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-I护理诊断20122014(共216页).领域1：健康促进(HealthPromotion).类另U1：健康意识(HealthAwareness).娱乐活动缺乏(DeficientDiversionalActivity)(00097).静态的生活方式(SedentaryLifestyle)(00168).类别2：健康管理(HealthManagement).缺乏公共卫生(DeficientCommunityHealth)(00215).有危险倾向的健康行为(Risk-ProneHealthBehavior)(00188).健康维持无效(Inef

2、fectiveHealthMaintenance)(00099).有增强免疫状态的愿望(ReadinessforEnhancedImmunizationStatus)(00186).防护无效(IneffectiveProtection)(00043).自我健康维持无效(IneffectiveSelf-HealthManagement)(00078).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)(0008

3、0).领域2：营养(Nutrition).类别1：摄入(Ingestion).母乳不足(InsufficientBreastMilk)(00216).婴儿喂养无效(IneffectiveInfantFeedingPattern)(00107).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).有

4、营养失调的危险：高于机体需要量(RiskforImbalancedNutrition：MoreThanBodyRequirements)(00003).吞咽能力受损(ImpairedSwallowing)(00103).类别U2：消化(Digestion).类别3：吸收(Absorption).类别4：代谢(Metabolism).有血糖不稳定的危险(RiskforUnstableBloodGlucoseLevel)(00179).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

5、(RiskforImpairedLiverFunction)(00178).类别5：水化.有电解质失衡的危险(RiskforElectrolytelmbalance)(00195).有维持体液平衡的愿望(ReadinessforEnhancedFluidBalance)(00160).体液不足(DeficientFluidVolume)(00027).体液过多(ExcessFluidVolume)(00026).有体液不足的危险(RiskforDeficientFluidVolume)(00028).有体液失衡的危险(RiskfohmbalancedFluidVolume)(00025).领域

6、3：排泄(EliminationandExchange).类别U1：排尿功能(UrinaryFunction).功能性尿失禁(FunctionalUrinaryIncontinence)(00020).充溢性尿失禁(OverflowUrinaryIncontinence)(00176).反射性尿失禁(ReflexUrinaryIncontinence)(00018).压力性尿失禁(StressUrinaryIncontinence)(00017).急迫性尿失禁(UrgeUrinaryIncontinence)(00019).有急迫性尿失禁的危险(RiskforUrgeUrinaryIncont

7、inence)(00022).排尿形态改变(ImpairedUrinaryElimination)(00016).有排尿形态恢复正常的愿望(ReadinessforEnhancedUrinaryElimination)(00166)尿潴留(UrinaryRetention)(00023).类别2：胃肠功能(GastrointestinalFunction).便秘(Constipation)(00011).感知性便秘(PerceivedConstipation)(00012).有便秘的危险(RiskforConstipation)(00015).腹泻(Diarrhea)(00013).胃肠动力紊

8、乱(DysfunctionalGastrointestinalMotility)(00196).有胃肠动力紊乱的危险(RiskforDysfunctionalGastrointestinalMotility)(00197)排便失禁(BowelIncontinence)(00014).类别U3：皮肤功能(IntegumentaryFunction).类别U4：呼吸功能(RespiratoryFunction).气体交换受损(ImpairedGasExchange)(00030).领域4：活动休息(ActivityRest).类别1：睡眠/休息(Sleep/Rest).失眠(Insomnia)(0

9、0095).睡眠剥夺(SleepDeprivation)(00096).有睡眠形态增进的愿望(ReadinessforEnhancedSleep)(00165).睡眠形态紊乱(DisturbedSleepPattern)(00198).类别2：活动/运动(Activity/Exercise).有废用综合征的危险(RiskforDisuseSyndrome)(00040).床上活动障碍(ImpairedBedMobility)(00091).躯体移动障碍(ImpairedPhysicalMobility)(00085).借助轮椅活动障碍(ImpairedWheelchairMobility)(0

10、0089).移位能力障碍(ImpairedTransferAbility)(00090).行走障碍(ImpairedWalking)(00088).类别U3：能量平衡(EnergyBalance).能量场紊乱(DisturbedEnergyField)(00050).疲乏(Fatigue)(00093).漫游(Wandering)(00154).类别U4：心血管/肺部反应(Cardiovascular/PulmonaryResponses).活动无耐力(ActivityIntolerance)(00092).有活动无耐力的危险(RiskforActivityIntolerance)(00094

11、).低效性呼吸形态(IneffectiveBreathingPattern)(00032).心输出量减少(DecreasedCardiacOutput)(00029).有胃肠灌注不足的危险(RiskforIneffectiveGastrointestinalPerfusion)(00202).有肾脏灌注不足的危险(RiskforIneffectiveRenalPerfusion)(00203).不能维持自主呼吸(ImpairedSpontaneousVentilation)(00033).周围组织灌注不足(IneffectivePeripheralTissuePerfusion)(00204)

12、.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)类另U5：自我照顾(Self-Care).持家能力障碍(ImpairedHomeMaintenance)(00098).有增

13、强自理的愿望(ReadinessforEnhancedSelf-Care)(00182).沐浴自理缺陷(BathingSelf-CareDeficit)(00108).穿衣自理缺陷(DressingSelf-CareDeficit)(00109).进食自理缺陷(FeedingSelf-CareDeficit)(00102).如厕自理缺陷(ToiletingSelf-CareDeficit)(00110).忽视自我健康管理$6什7694以)(00193).领域5：知觉认知(PerceptionCognition).类别1：注意力(Attention).忽视单侧身体(UnilateralNegle

14、ct)(00123).类别2：定向力(Orientation).环境解析障碍综合征(ImpairedEnvironmentalInterpretationSyndrome)(00127)类别3：感觉/知觉(Sensation/Perception).类别U4：认知(Cognition).急性意识障碍(AcuteConfusion)(00128).慢性意识障碍(ChronicConfusion)(00129).有急性意识障碍的危险(RiskforAcuteConfusion)(00173).自我控制无效(IneffectiveImpulseControl)(00222).知识缺乏(Deficie

15、ntKnowledge)(00126).有增加知识的愿望(ReadinessforEnhancedKnowledge)(00161).记忆受损(ImpairedMemory)(00131).类别5：沟通(Communication).有加强沟通的愿望(ReadinessforEnhancedCommunication)(00157).语言沟通障碍(ImpairedVerbalCommunication)(00051).领域6：自我知觉(Self-Perception).类别1：自我概念(Self-Concept).绝望(Hopelessness)(00124).有危及个人尊严的危险(Riskf

16、orCompromisedHumanDignity)(00174).有孤独的危险(RiskforLoneliness)(00054).自我认同紊乱(DisturbedPersonalIdentity)(00121).有自我认同紊乱的危险(RiskforDisturbedPersonalIdentity)(00225).有增强自我概念的愿望(ReadinessforEnhancedSelf-Concept)(00167)类另U2：自尊Self-Esteem.慢性低自尊(。巾。门心LowSelf-Esteem)(00119).情境性低自尊(SituationalLowSelf-Esteem)(00

17、120).有慢性低自尊的危险(RiskforChronicLowSelf-Esteem)(00224).有情境性低自尊的危险(RiskforSituationalLowSelf-Esteem)(00153)类另U3：自我形象(BodyImage).自我形象紊乱(DisturbedBodyImage)(00118).领域7：角色关系(RoleRelationships).类别1：照顾者角色(CaregivingRoles).母乳喂养无效(IneffectiveBreastfeeding)(00104).母乳喂养中断(InterruptedBreastfeeding)(00105).有增强母乳喂养

18、的愿望(ReadinessforEnhancedBreastfeeding)(00106).照顾者角色紧张(CaregiverRoleStrain)(00061).有照顾者角色紧张的危险(RiskforCaregiverRoleStrain)(00062).抚养障碍(ImpairedParenting)(00056).有增进抚养能力的愿望(ReadinessforEnhancedParenting)(00164).有抚养障碍的危险(RiskforImpairedParenting)(00057).类别2：家庭关系(FamilyRelationships).有依附关系障碍的危险(RiskforI

19、mpairedAttachment)(00058).家庭运作紊乱(DysfunctionalFamilyProcesses)(00063).家庭运作中断(InterruptedFamilyProcesses)(00060).有家庭运作稳定的愿望(ReadinessforEnhancedFamilyProcesses)(00159)类别3：角色表现(RolePerformance).无效的关系(IneffectiveRelationship)(00223).有增进关系的愿望(ReadinessforEnhancedRelationship)(00207).有关系无效的危险(RiskforInef

20、fectiveRelationship)(00229).父母角色冲突(ParentalRoleConflict)(00064).角色紊乱(IneffectiveRolePerformance)(00055).社交障碍(ImpairedSocialInteraction)(00052).领域8：性学(Sexuality).类别1：性别认同(SexualIdentity).类别U2：性功能(SexualFunction).性功能障碍(SexualDysfunction)(00059).性生活形态改变(IneffectiveSexualityPattern)(00065).类别U3：生殖(Repro

21、duction).分娩过程无效(IneffectiveChildbearingProcess)(00221).有增进分娩过程的愿望(ReadinessforEnhancedChildbearingProcess)(00208)有分娩过程无效的危险(RiskforIneffectiveChildbearingProcess)(00227)有母体-胎儿受干扰的危险(RiskforDisturbedMaternal-FetalDyad)(00209).领域9：调适压力耐受(CopingStressTolerance).类别1：创伤后反应(Post-TraumaResponses).创伤后综合征(Po

22、st-TraumaSyndrome)(00141).有创伤后综合征的危险(RiskforPost-TraumaSyndrome)(00145).强暴创伤综合征(Rape-TraumaSyndrome)(00142).迁移应激综合征(RelocationStressSyndrome)(00114).有迁移应激综合征的危险(RiskforRelocationStressSyndrome)(00149)类另U2：应对反应(CopingResponses).活动计划无效(IneffectiveActivityPlanning)(00199).有活动计划无效的危险(RiskforIneffectiveA

23、ctivityPlanning)(00226).焦虑(Anxiety)(00146).防御性应对(DefensiveCoping)(00071).应对无效(IneffectiveCoping)(00069).有增强应对的愿望(ReadinessforEnhancedCoping)(00158).社区应对无效(IneffectiveCommunityCoping)(00077).社区有增强应对的愿望(ReadinessforEnhancedCommunityCoping)(00076).家庭妥协性应对(CompromisedFamilyCoping)(00074).家庭应对缺陷(Disabled

24、FamilyCoping)(00073).家庭有增强应对的愿望(ReadinessforEnhancedFamilyCoping)(00075).死亡焦虑(DeathAnxiety)(00147).无效性否认(IneffectiveDenial)(00072).成人生存功能衰退(AdultFailuretoThrive)(00101).恐惧(Fear)(00148).悲痛(Grieving)(00136).复杂性哀伤(ComplicatedGrieving)(00135).有复杂性哀伤的危险(RiskforComplicatedGrieving)(00172).有增强能力的愿望(Readine

25、ssforEnhancedPower)(00187).无能为力(Powerlessness)(00125).有无能为力的危险(RiskforPowerlessness)(00152).个人复原能力受损(ImpairedIndividualResilience)(00210).有增强复原能力的愿望(ReadinessforEnhancedResilience)(00212).有危及复原的危险(RiskforCompromisedResilience)(00211).长期悲伤(ChronicSorrow)(00137).超负荷压力(StressOverload)(00177).类另U3：神经行为压

26、力(NeurobehavioralStress).自主性反射障碍(AutonomicDysreflexia)(00009).有自主反射障碍的危险(RiskforAutonomicDysreflexia)(00010).婴儿行为紊乱(DisorganizedInfantBehavior)(00116).婴儿有行为能力增强的潜力(ReadinessforEnhancedOrganizedInfantBehavior)(00117)有婴儿行为紊乱的危险(RiskforDisorganizedInfantBehavior)(00115).颅内调试能力下降(DecreasedIntracranialAd

27、aptiveCapacity)(00049).领域10：生命原则(LifePrinciples).类别1：价值观(Values).有增进希望的愿望(ReadinessforEnhancedHope)(00185).类别2：信念(Beliefs).有促进精神健康增强的愿望(ReadinessforEnhancedSpiritualWell-Being)(00068).类别3：价值/信念/行动一致(Value/Belief/ActionCongruence).有增强决策的愿望(ReadinessforEnhancedDecision-Making)(00184).决策冲突(DecisionalCo

28、nflict)(00083).道德困扰(MoralDistress)(00175).不合作(Noncompliance)(00079).虔信受损(ImpairedReligiosity)(00169).有增进虔信的愿望(ReadinessforEnhancedReligiosity)(00171).有虔信受损的危险(RiskforImpairedReligiosity)(00170).精神困扰(SpiritualDistress)(00066).有精神困扰的危险(RiskforSpiritualDistress)(00067).领域11：安全保护(SafetyProtection).类别1：感

29、染(Infection).有感染的危险(RiskforInfection)(00004).类别2：身体伤害(PhysicalInjury).清理呼吸道无效(IneffectiveAirwayClearance)(00031).有误吸的危险(RiskforAspiration)(00039).有出血的危险(RiskforBleeding)(00206).牙齿受损(ImpairedDentition)(00048).有干眼症的危险(RiskforDryEye)(00219).有跌倒的危险(RiskforFalls)(00155).有受伤的危险(RiskforInjury)(00035).口腔黏膜受

30、损(ImpairedOralMucousMembrane)(00045).有围手术期体位性损伤的危险(RiskforPerioperativePositioningInjury)(00087).有周围神经血管功能障碍的危险(RiskforPeripheralNeurovascularDysfunction)(00086)有休克的危险(RiskforShock)(00205).皮肤完整性受损(ImpairedSkinIntegrity)(00046).有皮肤完整性受损的危险(RiskforImpairedSkinIntegrity)(00047).有婴儿猝死综合征的危险(RiskforSudde

31、nInfantDeathSyndrome)(00156).有窒息的危险(RiskforSuffocation)(00036).术后恢复延迟(DelayedSurgicalRecovery)(00100).有烫伤的危险(RiskforThermalInjury)(00220).组织完整性受损(ImpairedTissueIntegrity)(00044).有外伤的危险(RiskforTrauma)(00038).有血管受损的危险(RiskforVascularTrauma)(00213).类另U3：暴力(Violence).有虐待他人的危险(RiskforOther-DirectedViolen

32、ce)(00138).有自虐的危险(RiskforSelf-DirectedViolence)(00140).自残(Self-Mutilation)(00151).有自残的危险(RiskforSelf-Mutilation)(00139).有自杀的危险(RiskforSuicide)(00150).类另U4：环境危害(EnvironmentalHazards).污染(Contamination)(00181).有污染的危险(RiskforContamination)(00180).有中毒的危险(RiskforPoisoning)(00037).类另U5：防御过程(DefensiveProces

33、ses).有碘造影剂不良反应的危险(RiskforAdverseReactiontoIodinatedContrastMedia)(000218)乳胶过敏反应(LatexAllergyResponse)(00041).有过敏反应的危险(RiskforAllergyResponse)(00217).有乳胶过敏反应的危险(RiskforLatexAllergyResponse)(00042).类别6：体温调节(Thermoregulation).有体温平衡失调的危险(RiskforImbalancedBodyTemperature)(00005).体温过高(Hyperthermia)(00007)

34、.体温过低(Hypothermia)(00006).体温调节无效(IneffectiveThermoregulation)(00008).领域12：舒适(Comfort).类别1：身体舒适(PhysicalComfort).类别U2：环境舒适(EnvironmentalComfort).类别U3：社交舒适(SocialComfort).舒适的改变(ImpairedComfort)(00214).有增加舒适的愿望(ReadinessforEnhancedComfort)(00183)248.恶心小U$62)(00134)249.急性疼痛(AcutePain)(00132).慢性疼痛(Chroni

35、cPain)(00133).社交隔离(SocialIsolation)(00053).领域13：生长发育(GrowthDevelopment).类别1：生长(Growth).有生长不成比例的危险(RiskforDisproportionateGrowth)(00113).类别U2：发育(Development).生长发育迟缓(DelayedGrowthandDevelopment)(00111).有发育迟缓的危险(RiskforDelayedDevelopment)(00112).一、新增诊断(16项)：.领域1：健康促进(HealthPromotion).类别U2：健康管理(HealthMa

36、nagement).缺乏公共卫生(DeficientCommunityHealth)(00215).领域2：营养(Nutrition).类别1：摄入(Ingestion).母乳不足(InsufficientBreastMilk)(00216).类别U4：代谢(Metabolism).有新生儿黄疸的危险(RiskforNeonatalJaundice)(00230).领域4：活动休息(ActivityRest).类别U4：心血管/肺部反应(Cardiovascular/PulmonaryResponses).有周围组织灌注不足的危险(RiskforIneffectivePeripheralTis

37、suePerfusion)(00228)领域5：知觉认知(PerceptionCognition).类别U3：感觉/知觉(Sensation/Perception).类别U4：认知(Cognition).自我控制无效(IneffectiveImpulseControl)(00222).领域6：自我知觉(Self-Perception).类别1：自我概念(Self-Concept).有自我认同紊乱的危险(RiskforDisturbedPersonalIdentity)(00225)类别2：自尊Self-Esteem.有慢性低自尊的危险(RiskforChronicLowSelf-Esteem)(00224).