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首页 护理常用128个护理诊断

护理常用128个护理诊断.doc

护理常用128个护理诊断

amanda_嘉嘉kq62n
2019-06-17 0人阅读 举报 0 0 暂无简介

简介:本文档为《护理常用128个护理诊断doc》,可适用于医药卫生领域

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个护理诊断分列如下:()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(DeeraedCardlacouPu)气体交换受损(ImnairedGasExcanse)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)()沟通(Communicating)语言沟通障碍(impairedVerbalCommunlcatlon)()关系(Relating)社会障碍(ImpairedSoialInteratlon)社交孤立(SocialIsolition)有孤立的危险(RiskforLonelines)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(RiskforAlteredParentInfantChildAttChffillt)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)()赋予价值(Valuing)精神困扰(SpiritualDistress)增进精神健康:潜能性(PotentialforEnhanceSpiritualWellBelug)()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)(IneffectiveManagementofTherapeuticRegimen:Community)遵守治疗方案有效(个人的)(EffectiveManagementofTherapeuticRegimen:Individual)抉择冲突(特定的)(DecisionalConflict)(Specify)寻求健康行为(特定的)(HealthSeekingBehaviors)(Specity)()活动(Moving)躯体移动障碍(ImPairedPhysicalMobility)有周围血管神经功能障碍的危险(RiskforPeriPheralNeurovascularDysfunction)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(InterruntedBreastceding)母乳喂养有效(EffectiveBreastfeeding)婴儿吸吮方式无效(IneffectiveInfantFeedingPattern)沐浴卫生自理缺陷(BathingHygieneSelfCareDeficit)穿戴修饰自理障碍(DressingGroomingSelfCareDeficit)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)()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)(SensoryPerceptualAlterations)(specify)(Visual,Auditory,Kinesthetlc,Gustatory,Taotile,Olfactory)单侧感觉丧失(UnilateralNeglect)绝望(Honelessness)无能为力(Powerlessness)()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)()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:SelfDirectedordrectedatOthers)有自伤的危险(RiskforSelfMutilation)创伤后反应(PostTraumaResponse)强奸创伤综合征(RaPeTraumaSyndrome)强奸创伤综合征:复合性反应(RepeTraumaSyndrome:CompoundReaction)强奸创伤综合征:沉默性反应(RapeTraumaSyndrome:Silent)焦虑(Anxiety)恐惧(Fear)

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护理常用128个护理诊断

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