新版216个护理诊断NANDA护理诊断

1、新版216个护理诊断NANDA护理诊断NANDA ”护理诊断 20122014 (共 216 页).领域 1 ：健康促进(HealthPrOmotion).类别 1 :健康意识(Health Awareness).娱乐活动缺；乏(Deficient Diversional Activity) (00097).静态的生活方式(SedentaryLifeStyIe) (00168 )5 .类另fj 2 :健康管理(HeaIthManagement)6 .缺乏公共卫生(De万CientCOmmUnityHealth) (00215)7 .有危险倾向的健康行为(RiSk?Prone Health Be

2、havior) (00188)8 .健康维持无效(Ineffective Health Maintenance) (00099)9 .有增强免疫状态的愿望(Readiness for Enhanced Immunization Status) 00186)10 .防护无效(IneffeCtiVePrOteCtion) (00043).自我健康维持无效(Ineffective Self-Health Management) (00078).有增强自我健康管理的愿望 (ReadineSS for Enhanced Self-Health Management) (00162)家庭执行治疗方案无效(

3、IneffeCtiVeFamiIy Therapeutic Regimen Management) (00080).领域 2：营养(NUmtiOn).类别 1 ：摄入(Ingestion).母乳不足(InSlIffiCientB east Milk) (00216 ).婴儿喂养无效(IneffeCtiVe Infant Feeding Pattern) (00107).营养失调：低机体需要量(Imbalanced Nutrition : Less Than Body Requirements) (00002)营养失调：高丁 ？机体需要量(ImbaIanCed Nutrition : More

4、Than Body Requirements) (00001) 有增强营养的愿望(Readiness for Enhanced Nutrition) (00163).有营养失调的危险：高于机体需要量(Risk for Imbalanced Nutrition : More Than Body Requirements) (00003).吞咽能力受损(Impaired Swallowing) (00103).类别 2：消化(Digestion).类别 3 :吸收(AbsoipHon).类别 4：代谢(MetabOIiSm).仃血糖不稳定的危险(Risk for Unstable Blood Gl

5、ucose Level) (00179)24252627282930313233343536373839404142434445464748495051.新生儿黄疸(NeOnatalJaUndiCe) (00194).有新生儿黄疸的危险(RiSkfOrNeOnatalJaUndiCe) (00230).有肝功能受损的危险(RiSkfOrlmPairedLiVerFUnCtiOrI) (00178).类别5：水化.有电解质失衡的危险(RiSkfOrEieCt olyte Imbalance) ( 00195).有维持体液平衡的愿望(ReadineSS for Enhanced Fluid Bal

6、ance) ( 00160).体液不足(DefiCiem Fluid Volume) (00027).体液过多(Excess Fluid Volume) ( 00026).有体液不足的危险(Risk for Deficient Fluid Volume) ( 00028).有体液失衡的危险(RiSkfor Imbalanced Fluid Volume) (00025).领域 3 :排泄(日 imination and EXChange).类另1J 1 :排尿功能(UrinaryFUnCtion).功能性尿失禁(Functional Urinary Incontinence) (00020).

7、充溢性尿失禁(OVerfk)WUrinaryInCOntinenCe) (00176).反射性尿失禁 (Reflex Urinary Incontinence) (00018).压力性尿失禁(StreSSUrinarylnCOminenCe) (00017).急迫性尿失禁 (Urge Urinary Incontinence) (00019).有急迫性尿失禁的危险 (Riskforlkge Urinary Incontinence) ( 00022).排尿形态改变(Impaired Urinary Elimination) ( 00016).有排尿形态恢复正常的愿望 (Readiness fo

8、r Enhanced Urinary Elimination)(00166)尿潴留(UrinaryRetemiOn) (00023).类别 2：胃肠功能(GaStrOinteStinalFUnCtiOn).便秘(ConStiPatiOn) (00011).感知性便秘(PerCeiVed ConStiPatiOn ) (00012).有便秘的危险(RiSkfO r Constipation) (00015).腹泻(Diarrhea) (00013).胃肠动力紊乱(DySfUnCtiOnal Gastrointestinal Motility) ( 00196).有胃肠动力紊乱的危险(Risk f

9、or Dysfunctional Gastrointestinal Motility) (00197) 排 便失禁(Bowel Incontinence) (00014).类别3:皮肤功能 (IntegUmentaryFUnCtiOn)5253545556575859606162636465666768697071727374757677787980.类别 4：呼吸功能(ReSPiQtoryFUnCtiOn).气体交换受损(ImPairedGaSEXChange) (00030).领域 4 ：活动 4 木息(Activit y z Rest).类别1：睡眠/休息(SieeP/Rest).失眠(

10、InSOmnia) ( 00095).睡眠剥夺(SIeepDeprivation) (00096).有睡眠形态增进的愿望(ReadineSS for Enhanced Sleep) ( 00165).睡眠形态紊乱(Disturbed Sleep Pattern) (00198).类别 2 :活动 / 运动(AetiVity/Exercise).有废用综合征的危险(RiSkfO r Disuse Syndrome) (00040).床上活动障碍(ImPairedBedMObiIity) (00091 ).躯体移动障碍(Impaired Physical Mobility) ( 00085).借助

11、轮椅活动障碍(ImPaiCedWheeIchairMobiIity) (00089).移位能力障碍(ImPairedTranSferAbiIity) 00090).行走障碍(ImPairedWalking) (00088).类另U 3 ：能量平衡(EnergyBaIanCe).能量场紊乱(DiStUrbedEnergyFieId) ( 00050).疲乏(Fatigue) (00093).漫游(Wandering) (00154).类别 4 :心血管 / 肺部反应(CardioVaSCUlaPulmonary Responses).活动无耐力(Activity Intolerance) ( 0

12、0092).有活动无耐力的危险(Risk for Activity Intolerance) (00094).低效性呼吸形态(IneffeCtiVe Breathing Pattern) (00177).类别 3:神经行为压力(Neurobehavioral Stress .自主性反射障碍(AUtOnOmiC Dysreflexia) ( 00009).有自主反射障碍的危险(Risk for Autonomic Dysreflexia) (00010).婴儿行为紊乱(Disorganized Infant Behavior) (00116).婴儿有行为能力增强的潜力 (ReadineSS fo

13、r Enhanced Organized Infant Behavior) (00117)有婴儿行为紊乱的危险(Risk for Disorganized Infant Behavior) (00115).颅内调试能力下降(DeereaSed Intracranial Adaptive Capacity) (00049).领域 10 :生命原则(Life Principles).类别1 :价值观(Values).有增进希望的愿望(ReadineSS for Enhanced Hope) (00185).类别2：信念(Beliefs).有促进精神他康增强 的愿望(ReadineSS for En

14、hanced Spiritual Well-Being)190191192193194195196197198199200201202203204205206207208209210211212213214215216217218(00068 ).类别 3:价值 / 信念/ 行动一致(ValueZDeliefZAction Congruence),有增用决策的愿望(ReadineSSfOrEnhanCed Decision-Making) (00184).决策冲突(DeCiSiOnal Conflict) (00083).道德困扰(Moral Distress) (00175).不合作(NOn

15、COmPlianCe) (00079).虔信受损(Impaired Religiosity) (00169).有增进虔信的愿望(ReadineSS for Enhanced Religiosity )( 00171).有虔信受损的危险(RiSk for Impaired Religiosity) (00170).精神困扰(Spiritual Distress) (00066).有精神困扰的危险(Risk for Spiritual Distress) (00067).领域 11 :安打呆护(SafetyProtection).类别 1 :感染(Infection).仃感染的危险(RiSk fo

16、r Infection) ( 00004).类别 2 :身体伤害(PhySieallnjUry).清理呼吸道无效(Ineffective Airway Clearance) (00031).行误吸的危险(RiSk for Aspiration) (00039).有出血的危险(Risk for Bleeding ) (00206).牙齿受损(ImPairedDentitiOn) (00048).有干眼症的危险(Risk for Dry Eye) (00219).有跌倒的危险(Riskfor Falls) (00155).有受伤的危险(Riskfor Injury) (00035)口腔黏膜受损(I

17、mPaired Oral Mucous Membrane) (00045).有困手术期体位性损伤的危险(Risk for Perioperative Positioning Injury) (00087).有周围神经血管功能障碍的危险(Risk for Peripheral Neurovascular Dysfunction)(00086)疔休克的危险(Riskfor Shock) (00205).皮肤完整性受损(Impaired Skin Integrity) (00046 ).有皮肤完整性受损的危险 (Risk for Impaired Skin Integrity) (00047).仃婴

18、儿猝死综合征的危险 (Risk for Sudden Infant Death Syndrome) (00156).有窒息的危险(RiSkfOrSUffoCatiOn) (00036).术后恢复延迟(DeIayed Surgical Recovery) (00100)219 .有烫伤的危险(RiskforThermallnjury ) 00220)220 .组织完整性受损(Impaired Tissue Integrity) ( 00044)221 .有外伤的危险(RiSkfOrTraUma) (00038)222 ,有血管受损的危险(RiSkfOrVaSCUIarTraIJma) (0021

19、3)223.类别 3：暴力(Violence)224 ,有虐待他人的危险(RiskforOther-DirectedVioIence) (00138)225 .有自虐的危险(RiSkfOrSeIf-DireetedViOlenCe) (00140)226 .自残(Self-Mutilation) (00151)227 .有自残的危险(RiskforSHf-MutiIation) (00139)228 .有自杀的危险(Risk for Suicide) (00150)229 .类另fj 4 ：环境危害(Environmental Hazards)230 .污染(Contamination) (0

20、0181)231 .有污染的危险(RiSkfOrContamination) (00180)232 .有中毒的危险(Risk for Poisoning) (00037)233 .类另U 5 :防御过程(DefenSiVeProCeSSeS)234 .有碘造影剂不良反应的危险 (Risk for Adverse Reaction to Iodinated Contrast Media) (000218)乳胶过敏反应(LateXAlIergyReSPOnSe) (00041)235 .有过敏反应的危险(RiSkfOrAllergyReSPOnSe) (00217)236 .有乳胶过敏反应的危险(

21、Risk for Latex Allergy Response) ( 00042)237 .类别 6:体温调节(Thermoregulation)238 .有体温平衡失调的危险(Risk for Imbalanced Body Temperature) ( 00005)239 .体温过高(HyPerthermia) (00007)240 .体温过低(Hypothermia) ( 00006)241 .体温调行无效(Ineffective Thermoregulation) (00008).领域 12 ：舒适(Comfort).类另 I J 1 ：身体舒适(PhySiCalCOmfOrt).类另

22、1J 2 :环境舒适(EnviBnmentaIComfort ).类别 3 :社交舒适(SOCial Comfort).舒适的改变(Impaired Comfort) ( 00214).有增加舒适的愿望(Readiness for Enhanced Comfort) (00183) 248.恶心(Nausea)(00134)249.急性疼痛(ACUte Pain) (00132).慢性疼痛(Chonic Pain) (00133).社交隔离(Social Isolation) (00053).领域 13：生 QW(Growtb zDeveIopment).类另 I J 1 :生长(G r owth).有生长不成比例的危险(Risk for Disproportionate Growth) (00113).类别 2 :发育(Development).生长发育迟缓(DeIayed Growth and Development) (00111),有发育迟缓的危险(RiskforDeIayed Development) (00112).一、新增诊断(16项)：.领域 1 :健康促进(Health Promotion).类另I J 2：健康管理 (HeaithManagement).缺乏公