护理-常用128个护理-诊断

..NANDA通过的以人类反应型态〔HumanResPonsePatterns的分类方法。现将人类反应型态分类方法的128个护理诊断分列如下：〔1交换〔Exchanging营养失调：高于机体需要量〔AlteredNutrition：MoreThanBodyRequirements营养失调：低于机体需要量〔AlteredNutrition：lessThanBodyRequirements营养失调：潜在高于机体需要量〔AlteredNutrition：PotentialforMoreThanBodyRequirements有感染的危险〔RiskforInfection有体温改变的危险〔RiskforAlteredBodyTemperature体温过低〔Hypothermia体温过高〔Hyperthermia体温调节无效〔IneffectiveThermoregulatlon反射失调〔Dysreflexia便秘〔Constipation感知性便秘〔PerceivedConsttipation结肠性便秘〔ColonicConstipation腹泻〔Diarrhea大便失禁〔BowelInconttinence排尿异常〔AlteredUrinaryElimination压迫性尿失禁〔SiresIncontlnence反射性尿失禁〔ReflexIncontlnence急迫性尿失禁〔UngeIncontlnence功能性尿失禁〔FunctionalIncontlnence完全性尿失禁〔TotalIncontlnencd尿储留〔UrinaryRetentron组织灌注量改变〔肾、脑、心肺、胃肠、周围血管〔AlteredTissuePerfuslorl〔Renal,Cereral,CardlopulmonaryGastrolntestlnal,Peripheral体液过多〔FluidVolumeExcess体液不足〔FluidVolumeDeficit体液不足的危险〔RiskforFluidVolUmeDeficit心输出量减少〔Deer.a.edCardlacouPu气体交换受损〔ImnairedGasExc5anse清理呼吸道无效〔IneffectheAirwayClearance低效性呼吸型态〔IneffectiveBreathingPattern不能维持自主呼吸〔InabilitytoSustainSPontaneousVentilation呼吸机依赖〔DysfunctionalVentilatoryWeaningResPonse,DVWR有受伤的危险〔RiskforInjury有窒息的危险〔RiskforSuffocation有外伤的危险〔RiskforTrauma有误吸的危险〔RiskforAspiration自我防护能力改变〔AlteredProtection组织完整性受损〔ImPairedTissueIntegrity口腔粘膜改变〔AlteredOralMucousMembrance皮肤完整性受损〔ImPairedSkinIntegrity有皮肤完整性受损的危险〔RiskforImPairedSkinIntegrity调节颅内压能力下降〔DecreasedAdaPtiveCaPacityIntracranial精力困扰〔EnergyFielddistubance〔2沟通〔Communicating语言沟通障碍〔impairedVerbalCommunlcatlon〔3关系〔Relating社会障碍〔ImpairedSoialInteratlon社交孤立〔SocialIsolition有孤立的危险〔Riskfor.Lonelines.角色紊乱〔AlteredRolePerformance父母不称职〔AlteredParenting有父母不称职的危险〔RiskforAlteredParenting有父母亲子依恋改变的危险〔RiskforAlteredParent／Infant／ChildAtt8Chffi6llt性功能障碍〔SexualDysfunction家庭作用改变〔AlteredFamilyProcess照顾者角色障碍〔CaresiverRoleStrain有照顾者角色障碍的危险〔RiskforCaregiverRoleStrain家庭作用改变：酗酒〔AlteredFamilyProcess：Alcoholism父母角色冲突〔ParentalRoleConflict性生活型态改变〔AlteredSexualityPatterns〔4赋予价值〔Valuing精神困扰〔SpiritualDistress增进精神健康：潜能性〔PotentialforEnhanceSpiritualWell-Belug〔5选择〔Choosing个人应对无效〔IneffctiveIndividualCoping调节障碍〔ImPairedAdjustment防卫性应对〔DefensiveCoping防卫性否认〔IneffectiveDenial家庭应对无效：失去能力〔IneffectiveFamilyCoping：Disabling家庭应对无效：妥协性〔IneffectivFamilyCoping：Compromised家庭应对：潜能性〔FamilyCoPing：PotentialforGrowth社区应对：潜能性〔PotentialforEnhancedCommunityCoPing社区应对无效〔IneffectiveCommunityCoping遵守治疗方案无效〔个人的〔IneffectiveManagementofTherapeuticRegimen〔Individual不合作〔特定的〔Noncompliance〔Specitfy遵守治疗方案无效〔家庭的〔IneffectiveManagementofTherapeuticRegimen：〔〔Families遵守治疗方案无效〔社区的〔IneffectiveManagementofThera－peuticRegimen：Community遵守治疗方案有效〔个人的〔EffectiveManagementofThera－peuticRegimen：Individual抉择冲突〔特定的〔DecisionalConflict〔Specify寻求健康行为〔特定的〔HealthSeekingBehaviors〔Specity〔6活动〔Moving躯体移动障碍〔ImPairedPhysicalMobility有周围血管神经功能障碍的危险〔RiskforPeriPheralNeurovas－cularDysfunction有围手术期外伤的危险〔RiskforPerloperatlvePositioningInjury活动无耐力〔ActivityIntolerance疲乏〔Fatigue有活动无耐力的危险〔RiskforActivityIntolerance睡眠状态紊乱〔SleepPatternDisturbance娱乐活动缺乏〔DiversionalActivityDeficit持家能力障碍〔ImpairedHomeMaintenanceManagement保持健康的能力改变〔AlteredHealthMaintenance进食自理缺陷〔FeedingSelfCareDeficit吞咽障碍〔ImpairedSwallowing母乳喂养无效〔IneffectiveBreastFeeding母乳喂养中断〔InterruntedBreast1ceding母乳喂养有效〔EffectiveBreastfeeding婴儿吸吮方式无效〔IneffectiveInfantFeedingPattern沐浴／卫生自理缺陷〔Bathing／HygieneSelfCareDeficit穿戴／修饰自理障碍〔Dressing／GroomingSelfCareDeficit入厕自理缺陷〔ToiletingSelfCareDeficit生长发育改变〔AlteredGrowthandDevelopment环境改变应激综合征〔RelocationStressSyndrome有婴幼儿行为紊乱的危险〔RiskforDisorganizedInfantBehavior婴幼儿行为紊乱〔DisorganizedInfantBehavior增进婴幼儿行为〔潜能性〔potentialforDisorganizedInfantganlzedInfantkhavlor〔7感知〔Perceiving自我形象紊乱〔BodyImagseDisturbance自尊紊乱〔SolfEsteemdisturbance长期自我贬低〔ChronicLowSelfEsteem情境性自我贬低〔SituationalLowSelfEsteem自我认同紊乱〔PersonalIdentitydisturbance感知改变〔特定的〔视、听、运动、味、触、嗅〔Sensory／PerceptualAlterations〔specify〔Visual,Auditory,Kinesthetlc,Gustatory,Tao－tile,Olfactory单侧感觉丧失〔UnilateralNeglect绝望〔Honelessness无能为力〔Powerlessness〔8认知〔Knowing知识缺乏〔特定的〔KnowledgeDeficit〔Specify定向力障碍〔ImpairedEnvironmentalInterpretation突发性意识模糊〔AcuteConfusion渐进性意识模糊〔ChronicConfusion思维过程改变〔AlteredThoughtProcesses记忆力障碍〔ImPairedMemoryy〔9感觉〔Feeling疼痛〔Pain慢性疼痛〔ChronicPain功能障碍性悲哀〔DysfunctionalCrievins预感性悲哀〔AnticiPatoryCrieving有暴力行为的危险：对自己或对他人〔RiskforViolence