HL0607NANDA护理诊断一览表(2015-2017)Word下载.docx
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HL0607NANDA护理诊断一览表(2015-2017)Word下载.docx
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有健康行为改善的趋势(Risk-ProneHealthBehavior)健康维持无效(IneffectiveHealthMaintenance)
防护无效(IneffectiveProtection)
领域2:
营养(Nutrition)肥胖(Obesity)
超重(Overweight)
有超重的危险(Riskforoverweight)
母乳喂养无效(Ineffectivebreastfeeding)母乳喂养中断(Interruptedbreastfeeding)
有母乳喂养改善的趋势(Readinessforenhancedbreastfeeding)乳汁不足(InsufficientBreastMilk)
无效性婴儿喂养型态(IneffectiveInfantFeedingPattern)
营养失调:
低于机体需要量(ImbalancedNutrition:
LessThanBodyRequirements)有营养改善的趋势(ReadinessforEnhancedNutrition)
吞咽障碍(ImpairedSwallowing)
有血糖不稳定的危险(RiskforUnstableBloodGlucoseLevel)新生儿黄疸(NeonatalJaundice)
有新生儿黄疸的危险(RiskforNeonatalJaundice)
有肝功能受损的危险(RiskforImpairedLiverFunction)有电解质失衡的危险(RiskforElectrolyteImbalance)
有体液平衡改善的趋势(ReadinessforEnhancedFluidBalance)体液不足(DeficientFluidVolume)
有体液不足的危险(RiskforDeficientFluidVolume)体液过多(ExcessFluidVolume)
有体液失衡的危险(RiskforImbalancedFluidVolume)
领域3:
排泄(EliminationandExchange)
慢性功能性便秘(Chronicfunctionalconstipation)
有慢性功能性便秘的危险(Riskforchronicfunctionalconstipation)排尿障碍(ImpairedUrinaryElimination)
有排尿功能改善的趋势(ReadinessforEnhancedUrinaryElimination)功能性尿失禁(FunctionalUrinaryIncontinence)
溢出性尿失禁(OverflowUrinaryIncontinence)反射性尿失禁(ReflexUrinaryIncontinence)压力性尿失禁(StressUrinaryIncontinence)急迫性尿失禁(UrgeUrinaryIncontinence)
有急迫性尿失禁的危险(RiskforUrgeUrinaryIncontinence)尿潴留(UrinaryRetention)
便秘(Constipation)
有便秘的危险(RiskforConstipation)感知性便秘(PerceivedConstipation)腹泻(Diarrhea)
胃肠动力失调(DysfunctionalGastrointestinalMotility)
有胃肠动力失调的危险(RiskforDysfunctionalGastrointestinalMotility)排便失禁(BowelIncontinence)
气体交换障碍(ImpairedGasExchange)
领域4:
活动/休息(Activity/Rest)坐起障碍(Impairedsitting)
站立障碍(Impairedstanding)
有心输出量减少的危险(Riskfordecreasedcardiacoutput)
有心血管功能受损的危险(Riskforimpairedcardiovascularfunction)失眠(Insomnia)
睡眠剥夺(SleepDeprivation)
有睡眠改善的趋势(ReadinessforEnhancedSleep)睡眠型态紊乱(DisturbedSleepPattern)
有失用综合征的危险(RiskforDisuseSyndrome)床上活动障碍(ImpairedBedMobility)
躯体活动障碍(ImpairedPhysicalMobility)
借助轮椅活动障碍(ImpairedWheelchairMobility)移动能力障碍(ImpairedTransferAbility)
行走障碍(ImpairedWalking)疲乏(Fatigue)
漫游状态(Wandering)
活动无耐力(ActivityIntolerance)
有活动无耐力的危险(RiskforActivityIntolerance)低效性呼吸型态(IneffectiveBreathingPattern)
心输出量减少(DecreasedCardiacOutput)
有胃肠道灌注无效的危险(RiskforIneffectiveGastrointestinalPerfusion)有肾脏灌注无效的危险(RiskforIneffectiveRenalPerfusion)
自主呼吸障碍(ImpairedSpontaneousVentilation)
有心脏组织灌注不足的危险(RiskforDecreasedCardiacTissuePerfusion)有脑组织灌注无效的危险(RiskforIneffectiveCerebralTissuePerfusion)外周组织灌注无效(IneffectivePeripheralTissuePerfusion)
有外周组织灌注无效的危险RiskforIneffectivePeripheralTissuePerfusion
呼吸机依赖(DysfunctionalVentilatoryWeaningResponse)
持家能力障碍(ImpairedHomeMaintenance)沐浴自理缺陷(BathingSelf-CareDeficit)穿着自理缺陷(DressingSelf-CareDeficit)进食自理缺陷(FeedingSelf-CareDeficit)如厕自理缺陷(ToiletingSelf-CareDeficit)
有自理能力改善的趋势(ReadinessforEnhancedSelf-Care)自我忽视(Self-Neglect)
领域5:
感知/认知(Perception/Cognition)
情绪控制失调(Labileemotionalcontrol)单侧身体忽视(UnilateralNeglect)
急性意识障碍(AcuteConfusion)
有急性意识障碍的危险(RiskforAcuteConfusion)慢性意识障碍(ChronicConfusion)
冲动控制无效(IneffectiveImpulseControl)
知识缺乏(DeficientKnowledge)
有知识增进的趋势(ReadinessforEnhancedKnowledge)记忆功能障碍(ImpairedMemory)
有沟通增进的趋势(ReadinessforEnhancedCommunication)语言沟通障碍(ImpairedVerbalCommunication)
领域6:
自我感知(Self-Perception)
有希望增强的趋势(Readinessforenhancedhope)无望感(Hopelessness)
有个人尊严受损的危险(RiskforCompromisedHumanDignity)自我认同紊乱(DisturbedPersonalIdentity)
有自我认同紊乱的危险(RiskforDisturbedPersonalIdentity)
有自控能力增强的趋势(ReadinessforEnhancedSelf-Control)长期低自尊(ChronicLowSelf-Esteem)
有长期低自尊的危险(RiskforChronicLowSelf-Esteem)
有情境性低自尊的危险(RiskforSituationalLowSelf-Esteem)情境性低自尊(SituationalLowSelf-Esteem)
体像紊乱(DisturbedBodyImage)
领域7:
角色关系(RoleRelationships)照顾者角色紧张(CaregiverRoleStrain)
有照顾者角色紧张的危险(RiskforCaregiverRoleStrain)养育功能障碍(ImpairedParenting)
有养育功能改善的趋势(ReadinessforEnhancedParenting)
有养育功能障碍的危险(RiskforImpairedParenting)有依附关系受损的危险(RiskforImpairedAttachment)家庭运作过程失常(DysfunctionalFamilyProcesses)家庭运作过程改变(InterruptedFamilyProcesses)
有家庭运作过程改善的趋势(ReadinessforEnhancedFamilyProcesses)关系无效(IneffectiveRelationship)
有关系改善的趋势(ReadinessforEnhancedRelationship)有关系无效的危险RiskforIneffectiveRelationship
父母角色冲突(ParentalRoleConflict)
无效性角色行为(IneffectiveRolePerformance)社会交往障碍(ImpairedSocialInteraction)
领域8:
性(Sexuality)
性功能障碍(SexualDysfunction)
性生活型
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- HL0607NANDA 护理 诊断 一览表 2015 2017
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