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128个护理诊断
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     NANDA通过的以人类反应型态(Human ResPonse Patterns)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(Altered Nutrition:More Than Body Requirements)

    营养失调:低于机体需要量(Altered Nutrition: less Than Body Requirements)

    营养失调:潜在高于机体需要量(Altered Nutrition:Potential for More Than Body Requirements)

    有感染的危险(Risk for Infection)
, 百拇医药
    有体温改变的危险(Risk for Altered Body Temperature)

    体温过低(Hypothermia)

    体温过高(Hyperthermia)

    体温调节无效(Ineffective Thermoregulatlon)

    反射失调(Dysre flexia)

    便秘(Constipation)

    感知性便秘(Perceived Consttipation)

    结肠性便秘(Colonic Constipation)

    腹泻(Diarrhea)
, 百拇医药
    大便失禁(Bowel Inconttinence)

    排尿异常(Altered Urinary Elimination)

    压迫性尿失禁(Sires Incontlnence)

    反射性尿失禁(Reflex Incontlnence)

    急迫性尿失禁(Unge Incontlnence)

    功能性尿失禁(Functional Incontlnence)

    完全性尿失禁(Total Incontlnencd

    尿储留(Urinary Retentron)

, 百拇医药     组织灌注量改变(肾、脑、心肺、胃肠、周围血管)(Altered Tissue Perfuslorl(Renal,Cereral,Cardlopulmonary Gastrolntestlnal,Peripheral))

    体液过多(Fluid Volume Excess)

    体液不足(Fluid Volume Deficit)

    体液不足的危险(Risk for Fluid VolUme Deficit)

    心输出量减少(Deer。a。ed CardlacouPu)

    气体交换受损(Imnaired Gas Exc5anse)

    清理呼吸道无效(Ineffecthe Airway Clearance)
, 百拇医药
    低效性呼吸型态(Ineffective Breathing Pattern)

    不能维持自主呼吸(Inability to Sustain SPontaneous Ventilation)

    呼吸机依赖( Dysfunctional Ventilatory Weaning ResPonse,DVWR)

    有受伤的危险(Risk for Injury)

    有窒息的危险(Risk for Suffocation)

    有外伤的危险(Risk for Trauma)

    有误吸的危险(Risk for Aspiration)

, 百拇医药     自我防护能力改变(Altered Protection)

    组织完整性受损(ImPaired Tissue Integrity)

    口腔粘膜改变(Altered Oral Mucous Membrance)

    皮肤完整性受损(ImPaired Skin Integrity)

    有皮肤完整性受损的危险(Risk for ImPaired Skin Integrity)

    调节颅内压能力下降( Decreased AdaPtive CaPacity Intracranial)

    精力困扰(Energy Field distubance)

, 百拇医药     (2)沟通(Communicating)

    语言沟通障碍(impaired VerbalCommunlcatlon)

    (3)关系(Relating)

    社会障碍(Impaired Soial Interatlon)

    社交孤立(Social Isolition)

    有孤立的危险(Risk for.Lonelines。)

    角色紊乱(Altered Role Performance)

    父母不称职(Altered Parenting)

    有父母不称职的危险(Risk for Altered Parenting)
, 百拇医药
    有父母亲子依恋改变的危险(Risk for Altered Parent/Infant/Child Att8Chffi6llt)

    性功能障碍(Sexual Dysfunction)

    家庭作用改变(Altered Family Process)

    照顾者角色障碍(Caresiver Role Strain)

    有照顾者角色障碍的危险(Risk for Caregiver Role Strain)

    家庭作用改变:酗酒(Altered Family Process: Alcoholism)

    父母角色冲突(Parental Role Conflict)
, http://www.100md.com
    性生活型态改变(Altered SexualityPatterns)

    (4)赋予价值(Valuing)

    精神困扰(Spiritual Distress)

    增进精神健康:潜能性(Potential for Enhance Spiritual Well-Belug)

    (5)选择(Choosing)

    个人应对无效(Ineffctive Individual Coping)

    调节障碍(ImPaired Adjustment)

    防卫性应对(Defensive Coping)
, 百拇医药
    防卫性否认(Ineffective Denial)

    家庭应对无效:失去能力( Ineffective Family Coping:Disabling)

    家庭应对无效:妥协性 (Ineffectiv Family Coping:Compromised)

    家庭应对:潜能性(Family CoPing: Potential for Growth)

    社区应对:潜能性(Potential for Enhanced Community CoPing)

    社区应对无效(Ineffective Community Coping)

    遵守治疗方案无效(个人的)(Ineffective Management of Therapeutic Regimen)(Individual)
, http://www.100md.com
    不合作(特定的)(Noncompliance)(Specitfy)

    遵守治疗方案无效(家庭的)(Ineffective Management of Therapeutic Regimen:( (Families)

    遵守治疗方案无效(社区的)(Ineffective Management of Therapeutic Regimen: Community)

    遵守治疗方案有效(个人的)(Effective Management of Therapeutic Regimen:Individual)

    抉择冲突(特定的)(Decisional Conflict)(Specify)

    寻求健康行为(特定的)(Health Seeking Behaviors)(Specity)
, 百拇医药
    (6)活动(Moving)

    躯体移动障碍(ImPaired Physical Mobility)

    有周围血管神经功能障碍的危险(Risk for PeriPheralNeurovascular Dysfunction)

    有围手术期外伤的危险 (Risk for Perloperatlve Positioning Injury)

    活动无耐力(Activity Intolerance)

    疲乏(Fatigue)

    有活动无耐力的危险(Risk for Activity Intolerance)

    睡眠状态紊乱(SleepPattern Disturbance)
, http://www.100md.com
    娱乐活动缺乏(Diversional Activity Deficit)

    持家能力障碍(Impaired Home Maintenance Management)

    保持健康的能力改变(Altered Health Maintenance)

    进食自理缺陷(Feeding Self Care Deficit)

    吞咽障碍(Impaired Swallowing)

    母乳喂养无效(Ineffective Breast Feeding)

    母乳喂养中断(Interrunted Breast1ceding)

    母乳喂养有效(Effective Breast feeding)
, 百拇医药
    婴儿吸吮方式无效(Ineffective Infant Feeding Pattern)

    沐浴/卫生自理缺陷(Bathing/Hygiene Self Care Deficit)

    穿戴/修饰自理障碍(Dressing/Grooming Self Care Deficit)

    入厕自理缺陷(Toileting Self Care Deficit)

    生长发育改变(Altered Growth and Development)

    环境改变应激综合征(Relocation Stress Syndrome)

    有婴幼儿行为紊乱的危险( Risk for Disorganized Infant Behavior)
, 百拇医药
    婴幼儿行为紊乱(Disorganized Infant Behavior)

    增进婴幼儿行为(潜能性)(potential for Disorganized Infant ganlzed Infantkhavlor)

    (7)感知(Perceiving)

    自我形象紊乱(Body Imagse Disturbance)

    自尊紊乱(SolfEsteem disturbance)

    长期自我贬低(Chronic Low Self Esteem)

    情境性自我贬低(Situational Low Self Esteem)

, 百拇医药     自我认同紊乱(Personal Identity disturbance)

    感知改变(特定的)(视、听、运动、味、触、嗅)(Sensory/Perceptual Alterations)(specify)(Visual,Auditory,Kinesthetlc,Gustatory,Taotile,Olfactory)

    单侧感觉丧失(Unilateral Neglect)

    绝望(Honelessness)

    无能为力(Powerlessness)

    (8)认知(Knowing)

    知识缺乏(特定的)(Knowledge Deficit)(Specify)
, 百拇医药
    定向力障碍(Impaired Environmental Interpretation)

    突发性意识模糊(Acute Confusion)

    渐进性意识模糊(Chronic Confusion)

    思维过程改变(Altered Thought Processes)

    记忆力障碍(ImPaired Memoryy)

    (9)感觉(Feeling)

    疼痛(Pain)

    慢性疼痛(Chronic Pain)

    功能障碍性悲哀(Dysfunctional Crievins)
, 百拇医药
    预感性悲哀(AnticiPatory Crieving)

    有暴力行为的危险:对自己或对他人(Risk for Violence:SelfDirected or drected at Others)

    有自伤的危险(Risk for Self-Mutilation)

    创伤后反应(Post-Trauma Response)

    强奸创伤综合征(RaPe-Trauma Syndrome)

    强奸创伤综合征:复合性反应(Repe-Trauma Syndrome:Compound Reaction)

    强奸创伤综合征:沉默性反应( Rape-Trauma Syndrome:Silent)
, http://www.100md.com
    焦虑(Anxiety)

    恐惧(Fear)

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