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
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新版216个护理诊断NANDA护理诊断
NANDA-I护理诊断2012~2014(共216页)
领域1:
健康促进(HealthPromotion)
类别1:
健康意识(HealthAwareness)
娱乐活动缺乏(DeficientDiversionalActivity)(00097)
静态的生活方式(SedentaryLifestyle)(00168)
类别2:
健康管理(HealthManagement)
缺乏公共卫生(DeficientCommunityHealth)(00215)有危险倾向的健康行为(Risk-ProneHealthBehavior)(00188)
健康维持无效(IneffectiveHealthMaintenance)(00099)
有增强免疫状态的愿望(ReadinessforEnhancedImmunizationStatus)(00186)防护无效(IneffectiveProtection)(00043)
)(00078)
)(00107)
自我健康维持无效(IneffectiveSelf-HealthManagement
ReadinessforEnhancedSelf-HealthManagement)
IneffectiveFamilyTherapeuticRegimen
有增强自我健康管理的愿望((00162)家庭执行治疗方案无效(Management)(00080)
领域2:
营养(Nutrition)
类别1:
摄入(Ingestion)
)(00216)
母乳不足(InsufficientBreastMilk
婴儿喂养无效(IneffectiveInfantFeedingPattern
营养失调:
低于机体需要量(ImbalancedNutritionRequirements)(00002)营养失调:
高于机体需要量MoreThanBodyRequirements)(00001)有增强营养的愿望(EnhancedNutrition)(00163)
有营养失调的危险:
高于机体需要量(RiskforImbalancedNutrition:
MoreThan
BodyRequirements)(00003)
吞咽能力受损(ImpairedSwallowing)(00103)
类别2:
消化(Digestion)
类别3:
吸收(Absorption)
类别4:
代谢(Metabolism)
有血糖不稳定的危险(RiskforUnstableBloodGlucoseLevel)(00179)
新生儿黄疸(NeonatalJaundice)(00194)
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有新生儿黄疸的危险(RiskforNeonatalJaundice)(00230)
有肝功能受损的危险(RiskforImpairedLiverFunction)(00178)
类别5:
水化
有电解质失衡的危险(RiskforElectrolyteImbalance)(00195)
有维持体液平衡的愿望(ReadinessforEnhancedFluidBalance)(00160)
体液不足(DeficientFluidVolume)(00027)
体液过多(ExcessFluidVolume)(00026)
有体液不足的危险(RiskforDeficientFluidVolume)(00028)
有体液失衡的危险(RiskforImbalancedFluidVolume)(00025)
领域3:
排泄(EliminationandExchange)
类别1:
排尿功能(UrinaryFunction)
功能性尿失禁(FunctionalUrinaryIncontinence)(00020)
充溢性尿失禁(OverflowUrinaryIncontinence)(00176)
反射性尿失禁(ReflexUrinaryIncontinence)(00018)
压力性尿失禁(StressUrinaryIncontinence)(00017)
急迫性尿失禁(UrgeUrinaryIncontinence)(00019)
有急迫性尿失禁的危险(RiskforUrgeUrinaryIncontinence)(00022)
排尿形态改变(ImpairedUrinaryElimination)(00016)
有排尿形态恢复正常的愿望(ReadinessforEnhancedUrinaryElimination)
(00166)尿潴留(UrinaryRetention)(00023)
类别2:
胃肠功能(GastrointestinalFunction)便秘(Constipation)(00011)
感知性便秘(PerceivedConstipation)(00012)
有便秘的危险(RiskforConstipation)(00015)
腹泻(Diarrhea)(00013)
胃肠动力紊乱(DysfunctionalGastrointestinalMotility)(00196)
有胃肠动力紊乱的危险(RiskforDysfunctionalGastrointestinalMotility)
(00197)排便失禁(BowelIncontinence)(00014)
类别3:
皮肤功能(IntegumentaryFunction)
类别4:
呼吸功能(RespiratoryFunction)
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/肺部反应(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)
持家能力障碍(ImpairedHomeMaintenance)(00098)
有增强自理的愿望(ReadinessforEnhancedSelf-Care)(00182)
沐浴自理缺陷(BathingSelf-CareDeficit)(00108)
穿衣自理缺陷(DressingSelf-CareDeficit)(00109)
进食自理缺陷(FeedingSelf-CareDeficit)(00102)
如厕自理缺陷(ToiletingSelf-CareDeficit)(00110)
忽视自我健康管理(Self-Neglect)(00193)领域5:
知觉∕认知(Perception∕Cognition)类别1:
注意力(Attention)忽视单侧身体(UnilateralNeglect)(00123)
类别2:
定向力(Orientation)环境解析障碍综合征(ImpairedEnvironmentalInterpretationSyndrome)
(00127)类别3:
感觉/知觉(Sensation/Perception)类别4:
认知(Cognition)急性意识障碍(AcuteConfusion)(00128)慢性意识障碍(ChronicConfusion)(00129)有急性意识障碍的危险(RiskforAcuteConfusion)(00173)
自我控制无效(IneffectiveImpulseControl)(00222)
知识缺乏(DeficientKnowledge)(00126)
有增加知识的愿望(ReadinessforEnhancedKnowledge)(00161)
记忆受损(ImpairedMemory)(00131)类别5:
沟通(Communication)有加强沟通的愿望(ReadinessforEnhancedCommunication)(00157)
语言沟通障碍(ImpairedVerbalCommunication)(00051)
领域6:
自我知觉(Self-Perception)类别1:
自我概念(Self-Concept)绝望(Hopelessness)(00124)有危及个人尊严的危险(RiskforCompromisedHumanDignity)(00174)
有孤独的危险(RiskforLoneliness)(00054)
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)(00121)
自我认同紊乱(DisturbedPersonalIdentity
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有自我认同紊乱的危险(RiskforDisturbedPersonalIdentity)(00225)
有增强自我概念的愿望(ReadinessforEnhancedSelf-Concept)(00167)类
别2:
自尊Self-Esteem
慢性低自尊(ChronicLowSelf-Esteem)(00119)
情境性低自尊(SituationalLowSelf-Esteem)(00120)
有慢性低自尊的危险(RiskforChronicLowSelf-Esteem)(00224)
有情境性低自尊的危险(RiskforSituationalLowSelf-Esteem)(00153)类别3:
自我形象(BodyImage)
自我形象紊乱(DisturbedBodyImage)(00118)
领域7:
角色关系(RoleRelationships)
类别1:
照顾者角色(CaregivingRoles)
母乳喂养无效(IneffectiveBreastfeeding)(00104)
母乳喂养中断(InterruptedBreastfeeding)(00105)
有增强母乳喂养的愿望(ReadinessforEnhancedBreastfeeding)(00106)
照顾者角色紧张(CaregiverRoleStrain)(00061)
有照顾者角色紧张的危险(RiskforCaregiverRoleStrain)(00062)
抚养障碍(ImpairedParenting)(00056)
有增进抚养能力的愿望(ReadinessforEnhancedParenting)(00164)
)(00057)
)(00058)
有抚养障碍的危险(RiskforImpairedParenting
类别2:
家庭关系(FamilyRelationships)
有依附关系障碍的危险(RiskforImpairedAttachment
家庭运作紊乱(DysfunctionalFamilyProcesses)(00063)
家庭运作中断(InterruptedFamilyProcesses)(00060)
有家庭运作稳定的愿望(ReadinessforEnhancedFamilyProcesses)(00159)
类别3:
角色表现(RolePerformance)
无效的关系(IneffectiveRelationship)(00223)
有增进关系的愿望(ReadinessforEnhancedRelationship)(00207)
有关系无效的危险(RiskforIneffectiveRelationship)(00229)
父母角色冲突(ParentalRoleConflict)(00064)
角色紊乱(IneffectiveRolePerformance)(00055)
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:
创伤后反应(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:
应对反应(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(IneffectiveCommunityCoping)(00077)
160.社区有增强应对的愿望(ReadinessforEnhancedCommunityCoping)(00076)
161.家庭妥协性应对(CompromisedFamilyCoping)(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)
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(ComplicatedGrieving)(00135)
170.有复杂性哀伤的危险(RiskforComplicatedGrieving)(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.有危及复原的危险(RiskforCompromisedResilience)(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.颅内调试能力下降(DecreasedIntracranialAdaptiveCapacity)(00049)
185.领域10:
生命原则(LifePrinciples)
186.类别1:
价值观(Values)
187.有增进