NANDA 护理诊断一览表(2018-2020)
领域 1:健康促进(Health Promotion)
类别1:健康觉察(Health awareness)
∙娱乐活动参与减少(Decread diversional activity engagement)
∙增进健康管理的准备度(Readiness for enhanced health literacy)
∙久坐的生活方式(Sedentary lifestyle)咸带鱼
类别2:健康管理(Health management)
∙老年综合征(Frail elderly syndrome)
∙有老年综合征的危险(Risk for frail elderly syndrome)
∙缺乏社区保健(Deficient community health)
∙风险倾向的健康行为(Risk-prone health behavior)
∙健康维持无效(Ineffective health maintenance)
∙健康管理无效(Ineffective Health Management)
∙有健康管理改善的趋势(Readiness for Enhanced Health Management)
∙家庭健康管理无效(Ineffective Family Health Management)
∙防护无效(Ineffective Protection)
领域 2:营养(Nutrition)
类别1:摄食(Ingestion)
∙营养失调:低于机体需要量(Imbalanced nutrition: less than body requirements)
∙有营养改善的趋势 (Readiness for enhanced nutrition)
∙母乳泌乳不足(Insufficient breast milk production)
∙母乳喂养无效(Ineffective breastfeeding)
∙母乳喂养中断(Readiness for enhanced breastfeeding)
∙有母乳喂养改善的趋势(Ineffective breastfeeding)
∙青少年进食动力不足(Ineffective adolescent eating dynamics)
∙儿童进食动力不足(Ineffective child eating dynamics)
∙婴儿受哺养动力不足(Ineffective infant feeding dynamics)
∙无效性婴儿喂养型态(Ineffective Infant Feeding Pattern)
∙肥胖(Obesity)
∙超重(Overweight)
∙有超重的危险(Risk for overweight)
∙吞咽障碍(Impaired Swallowing)
类别2:消化(Digestion)
类别3:吸收(Absorption)
类别4:代谢(Metabolism)
∙有血糖不稳定的危险(Risk for Unstable Blood Gluco Level)
∙新生儿高胆红素血症 (Neonatal hyperbilirubinemia)
∙有新生儿高胆红素血症的危险(Risk for neonatal hyperbilirubinemia)
∙有肝功能受损的危险(Risk for Impaired Liver Function)
∙有电解质失衡的危险(Risk for Electrolyte Imbalance)
类别5:水化(Hydration)
∙有电解质失衡的危险(Risk for electrolyte imbalance)
∙孝庄太皇太后有体液失衡的危险(Risk for imbalanced fluid volume)
∙体液不足(Deficient fluid volume)
∙有体液不足的危险(Risk for deficient fluid volume)
∙体液过多(Risk for deficient fluid volume)
领域 3:排泄(Elimination and Exchange)
类别1:泌尿功能(Urinary function)
∙排尿障碍(Impaired Urinary Elimination)
∙功能性尿失臣人禁(Functional Urinary Incontinence)
∙溢出性尿失禁(Overflow Urinary Incontinence)
∙反射性尿失禁(Reflex Urinary Incontinence)
∙压力性尿失禁(Stress Urinary Incontinence)
∙急迫性尿失禁(Urge Urinary Incontinence)
∙有急迫性尿失禁的危险(Risk for Urge Urinary Incontinence)
∙尿潴留(Urinary Retention)
类别2:胃肠功能(Gastrointestinal function)
∙便秘(Constipation)
∙有便秘的危险(Risk for Constipation)
∙感知性便秘(Perceived Constipation)
∙慢性功能性便秘(Chronic Functional Constipation)
∙有慢性功能性便秘的危险(Risk for Chronic Functional Constipation)
∙腹泻(Diarrhea)
∙胃肠动力失调(Dysfunctional Gastrointestinal Motility)
∙有胃肠动力失调的危险(Risk for Dysfunctional Gastrointestinal Motility)
∙排便失禁(Bowel Incontinence)
类别番茄薯3:皮肤功能(Integumentary function)
类别4:呼吸功能( Respiratory function)
∙气体交换受损(Impaired Gas Exchange)
领域 4:活动/休息(Activity/Rest)
类别1:睡眠/休息(Sleep/rest)
∙失眠(Insomnia)
∙睡眠剥夺(Sleep deprivation)
∙有睡眠改善的趋势(Disturbed sleep pattern)
∙睡眠型态紊乱 (Disturbed sleep pattern)
类别2:活动/运动(Activity/exerci)
∙有失用综合征的危险(Risk for disu syndrome)
∙床上活动障碍(Impaired bed mobility)
∙躯体活动障碍(Impaired bed mobility)
∙借助轮椅活动障碍(Impaired wheelchair mobility)
∙坐起障碍(Impaired sitting)
∙站立障碍(Impaired standing)
∙移动能力障碍(Impaired transfer ability)
∙行走障碍(Impaired walking)
类别3:能量平衡(Energy balance)
∙能量失衡(Imbalanced energy field)
∙疲乏(Fatigue)
∙游走状态(Wandering)
类别4:心血管/肺部反应(Cardiovascular/pulmonary respons)
∙活动无耐力(Activity intolerance)
∙有活动无耐力的危险(Risk for activity intolerance)
∙低效性呼吸型态(Risk for activity intolerance)
∙心输出量减少(Decread cardiac output)
∙有心输出量减少的危险(Risk for decread cardiac output)
∙自主呼吸障碍(Decread cardiac output)
∙潜在危险性血压不稳定(Risk for unstable blood pressure)
∙有心脏组织灌注不足的危险(Risk for decread cardiac tissue perfusion)
∙有脑组织灌注无效的危险(Risk for ineffective cerebral tissue perfusion)
∙外周组织灌注无效 (Ineffective peripheral tissue perfusion)
∙有外周组织灌注无效的危险(Risk for ineffective peripheral tissue perfusion)
∙呼吸机依赖(Dysfunctional ventilatory weaning respon)
类别5:自我照顾(Self-careexcel破解)
∙持家能力障碍(Impaired home maintenance)
∙沐浴自理缺陷(Bathing lf-care deficit)
∙穿着自理缺陷(Dressing lf-care deficit)
∙进食自理陷 (Feeding lf-care deficit)
∙如厕自理缺陷(Toileting lf-care deficit)
∙桃花花苞有自理能力改善的趋势(Readiness for enhanced lf-care)
∙自我忽视(Self-neglect)
领域 5:感知/认知(Perception/Cognition)
类别1:注意力(Attention)
∙单侧身体忽视(Unilateral Neglect)
类别2:定向力
类别3:感觉/知觉
类别4:认知
∙急性意识障碍(Acute confusion)
∙有急性意识障碍的危险(Acute confusion)
∙慢性意识障碍(Acute confusion)
∙情绪控制失调(Labile emotional control)
∙冲动控制无效(Labile emotional control自由的名言)
∙知识缺乏(Deficient knowledge)
∙有知识增进的趋势(Readiness for enhanced knowledge)
∙记忆功能障碍(Impaired memory)
类别5:沟通
∙有沟通增进的趋势(Readiness for enhanced communication)
∙画男孩语言沟通障碍(Impaired verbal communication)