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.docx
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新版216个护理诊断NANDA护理诊断
g3卜常逐夸艸N碗A歹疼专■幷
新版216个护理诊断NANDA护理诊断
NANA-I护理诊断2012-2014咲216贝)
1.领域仁健康促进(HealthPromotion)
2.类别1:
健康意识(He日11hawarene$s)
3.娱乐活动缺乏(DeficientDiversion6IActivity)(OOO97)
4.静态的生活方式(SedentaryLjfestyle)(001^8)
5.类别2;健康管埋(HealthManagement〉
6.缺乏公共卫生(DeficientCommunityHealth)(00215)
7.有危险倾向的健康行为〈RisroneHealth3ehavior)(0018S)
8.傩康维持无^(lneffectiveHeaIthMaintenance)(00099)
9.有増强免疫狀态的愿望(Readingssfo「EnHancedImmunizationStatu
&〉(00186〉
10.防护无锻 11・自我健康维持无效 42.有谱强自我健康耸理的愿莹{ReadinessforEnhancedSelf-Hea丨thWanagemerit)(00162)家庭执行治疗方聚无^(IneffectlveFamilyTherapeuticRegimenManagement}(00080〉 13.领域2: 莒养(Nutrition) 14.类别1: 摄入(Ingestion) 15.母乳不足(InsufficientBreastMiIk)(00216〉 16.婴儿喂养无效(lrwffectiveTnfantFeedingPattern)(O0l07) 17.莒养失调: 低于机体而要呈"mbalancedNutrition: LessThanBodyRequirements)〈00002)莒养失调二高于机体需要呈ImbalancedNutritioniMoreThanBodyRequirements)(00001)有増過莒养的愿望(ReadinessforEnhsncedNutrition)(00163) 18.有营养失调的危险: 高于机体需要昼{RiskforImbalancedNutrition: MoreThanBodyRequirements)<00003) 19.吞咽能力受(ImpairedSwallowing)<00103) 20.类别2: 消化(Digestion) 21・类别3: 吸收(Absorption) 22.类别4: 代W(MetaboIism> g卜常逐夸艸N碗A昭殛专•幷 23.有血橱不稳.定的危险〈RiskforUnstableBioodGlucoseLevel)<00179) 24•新生儿黄疸(NeonatalJeundice)(00194) 25.有新生丿L黄疸的危险(RiskforNeonatalJaundice><00230) 26•有肝功能受损的危险(RiskforirnpairedLiverFunction)(00178) 27.类别5: 术化 28.有电解质失衡的危险 29.有维持体液平衡的愿望 30.体液不足〈DeficientFluidVo1ume>(0002t) 31.体液过多(ExcessFluidVolume)(00026) 32.有体液不足的危险(Ri5kforDeficientFluidVolume)(00028) 33.有体液失術的危险(Risk于orImbalanewdFluidVolume)<00025) 34.领域3: 排泄 35.类别i: 排尿功能 36.功能性尿失禁(FunctionalUrinaryTncontinence)<00020) 37.充溢性尿失M(OverflowUrinaryTncontinence)100176) 38•反射性尿失禁(ReflexUrinaryIncontinence)(00018) 39.压力性尿失禁(StressUrinarylncontinence)(00017) 40.急迫性尿失禁(UrgeUrinary|ncontinenee)(00019) 41.有急迫性尿失禁的危险(RiskforUrgeUrinaryIncontinence)(00022) 42.排尿形态改变(ImpairedurinaryEli^ination)(00016) 43.有排尿形态恢复正常的愿^(ReadinessforEnhancedUrinaryEliminaTlon)(00166)尿潴留(UrinaryBetention)(00023) 44.类别2: 胃肠功能(GastrointestinalFunction) 45•便秘(Constipation)<00011) 46.感知性便秘(Pe「chivedConMipatjon)(00012> 47.有便秘的危险(RiskforConstipation)(00015) 48.腹泻(Diarrhea><00013) 49.胃肠动力紊乱(DysfunctionaIGasrrointestinalMoti1ity)(00196} g&d卜常逐夸艸N碗A昭殛专•幷 50.有胃肠动力素乱的危险(RiskforDysfunctionalGastrointestinaIMotility)(00197)排便失^(3oweIIncontinence)(00014) 51.类别3: 皮朕功能(IntegumentaryFunction) 52.类别4: 呼吸功能(RespiratoryFunction) 53.气体交换Tmpa1redGasExchange)(00030) 54.领域4: 活动休息 55.类别1: 睡盼休息(S1eep/Rest) 56.失眠(Insomn2〉(00095) 57.睡眠剥奇(SleepDeprivation)(00096) 58.有睡眠形态增进的愿望 59.睡眠形态葉乱(DisturbedSleepPattern)(00198> 60.类别2: 活动/运动(Ac11vity/Exercise> 61.有废用综台征的危险(RiskforDisuseSyndrome)(00040) 62.床上活动障碍(Imp日iredBedMobility)(00091) 63•躯体移动障碍(ImPalredPhysicalMobiliTy)〈00085) 64.借助轮椅活动障碍(ImpairedWheeIchairMobiIity)(00089) 65.移位能力障碍(TmpairedTransferAbility)<00090) 66.行走障W(lmpairedWalking)(00088) 67.类别3,能昼平衡 68.能亘场紊乱〈DisturbedEnergyField)<00050) 69•疲乏(Fatigue)(0O093) 70.漫游(W5de「in£)(00154) 71.类别4: 心血管/肺部反应〈C&rdiovascular/PuImona广yResponses) 72.活幼无耐力(ActivityIntolerance)<00092> 73.有活动无耐力的危险 74.低效性呼吸形态(I门effectiveBreathingPattern)(o0032) 75.心输出童减少(Decrea&edCardiacOutput)<00029) 76.有胃肠港注不足的危险(RiskforIneffactiveGastrointe$tinalPerfusion>(00202) 77.有肾脏灌注不足的危险(RiskforlneffectiveinalPerfus5)(00203) 78.不能维持自主呼吸(ImpairedSpontaneousVenti1ation)<00033) g3卜常逐夸艸N碗A歹疼专■幷 79.周围组织灌注不足(IneffectivePeripheralTissuePerfusion)(00204) 80.有心脏组织陵注不足的危险(RiskforDecreasedCardiacTissuePerfusion)(00200>有脑组织灌注不足的危险(RiskforIneffectiveCerebralTi&suePerfusion)(00201)有周围组织煙注不足的危殓(RiskforineffectlvePeripheralTissuePetfusion)<00228)吸机依赖(DysfunctionalVentilatoryUVeaningResponse〉(00034)类别5: 自我賤顾(Self-Care) 81・持家能力障碍(ImpairedHomeMaintenance)<00098) 82.有增强自理的愿望(ReadinessforEnhancedSe|f-Care)(00182) 83.沐浴自理缺(BatbingSelf-CareDeficit)<00108) 84.穿衣自理缺陪(DressingSe1f-CareDeficit)(00109) 85.进食自理缺(FeedingSelf-CareDeficit)<00102) 86.如厕自理缺^(ToiletingSelf-CareDeflclt)(00110> 87.忽视自我像康管理(Se|f-Neglecf)(Q0193) 88.领域5: 知觉/认知(PerceptioryCognition) 89.类别1: 注意力 90.忽视单侧身^(UnileteralNeglect)(00123> 91.类别2=定向力(Orientatlon) 92.环境解祈障碍综合征(ImpairedEnvironrrentalInterpretationSyndrome)<00127)类别3: 感逊知觉 93.类别4: 认知 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(R1SkforAcuteConfUftio<00173) 97.自我挖制无tineffectiveImpulseControl)30222) 98.知识缺乏(DeficientKnow1edge)(00126) 99.有增加知识的愿望〈ReadinessforEnhancedKnowledge)(00161> 100.记忆受损 101•类别5: 沟通(Communication) 402.有加強沟通的愿更 103•语言沟通障碍(TmpairedVerbalCommunlcation)(00051) 104•领域6;自我知觉〈Self-Perception) 405•类别仁自我槪念 106•绝^(Hopelessness><00124) 407•有危及个人尊严的危险(Ri5kforCompromiscdHumanDignjty)<00174) 108•有孤独的危险(RiSkforLone1ines5)(00054> 409.自我认同紊乱(DisturbedPersonalIdentity><00121} 110•有自我认同紊乱的危 "1.有壇强自我概念的愿望〈ReadinessforEnbancedSeif-Concept)(00I67)类别2: 自尊Se1f-EsTeem "2•慢性低自尊(ChronicLowSeIf-Esteem)(00119) 113.境性低自尊(Situations1LowSelf-Esteem)<00120) 114•有慢性低自尊的危险〈RiskforchronicLowSe1f-Esteem)(0Q224〉 415.有情境性低自尊的危险 自我形象 116.自我形彖棄乱(Di$turbedBodyImage)(00i18) 417•领域J角色关系(RoleRelationships) 118•类别1: 照顾者角色(CareglvingRoles) 馅9•母乳喂养无效(IneffectiveBreastfeeding)〔00104〉 420•母乳喂养中断(InterruptedBreastfeeding)<00105> 121•有增强母乳啖并的愿望〈ReadinessforEnhancedBreastfeeding) (00106> 122•照顾者角色紧张(CaregiverRoleStraIn)(0006l> 123•有照顾者角色紧帐的危险(RiskforCaregiverRoIeStrain) <00062) 124•抚养障碍 125•有增进抚养能力的思望(ReadinessforEnhancedParenting)<00164) 126•有抚养障碍的危险 427.类别2: 家庭关杀(F0milyRelation6hips) 128•有依附关系障碍的危险(RiskforImpaIredAttachment)(00058) 129.彖滋运作紊乱(Dy6functionalFami1yProcesses)(00063) r//tz- g&d卜常逐夸艸N碗A昭殛专•幷 430腺庭运作中断(TnterruptedFamilyProcesses)<00060) 131•有家庭运作稳定的堪望〈ReadinessforEnhaneedFami1yproce6se$〉(00159)类别3: 角色表现(RolePerformance) 432•无效的关系(IneffectiveRelationship)(00223) 133•有増进关系的愿望(ReadinessforEnhancedRelationship)(00207) 434.有关系无隸的危险(RiskforIneffectiveReIationship)(00229) 135•父母角色冲突(ParentalRoleConflict)(00064) 136•角色奁乱(IneffectiveRolePerformance)(00055) 137•社交障碍 138•领域8: 性学 439.类别仁性别(SexualIdentity) 140.类别2: 性功能〈Sexu日IFunction) 441•性功能隍碍(SexualDysfunction)(00059) 442•性生活形态改变(InefTectiveSexualityPattern)<00065) 143•类别3: 生殖(Reproduction) 444.分娩过程无^[(IneffediveChiIdbearingProcess>(00221) 145•有増进分娩过程的愿望(Readinessfo「Enhanc^dChildbearingProcess)<00208)有分娩过程无效的危险(RiskforIneffectiveChi IdbearingProce&s)<00227〉有母体■胎儿受干执的危险〈RiskforDisturbedMarernal-FetalDyad)(00209) 146•领域9: 调适怎力耐受〈copin^stressTolerance) 447.类另IJ1: 创伤后反应(Post-TraumaResponses) 148•创伤后综合征(Post-TraumaSyndrome)(00141) 449.有创伤后综合征的危险 150•强晟创伤综合^(Rap©—TraumaSyndrome)(o0142) 151•迁移应激综合征(Re1ocationstreSyndrome)<00114> 452•有壬移应徹综合征的危唸(RiskforRelocationStressSyndro me)(00149)类别2: 应对反应(CopingResponse5) 453•活幼计划无效C1neffeetiveActivityPIanning)(00199) 154.有活动计划无效的危险 anning)(00226) 155.焦虑(Anxiety〉(00146) 456•防御性应对(Defen5iveCoping)(00071) 157•应对无做(IneffecTiveCoping)(00069) 458•有增强应对的愿望(ReadinessforEnhancedCoping>(00158) 159•社区应对无效(IneffectiveCommun|tyCoP«ng)<00077) 460.社区有增强应对的愿望(ReadinessforEnhancedCommunityCoPing)(00076) 161•家庭妥饰性应对(C0mpromisedFamilyCoping)<00074> 162•家庭应对缺陪(DisebledFamilyC0ping)(00073) 163•家庭有增强应对的愿里(ReadinessforEnhancedFamilyCoping)(00075) 464•死亡焦虑(DeathAnxiety)(00147) 165•无效性否认(IneffGctiv©Denial)(00072) 46&成人生存功能衰退(AdultFailuretoThrive)(00101) 467•恐慎(Fear)50148〉 168•悲痛(Grievmg>(00136) 469.复杂性哀伤(ComPlicatedGrieving)<00135) 170•有复杂性衰伤的危险(RiskforComPIicatedGrieving^(00172) 171•有增强能力的愿望(Readi^essforEnhancedPower〉(00137) 472•无能为力(Powerlessness)(00125) 173•有无能为力的危险(RiskforPower1essnes$>(00152) 174.个人复原能力受损(Imp8iredIndividu6lResilience)(0021Q} 475•有増强复原能力的愿
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