新版216个护理诊断NANDA护理诊断.docx

精品文档新版216个护理诊断 NANDA护理诊断NANDA-I护理诊断 2012〜2014 (共216页)1. 领域 1 :健康促进(Health Promoti on )2. 类别 1 :健康意识(Health Aware ness )3. 娱乐活动缺乏(Deficient Diversional Activity ) ( 00097)4. 静态的生活方式(Sedentary Lifestyle ) ( 00168)5. 类别 2：健康管理(Health Management )6. 缺乏公共卫生(Deficient Community Health ) ( 00215)7. 有危险倾向的健康行为( Risk-Prone Health Behavior ) ( 00188 )8. 健康维持无效(In effective Health Maintenance ) ( 00099)9. 有增强免疫状态的愿望 (Readi ness for En ha need Immu ni zation Status )(00186)10. 防护无效(In effective Protecti on ) ( 00043)11. 自我健康维持无效(In effective Self-Health Ma nageme nt ) ( 00078)12. 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( In effective Family Therapeutic RegimenManagement ) ( 00080)13. 领域 2:营养(Nutrition )14. 类别 1 ：摄入(Ingestion )15. 母乳不足(Insufficient Breast Milk ) ( 00216 )16. 婴儿喂养无效(In effective Infant Feedi ng Pattern ) ( 00107 )17. 营养失调：低于机体需要量( Imbalaneed Nutrition : Less Than BodyRequirements ) ( 00002 )营养失调：高于机体需要量 (Imbalaneed Nutrition : More Than Body Requirements ) ( 00001 )有增强营养的愿望( Readiness for En ha need Nutriti on ) ( 00163 )18. 有营养失调的危险：高于机体需要量( Risk for Imbalaneed Nutrition : More ThanBody Requirements ) ( 00003 )19. 吞咽能力受损(Impaired Swallowing ) ( 00103 )20. 类别 2：消化(Digestion )21. 类别 3:吸收(Absorption )22. 类别 4：代谢(Metabolism )23. 有血糖不稳定的危险( Risk for Un stable Blood Glucose Level ) ( 00179 )24. 新生儿黄疸(Neo natal Jau ndice ) ( 00194 )25. 有新生儿黄疸的危险( Risk for Neo natal Jau ndice )( 00230 )26. 有肝功能受损的危险( Risk for Impaired Liver Function ) ( 00178 )27. 类别5:水化28. 有电解质失衡的危险( Risk for Electrolyte Imbalanee ) ( 00195)29. 有维持体液平衡的愿望( Readi ness for En ha need Fluid Bala nee ) ( 00160)30. 体液不足(Deficient Fluid Volume ) ( 00027)31. 体液过多(Excess Fluid Volume ) ( 00026)32. 有体液不足的危险( Risk for Deficient Fluid Volume ) ( 00028)33. 有体液失衡的危险( Risk for Imbalaneed Fluid Volume ) ( 00025)34. 领域 3：排泄(Elimination and Exchange )35. 类别 1 :排尿功能(Urinary Fun ction )36. 功能性尿失禁(Fun ctio nal Urin ary In co ntinence ) ( 00020)37. 充溢性尿失禁(Overflow Urinary Incontinence ) ( 00176)38. 反射性尿失禁(Reflex Uri nary In co ntinence ) ( 00018)39. 压力性尿失禁(Stress Urinary Incontinence ) ( 00017)40. 急迫性尿失禁(Urge Urinary Incontinence ) ( 00019)41. 有急迫性尿失禁的危险( Risk for Urge Urinary Incontinence ) ( 00022)42. 排尿形态改变(Impaired Urinary Elimination ) ( 00016)43. 有排尿形态恢复正常的愿望( Read in ess for Enhanced Urin ary Elimi natio n )(00166 )尿潴留(Urinary Retention ) ( 00023 )44. 类别 2：胃肠功能(Gastrointestinal Function )45. 便秘(Constipation ) ( 00011 )46. 感知性便秘(Perceived Constipation ) ( 00012 )47. 有便秘的危险(Risk for Constipation ) ( 00015 )48. 腹泻(Diarrhea ) ( 00013 )49. 胃肠动力紊乱(Dysfunctional Gastrointestinal Motility ) ( 00196 )50. 有胃肠动力紊乱的危险 (Risk for Dysfunctional Gastrointestinal Motility )(00197 )排便失禁(Bowel Incontinence ) ( 00014 )51. 类别 3：皮肤功能(Integumentary Function )52. 类别 4：呼吸功能(Respiratory Function )53. 气体交换受损(Impaired Gas Exchange ) ( 00030 )54. 领域 4:活动休息(Activit y / Rest55. 类别1 :睡眠/休息(Sleep/Rest )56. 失眠(In so mnia ) ( 00095 )57. 睡眠剥夺(Sleep Deprivation ) ( 00096 )58. 有睡眠形态增进的愿望( Readi ness for En ha need Sleep ) ( 00165 )59. 睡眠形态紊乱(Disturbed Sleep Pattern ) ( 00198 )60. 类别 2：活动 /运动(Activity/Exercise )61. 有废用综合征的危险( Risk for Disuse Syndrome ) ( 00040 )62. 床上活动障碍(Impaired Bed Mobility ) ( 00091 )63. 躯体移动障碍(Impaired Physical Mobility ) ( 00085 )64. 借助轮椅活动障碍(Impaired Wheelchair Mobility ) ( 00089 )65. 移位能力障碍(Impaired Transfer Ability ) ( 00090 )66. 行走障碍(Impaired Walking ) ( 00088 )67. 类别 3：能量平衡(En ergy Bala nee )68. 能量场紊乱(Disturbed Energy Field ) ( 00050 )69. 疲乏(Fatigue ) ( 00093 )70. 漫游(Wandering ) ( 00154 )71. 类别 4：心血管 / 肺部反应(Cardiovascular/Pulm on ary Respo nses )72. 活动无耐力(Activity Intoleranee ) ( 00092 )73. 有活动无耐力的危险( Risk for Activity Intoleranee ) ( 00094 )74. 低效性呼吸形态(In effective Breath ing Pattern ) ( 00032 )75. 心输岀量减少(Decreased Cardiac Output ) ( 00029 )76. 有胃肠灌注不足的危险 (Risk for In effective Gastroi ntest inal Perfusi on ) (00202 )77. 有肾脏灌注不足的危险( Risk for In effective Renal Perfusi on ) ( 00203 )78. 不能维持自主呼吸(Impaired Spontaneous Ventilation ) ( 00033 )79. 周围组织灌注不足(In effective Peripheral Tissue Perfusion ) ( 00204 )80. 有心脏组织灌注不足的危险( Risk for Decreased Cardiac Tissue Perfusion )(00200 )有脑组织灌注不足的危险( Risk for In effective Cerebral TissuePerfusi on ) ( 00201 )有周围组织灌注不足的危险 (Risk for In effective PeripheralTissue Perfusion ) ( 00228 )呼吸机依赖(Dysfunctional Ventilatory WeaningResponse ) ( 00034 )类别 5：自我照顾(Self-Care )81. 持家能力障碍(Impaired Home Maintenance ) ( 00098 )82. 有增强自理的愿望( Read in ess for En ha need Self-Care )( 00182 )83. 沐浴自理缺陷(Bathing Self-Care Deficit )( 00108 )84. 穿衣自理缺陷(Dressing Self-Care Deficit ) ( 00109 )85. 进食自理缺陷(Feeding Self-Care Deficit )( 00102 )86. 如厕自理缺陷(Toileting Self-Care Deficit )( 00110 )87. 忽视自我健康管理(Self-Neglect )( 00193 )88. 领域 5：知觉认知(Perception / Cognition89. 类别 1 :注意力(Attention )90. 忽视单侧身体(Unilateral Neglect ) ( 00123 )91。