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)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(DeficientCommunityHealth)(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)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.忽视自我健康管理(Self-Neglect)(00193)88.领域5:知觉∕认知(Perception∕Cognition)89.类别1:注意力(Attention)90.忽视单侧身体(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(Communication)102.有加强沟通的愿望(ReadinessforEnhancedCommunication)(00157)103.语言沟通障碍(ImpairedVerbalCommunication)(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.有危及个人尊严的危险(RiskforCompromisedHumanDignity)(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-Esteem112.慢性低自尊(ChronicLowSelf-Esteem)(00119)113.情境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