201项护理诊断一览表

附录2201项护理诊断一览表(2009〜2011)领域L健康促进(HealthPromotion)健康维护能力低下(IneffectiveHealthMaintenance)自我健康管理无效(IneffectiveSelfHealthManagement)持家能力障碍(ImpairedHomeMaintenance)有免疫状态改善的趋势(ReadinessforEnhancedImmunizationStatus)忽视自我健康管理(SelfNeglect)有营养改善的趋势(ReadinessforEnhancedNutrition)家庭执行治疗方案无效(IneffectiveFamilyTherapeuticRegimenManagement)有自我健康管理改善的趋势(ReadinessforEnhancedSelfHealthManagement)领域2：营养(Nutrition)无效性婴儿喂养型态(IneffectiveInfantFeedingPattern)营养失调：低于机体需要量(ImbalancedNutrition:LessThanBodyRequirements)营养失调：高于机体需要量(ImbalancedNutrition:MoreThanBodyRequirements)有营养失调的危险：高于机体需要量(RiskforImbalancedNutrition:MoreThanBodyRequirements)吞咽障碍(ImpairedSwallowing)有血糖不稳定的危险(RiskforUnstableGlucoseLevel)新生儿黄疸(NeonatalJaundice)有肝功能受损的危险(RiskforImpairedLiverFunction)有电解质失衡的危险(RiskforElectrolyteImbalance)有体液平衡改善的趋势(ReadinessforEnhancedFluidBalance)体液不足(DeficientFluidXblume)体液过多(ExcessFluidWlume)有体液不足的危险(RiskforDeficientFluid\61ume)有体液失衡的危险(RiskforImbalancedFluidXblume)领域3：排泄(EliminatioiiandExchange)排尿障碍(ImpairedUrinaryElimination)功能性尿失禁(FunctionalUrinaryIncontinence)溢出性尿失禁(OverflowUrinaryIncontinence)反射性尿失禁(ReflexUrinaryIncontinence)压力性尿失禁(StressUrinaryIncontinence)急迫性尿失禁(UrgeUrinaryIncontinence)有急迫性尿失禁的危险(RiskforUrgeUrinaryIncontinence)尿潴留(UrinaryRetention)有排尿功能改善的趋势(ReadinessforEnhancedUrinaryElimination)排便失禁(BowelIncontinence)便秘(Constipation)感知性便秘(PerceivedConstipation)有便秘的危险(RiskforConstipation)腹泻(Diarrhea)胃肠动力失调(DysfunctionalGastrointestinalMotility)有胃肠动力失调的危险(RiskforDysfunctionalGastrointestinalMotility)气体交换障碍(ImpairedGasExchange)领域4：活动/休息(Activity/Rest)失目民(Insomnia)睡眠型态紊乱(DisturbedSleepPattern)睡眠剥夺(SleepDeprivation)有睡眠改善的趋势(ReadinessforEnhancedSleep)有废用综合征的危险(RiskforDisuseSyndrome)缺乏娱乐活动(DeficientDiversionalActivity)久坐的生活方式(SedentaryLifestyle)床上活动障碍(ImpairedBedMobility)躯体活动障碍(ImpairedPhysicalMobility)借助轮椅活动障碍(ImpairedwheelchairMobility)移动能力障碍(ImpairedTransferAbility)行走障碍(ImpairedWalking)术后康复迟缓(DelayedSurgicalRecovery)能量场紊乱(DisturbedEnergyField)疲乏(Fatigue)活动无耐力(ActivityIntolerance)有活动无耐力的危险(RiskforActivityIntolerance)有出血的危险(RiskforBleeding)低效性呼吸型态(IneffectiveBreathingPattern)心输出量减少(DecreasedCardiacOutput)外周组织灌注无效(IneffectivePeripheralTissuePerfusion)有心脏组织灌注不足的危险(RiskforDecreasedCardiacTissuePerfusion)有脑组织灌注无效的危险(RiskforIneffectiveCerebralTissuePerfusion)有胃肠道灌注无效的危险(RiskforIneffectiveGastrointestinalTissuePerfusion)有肾脏灌注无效的危险(RiskforIneffectiveRenalPerfusion)有休克的危险(RiskforShock)自主呼吸障碍(ImpairedSpontaneousVentilation)呼吸机依赖(DysfunctionalVentilatoryWeaningResponse*有自理能力增强的趋势(ReadinessforEnhancedSelf-Care)沐浴/卫生自理缺陷(Bathing/HygieneSelf-CareDeficit))穿着/修饰自理缺陷(Dressing/groomingSelf-CareDeficit)进食自理缺陷(FeedingSelf-CareDeficit)如厕自理缺陷(ToiletingSelf-CareDeficit)领域5：感知/认知(Perceptton/Cognition)单侧身体忽视(UnilateralNeglect)环境认知障碍综合征(ImpairedEnvironmentalInterpretationSyndrome)漫游状态(Wandering)感知觉紊乱(具体说明：视觉、听觉、方位感、味觉、触觉、嗅觉)(DisturbedSensoryPerception(Specify：Visual,Auditory,Kinesthetic,Gustatory,Tactile,Olfactory)急性意识障碍(AcuteConfusion)慢性意识障碍(ChronicConfusion)有急性意识障碍的危险(RiskforAcuteConfusion)知识缺乏(DeficientKnowledge)有知识增进的趋势(ReadinessforEnhancedKnowledge)记忆功能障碍(ImpairedMemory)有决策能力增强的趋势(ReadinessforEnhancedDecision-Making)活动计划无效(IneffectiveActivityPlanning)语言沟通障碍(ImpairedVerbalCommunication)有沟通增进的趋势(ReadinessforEnhancedCommunication)领域6：自我感知(Self.Perceptton)有个人尊严受损的危险(RiskforCompromisedHumanDignity)无望感(Hopelessness)自我认同紊乱(DisturbedPersonalIdentity)有孤独的危险(RiskforLoneliness)有能力增强的趋势(ReadinessforEnhancedPower)无能为力感(Powerlessness)有无能为力感的危险(RiskforPowerlessness)有自我概念改善的趋势(ReadinessforEnhancedSelf-Concept)情境性低自尊(SituationallowSelf-Esteem)长期性低自尊(ChronicLowSelf-Esteem)有情境性低自尊的危险(RiskforSituationalLowSelf-Esteem)体像紊乱(DisturbedBodyImage)领域7:角色关系(RoleRelationships)照顾者角色紧张(CaregiverRoleStrain)有照顾者角色紧张的危险(RiskforCaregiverRoleStrain)养育功能障碍(ImpairedParenting)有养育功能改善的趋势(ReadinessforEnhancedParenting)有养育功能障碍的危险(RiskforImpairedParenting)有依附关系受损的危险(RiskforImpairedParent/Infant/ChildAttachment)家庭运作过程失常(DysfunctionalFamilyProcesses)家庭运作过程改变(InterruptedFamilyProcesses)有家庭运作过程改善的趋势(ReadinessforEnhancedFamilyProcesses)母乳喂养有效(EffectiveBreastfeeding)母乳喂养无效(IneffectiveBreastfeeding)母乳喂养中1断(InterruptedBreastfeeding)父母角色冲突(ParentalRoleConflict)有关系改善的趋势(ReadinessforEnhancedRelationship)无效性角色行为(IneffectiveRolePerformance)社会交往障碍(ImpairedSocialInteraction)领域8：性(Sexuality)性功能障碍(SexualDysfunction)性生活型态无效(IneffectiveSexualityPatterns)有生育进程改善的趋势(ReadinessforEnhancedChildbearingProcess)有母体与胎儿双方受干扰的危险(RiskforDisturbedMatemal/FetalDyad)领域9：应对7应激耐受性(Coping/StressToleranc©创伤后综合征(PostTraumaSyndrome)有创伤后综合征的危险(RiskforPostTraumaSyndrome)强暴创伤综合征(Rape-TraumaSyndrome)迁移应激综合征(RelocationStressSyndrome)有迁移应激综合征的危险(RiskforRelocationStressSyndrome)焦虑(Anxiety)对死亡的焦虑(DeathAnxiety)有威胁健康的行为(Risk-ProneHealthBehavior)妥协性家庭应对(CompromisedFamilyCoping)无能性家庭应对(DisabledFamilyCoping)防卫性应对(DefensiveCoping)应对无效(IneffectiveCoping)社区应对无效(IneffectiveCommunityCoping)有应对增强的趋势(ReadinessforEnhancedCoping)有社区应对增强的趋势(ReadinessforEnhancedCommunityCoping)有家庭应对增强的趋势(ReadinessforEnhancedFamilyCoping)无效性否认(IneffectiveDenial)恐惧(Fear)悲伤(Grieving)复杂性悲伤(ComplicatedGrieving)有复杂性悲伤的危险(RiskforComplicatedGrieving)个人恢复能力障碍(ImpairedIndividualResilience)有恢复能力受损的危险(RiskforCompromisedResilience)有恢复能力增强的趋势(ReadinessforEnhancedResilience)持续性悲伤(ChronicSorrow)压力负荷过重(StressOverload)自主性反射失调(AutonomicDysreflexia)有自主性反射失调的危险(RiskforAutonomicDysreflexia)婴儿行为紊乱(DisorganizedInfantBehavior)有婴儿行为紊乱的危险(RiskforDisorganizedInfantBehavior)有婴儿行为调节改善的趋势(ReadinessforEnhancedOrganizedInfantBehavior)颅内调适能力降低(DecreasedIntracranialAdaptiveCapacity)领域10：生活准则(LifePrinciples)有希望增强的趋势(ReadinessforEnhancedHope)有精神安适增进的趋势(ReadinessforEnhancedSpiritualWell-being)抉择冲突(DecisionalConflict)道德困扰(MoralDistress)不依从行为(Noncompliance)宗教信仰减弱(ImpairedReligiosity)有宗教信仰增强的趋势(ReadinessforEnhancedReligiosity)有宗教信仰减弱的危险(RiskforImpairedReligiosity)精神困扰(SpiritualDistress)有精神困扰的危险(RiskforSpiritualDistress)领域IL安全/防护(Safety/Protection)有感染的危险(RiskforInfection)清理呼吸道无效(IneffectiveAirwayClearance)有误吸的危险(RiskforAspiration)有婴儿猝死综合症的危险(RiskforSuddenInfantDeathSyndrome)牙齿受损(ImpairedDentition)有跌倒的危险(RiskforFalls)有受伤害的危险(RiskforInjury)有手术期体位性损伤的危险(RiskforPerioperative-PositioningInjury)口腔黏膜受损(ImpairedOralMucousMembrane)有外周神经血管功能障碍的危险(RiskforPeripheralNeurovascularDysfunction)防护能力低下(IneffectiveProtection)皮肤完整性受损(ImpairedSkinIntegrity)有皮肤完整性受损的危险(RiskforImpairedSkinIntegrity)有窒息的危险(RiskforSuffocation)组织完整性受损(ImpairedTissueIntegrity)有外伤的危险(RiskforTrauma)有血管损伤的危险(RiskforVascularTrauma)自伤(Se