护理诊断一览表(按NANDA分类Ⅰ排列)

一、交换$2Exchanging$3

营养失调:高于机体需要量$2Altered Nutrition:More Than Body Requirements$3

营养失调:低于机体需要量$2Altered Nutrition:less Than Body Requirements$3

营养失调:潜在高于机体需要量$2Altered Nutrition:Potential for More Than Body Requirements$3

有感染的危险$2Risk for Infection$3

有体温改变的危险$2Risk for Altered Body Temperature$3

体温过低$2Hypothermia$3

体温过高$2Hyperthermia$3

体温调节无效$2Ineffective Thermoregulation$3

反射失调$2Dysreflexia$3

有自主反射失调的危险(Risk for Dysreflexia)

便秘$2Constipation$3

感知性便秘$2Perceived Constipation$3

结肠性便秘$2Colonic Constipation$3

腹泻$2Diarrhea$3

大便失禁$2Bowel Incontinence$3

有便秘的危险(Risk for Constipation)

排尿异常$2Altered Urinary Elimination$3

压迫性尿失禁$2Sires Incontinence$3

反射性尿失禁$2Reflex Incontinence$3

急迫性尿失禁$2Urge Incontinence$3

功能性尿失禁$2Functional Incontinence$3

完全性尿失禁$2Total Incontinence$3

尿潴留$2Urinary Retention$3

组织灌注量改变$2肾、脑、心肺、胃肠、周围血管$3$2Altered Tissue Perfusion$2Renal,Cereral,Cardiopulmonary Gastrointestinal,Peripheral$3

有体液量不平衡的危险(Risk for Fluid Volume imbalance)

体液过多$2Fluid Volume Excess$3

体液不足$2Fluid Volume Deficit$3

体液不足的危险$2Risk for Fluid VolUme Deficit$3

心输出量减少$2Decreased Cardiac output$3

气体交换受损$2Impaired Gas Exchange$3

清理呼吸道无效$2Ineffective Airway Clearance$3

低效性呼吸型态$2Ineffective Breathing Pattern$3

不能维持自主呼吸$2 Inability to Sustain Spontaneous Ventilation$3

呼吸机依赖$2Dysfunctional Ventilatory Weaning Response,DVWR$3

有受伤的危险$2Risk for Injury$3

有窒息的危险$2Risk for Suffocation$3

有外伤的危险$2Risk for Trauma$3

有误吸的危险$2Risk for Aspiration$3

有中毒的危险(Risk for Poisoning)

有摔倒的危险(Risk for Falls)

有自杀的危险(Risk for Suicide)

有废用综合征的危险(Risk for Disuse Syndrome)

乳胶过敏反应(Latex Allergy Response)

有乳胶过敏反应的危险(Risk for Latex Allergy Response)

自我防护能力改变$2Altered Protection$3

组织完整性受损$2Impaired Tissue Integrity$3

口腔黏膜改变$2Altered Oral Mucous Membrane$3

皮肤完整性受损$2Impaired Skin Integrity$3

有皮肤完整性受损的危险$2Risk for Impaired Skin Integrity$3

出牙异常(Altered Dentition)

调节颅内压能力下降$2Decreased Adaptive Capacity Intracranial$3

精力困扰$2Energy Field disturbance$3

 

二、沟通$2Communicating$3

语言沟通障碍$2impaired Verbal Communication$3

 

三、关系$2Relating$3

社会障碍$2Impaired Social Interation$3

社交孤立$2Social Isolation$3

有孤立的危险$2Risk for Lonelines$3

角色紊乱$2Altered Role Performance$3

父母不称职$2Altered Parenting$3

有父母不称职的危险$2Risk for Altered Parenting$3

有父母亲子依恋改变的危险$2Risk for Altered Parent/Infant/Child Attachment$3

性功能障碍$2Sexual Dysfunction$3

家庭作用改变$2Altered Family Process$3

照顾者角色障碍$2Caregiver Role Strain$3

有照顾者角色障碍的危险$2Risk for Caregiver Role Strain$3

家庭作用改变:酗酒$2Altered Family Process: Alcoholism$3

父母角色冲突$2Parental Role Conflict$3

性生活型态改变$2Altered Sexuality Patterns$3

 

四、赋予价值$2Valuing$3

精神困扰$2Spiritual Distress$3

有精神困扰的危险$2Risk for Spiritual Distress$3

增进精神健康:潜能性$2Potential for Enhance Spiritual Well-Being$3

 

五、选择$2Choosing$3

个人应对无效$2Ineffective Individual Coping$3

调节障碍$2Impaired Adjustment$3

防卫性应对$2Defensive Coping$3

防卫性否认$2Ineffective Denial$3

家庭应对无效:失去能力$2 Ineffective Family Coping:Disabling$3

家庭应对无效:妥协性 $2Ineffective Family Coping:Compromised$3

家庭应对:潜能性$2Family Coping: Potential for Growth$3

社区应对:潜能性$2Potential for Enhanced Community Coping$3

社区应对无效$2Ineffective Community Coping$3

遵守治疗方案无效$2个人的$3$2Ineffective Management of Therapeutic Regimen$3$2Individual$3

不合作$2特定的$3$2Noncompliance$3$2Specify$3

遵守治疗方案无效$2家庭的$3$2Ineffective Management of Therapeutic Regimen: $2Families$3$3

遵守治疗方案无效$2社区的$3$2Ineffective Management of Therapeutic Regimen: Community$3

遵守治疗方案有效$2个人的$3$2Effective Management of Therapeutic Regimen:Individual$3

抉择冲突$2特定的$3$2Decisional Conflict$3$2Specify$3

寻求健康行为$2特定的$3$2Health Seeking Behaviors$3$2Specify$3

 

六、活动$2Moving$3

躯体移动障碍$2Impaired Physical Mobility$3

有周围血管神经功能障碍的危险$2Risk for Peripheral Neurovascular Dysfunction$3

有围手术期外伤的危险 $2Risk for Perloperative Positioning Injury$3

步行能力减弱(Impaired Walking)

借助轮椅活动障碍(Impaired Wheelchair Mobility)

轮椅转移能力障碍(Wheelchair Impaired Wheelchair Transfer Ability )

床上活动障碍(Impaired Bed mobility)

活动无耐力$2Activity Intolerance$3

疲乏$2Fatigue$3

有活动无耐力的危险$2Risk for Activity Intolerance$3

睡眠型态紊乱$2Sleep Pattern Disturbance$3

睡眠剥夺(Sleep Deprivation)

娱乐活动缺乏$2Diversional Activity Deficit$3

持家能力障碍$2Impaired Home Maintenance Management$3

保持健康的能力改变$2Altered Health Maintenance$3

外科手术后恢复延迟(Delayed Surgical Recovery)

成人厌弃生存(Adult Failure to Thrive)

进食自理缺陷$2Feeding Self Care Deficit$3

吞咽障碍$2Impaired Swallowing$3

母乳喂养无效$2Ineffective Breast Feeding$3

母乳喂养中断$2Interrupted Breast Feeding$3

母乳喂养有效$2Effective Breast Feeding$3

婴儿吸吮方式无效$2Ineffective Infant Feeding Pattern$3

沐浴$2或$3卫生自理缺陷$2Bathing/Hygiene Self Care Deficit$3

穿戴(或)修饰自理障碍$2Dressing/Grooming Self Care Deficit$3

入厕自理缺陷$2Toileting Self Care Deficit$3

生长发育改变$2Altered Growth and Development$3

有发育异常的危险(Risk for Unusual Development)

有生长异常的危险(Risk for Unusual Growth)

环境改变应激综合征$2Relocation Stress Syndrome$3

有环境改变应激综合征的危险(Risk for Relocation Stress Syndrome)

梦游状态(Wandering)

有婴幼儿行为紊乱的危险$2 Risk for Disorganized Infant Behavior$3

婴幼儿行为紊乱$2Disorganized Infant Behavior$3

增进婴幼儿行为$2潜能性$3$2potential for Disorganized Infant behavior$3

 

七、感知$2Perceiving$3

自我形象紊乱$2Body Image Disturbance$3

自尊紊乱$2Selfesteem disturbance$3

长期自我贬低$2Chronic Low Self Esteem$3

情境性自我贬低$2Situational Low Self Esteem$3

有情境性自我贬低的危险$2Risk for Situational Low Self Esteem$3

自我认同紊乱$2Personal Identity disturbance$3

感知改变$2特定的$3$2视、听、运动、味、触、嗅$3$2Sensory/Perceptual Alterations$3$2specify$3$2Visual,Auditory,Kinesthetic,Gustatory,Tao-tile,Olfactory$3

单侧感觉丧失$2Unilateral Neglect$3

绝望$2Hopelessness$3

无能为力$2Powerlessness$3

有无能为力感的危险$2Risk for Powerlessness$3

认识环境障碍综合征(Impaired Environmental Interpretation Syndrome)

 

八、认知$2Knowing$3

知识缺乏$2特定的$3$2Knowledge Deficit$3$2Specify$3

定向力障碍$2Impaired Environmental Interpretation$3

突发性意识模糊$2Acute Confusion$3

渐进性意识模糊$2Chronic Confusion$3

思维过程改变$2Altered Thought Processes$3

记忆力障碍$2Impaired Memory$3

 

九、感觉$2Feeling$3

疼痛$2Pain$3

慢性疼痛$2Chronic Pain$3

恶心(Nausea)

功能障碍性悲哀$2Dysfunctional Grieving$3

预感性悲哀$2Anticipatory Grieving$3

经常性悲哀(Chronic Sorrow)

有暴力行为的危险:对自己或对他人$2Risk for Violence: Self-Directed or directed at Others$3

自伤(Self-Mutilation)

有自伤的危险$2Risk for Self-Mutilation$3

创伤后综合征$2Posttrauma Syndrome$3

强暴创伤综合征$2Rape-trauma Syndrome$3

强暴创伤综合征:复合性反应$2Rape-trauma Syndrome:Compound Reaction$3

强暴创伤综合征:沉默性反应$2Rape-trauma Syndrome:Silent$3

焦虑$2Anxiety$3

对死亡的焦虑(Death Anxiety)

恐惧$2Fear$3