〔CaregiverRoleStrain〕〔00061〕
123.有照顾者角色紧的危险〔RiskforCaregiverRoleStrain〕〔00062〕
124.抚养障碍〔ImpairedParenting〕〔00056〕
125.有增进抚养能力的愿望〔ReadinessforEnhancedParenting〕〔00164〕
126.有抚养障碍的危险〔RiskforImpairedParenting〕〔00057〕
127.类别2:
家庭关系〔FamilyRelationships〕
128.有依附关系障碍的危险〔RiskforImpairedAttachment〕〔00058〕
129.家庭运作紊乱〔DysfunctionalFamilyProcesses〕〔00063〕
130.家庭运作中断〔InterruptedFamilyProcesses〕〔00060〕
131.有家庭运作稳定的愿望〔ReadinessforEnhancedFamilyProcesses〕〔00159〕类别3:
角色表现〔RolePerformance〕
132.无效的关系〔IneffectiveRelationship〕〔00223〕
133.有增进关系的愿望〔ReadinessforEnhancedRelationship〕〔00207〕
134.有关系无效的危险〔RiskforIneffectiveRelationship〕〔00229〕
135.父母角色冲突〔ParentalRoleConflict〕〔00064〕
136.角色紊乱〔IneffectiveRolePerformance〕〔00055〕
137.社交障碍〔ImpairedSocialInteraction〕〔00052〕
138.领域8:
性学〔Sexuality〕
139.类别1:
性别认同〔SexualIdentity〕
140.类别2:
性功能〔SexualFunction〕
141.性功能障碍〔SexualDysfunction〕〔00059〕
142.性生活形态改变〔IneffectiveSexualityPattern〕〔00065〕
143.类别3:
生殖〔Reproduction〕
144.分娩过程无效〔IneffectiveChildbearingProcess〕〔00221〕
145.有增进分娩过程的愿望〔ReadinessforEnhancedChildbearingProcess〕〔00208〕有分娩过程无效的危险〔RiskforIneffectiveChildbearingProcess〕〔00227〕有母体-胎儿受干扰的危险〔RiskforDisturbedMaternal-FetalDyad〕〔00209〕
146.领域9:
调适∕压力耐受〔Coping∕StressTolerance〕
147.类别1:
创伤后反响〔Post-TraumaResponses〕
148.创伤后综合征〔Post-TraumaSyndrome〕〔00141〕
149.有创伤后综合征的危险〔RiskforPost-TraumaSyndrome〕〔00145〕
150.强暴创伤综合征〔Rape-TraumaSyndrome〕〔00142〕
151.迁移应激综合征〔RelocationStressSyndrome〕〔00114〕
152.有迁移应激综合征的危险〔RiskforRelocationStressSyndrome〕〔00149〕类别2:
应对反响〔CopingResponses〕
153.活动计划无效〔IneffectiveActivityPlanning〕〔00199〕
154.有活动计划无效的危险〔RiskforIneffectiveActivityPlanning〕〔00226〕
155.焦虑〔Anxiety〕〔00146〕
156.防御性应对〔DefensiveCoping〕〔00071〕
157.应对无效〔IneffectiveCoping〕〔00069〕
158.有增强应对的愿望〔ReadinessforEnhancedCoping〕〔00158〕
159.社区应对无效〔IneffectivemunityCoping〕〔00077〕
160.社区有增强应对的愿望〔ReadinessforEnhancedmunityCoping〕〔00076〕
161.家庭妥协性应对〔promisedFamilyCoping〕〔00074〕
162.家庭应对缺陷〔DisabledFamilyCoping〕〔00073〕
163.家庭有增强应对的愿望〔ReadinessforEnhancedFamilyCoping〕〔00075〕
164.死亡焦虑〔DeathAnxiety〕〔00147〕
165.无效性否认〔IneffectiveDenial〕〔00072〕
166.成人生存功能衰退〔AdultFailuretoThrive〕〔00101〕
167.恐惧〔Fear〕〔00148〕
168.悲痛〔Grieving〕〔00136〕
169.复杂性哀伤〔plicatedGrieving〕〔00135〕
170.有复杂性哀伤的危险〔RiskforplicatedGrieving〕〔00172〕
171.有增强能力的愿望〔ReadinessforEnhancedPower〕〔00187〕
172.无能为力〔Powerlessness〕〔00125〕
173.有无能为力的危险〔RiskforPowerlessness〕〔00152〕
174.个人复原能力受损〔ImpairedIndividualResilience〕〔00210〕
175.有增强复原能力的愿望〔ReadinessforEnhancedResilience〕〔00212〕
176.有危与复原的危险〔RiskforpromisedResilience〕〔00211〕
177.长期悲伤〔ChronicSorrow〕〔00137〕
178.超负荷压力〔StressOverload〕〔00177〕
179.类别3:
神经行为压力〔NeurobehavioralStress〕
180.自主性反射障碍〔AutonomicDysreflexia〕〔00009〕
181.有自主反射障碍的危险〔RiskforAutonomicDysreflexia〕〔00010〕
182.婴儿行为紊乱〔DisorganizedInfantBehavior〕〔00116〕
183.婴儿有行为能力增强的潜力〔ReadinessforEnhancedOrganizedInfantBehavior〕〔00117〕有婴儿行为紊乱的危险〔RiskforDisorganizedInfantBehavior〕〔00115〕
184.颅调试能力下降〔DecreasedIntracranialAdaptiveCapacity〕〔00049〕
185.领域10:
生命原如此〔LifePrinciples〕
186.类别1:
价值观〔Values〕
187.有增进希望的愿望〔ReadinessforEnhancedHope〕〔00185〕
188.类别2:
信念〔Beliefs〕
189.有促进精神健康增强的愿望〔ReadinessforEnhancedSpiritualWell-Being〕〔00068〕
190.类别3:
价值/信念/行动一致〔Value/Belief/ActionCongruence〕
191.有增强决策的愿望〔ReadinessforEnhancedDecision-Making〕〔00184〕
192.决策冲突〔DecisionalConflict〕〔00083〕
193.道德困扰〔MoralDistress〕〔00175〕
194.不合作〔Nonpliance〕〔00079〕
195.虔信受损〔ImpairedReligiosity〕〔00169〕
196.有增进虔信的愿望〔ReadinessforEnhancedReligiosity〕〔00171〕
197.有虔信受损的危险〔RiskforImpairedReligiosity〕〔00170〕
198.精神困扰〔SpiritualDistress〕〔00066〕
199.有精神困扰的危险〔RiskforSpiritualDistress〕〔00067〕
200.领域11:
安全∕保护〔Safety∕Protection〕
201.类别1:
感染〔Infection〕
202.有感染的危险〔RiskforInfection〕〔00004〕
203.类别2:
身体伤害〔PhysicalInjury〕
204.清理呼吸道无效〔IneffectiveAirwayClearance〕〔00031〕
205.有误吸的危险〔RiskforAspiration〕〔00039〕
206.有出血的危险〔RiskforBleeding〕〔00206〕
207.牙齿受损〔ImpairedDentition〕〔00048〕
208.有干眼症的危险〔RiskforDryEye〕〔00219〕
209.有跌倒的危险