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护理常用128个护理诊断

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NANDA通过的以人类反应型态(Human ResPonse Patterns)的分类要领.现将人类反应型态分类要领的128个照顾护士诊疗分列如下:之阳早格格创做

(1)接换(Exchanging)

营养平衡:下于肌体需要量(Altered Nutrition:More Than Body Requirements)

营养平衡:矮于肌体需要量(Altered Nutrition: less Than Body Requirements)

营养平衡:潜正在下于肌体需要量(Altered Nutrition:Potential for More Than Body Requirements)

有熏染的伤害(Risk for Infection)

有体温改变的伤害(Risk for Altered Body Temperature)

体温过矮(Hypothermia)

体温过下(Hyperthermia)

体温安排无效(Ineffective Thermoregulatlon)

反射平衡(Dysre flexia)

便秘(Constipation)

感知性便秘(Perceived Consttipation)

结肠性便秘(Colonic Constipation)

背泻(Diarrhea)

大便得禁(Bowel Inconttinence)

排尿非常十分(Altered Urinary Elimination)

压迫性尿得禁(Sires Incontlnence)

反射性尿得禁(Reflex Incontlnence)

慢迫性尿得禁(Unge Incontlnence)

功能性尿得禁(Functional Incontlnence)

实足性尿得禁(Total Incontlnencd

尿储留(Urinary Retentron)

构造灌注量改变(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)

体液缺累(Fluid Volume Deficit)

体液缺累的伤害(Risk for Fluid VolUme Deficit)

心输出量缩小(Deer.a.ed CardlacouPu)

气体接换受益(Imnaired Gas Exc5anse)

浑理呼吸讲无效(Ineffecthe Airway Clearance)

矮效性呼吸型态(Ineffective Breathing Pattern)

没有克没有及保护自决呼吸( Inability to Sustain SPontaneous Ventilation)

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

有受伤的伤害(Risk for Injury)

有窒息的伤害(Risk for Suffocation)

有中伤的伤害(Risk for Trauma)

有误吸的伤害(Risk for Aspiration)

自尔防备本领改变(Altered Protection)

构造完备性受益(ImPaired Tissue Integrity)

心腔粘膜改变(Altered Oral Mucous Membrance)

皮肤完备性受益(ImPaired Skin Integrity)

有皮肤完备性受益的伤害(Risk for ImPaired Skin Integrity)

安排颅内压本领下落( Decreased AdaPtive CaPacityIntracranial)

粗力困扰(Energy Field distubance)

(2)相通(Communicating)

谈话相通障碍(impaired VerbalCommunlcatlon)

(3)闭系(Relating)

社会障碍(Impaired Soial Interatlon)

社接孤坐(Social Isolition)

有孤坐的伤害(Risk for.Lonelines.)

角色混治(Altered Role Performance)

女母没有称职(Altered Parenting)

有女母没有称职的伤害(Risk for Altered Parenting)

有女母亲子眷恋改变的伤害(Risk for Altered Parent/Infant/Child Att8Chffi6llt)

性功能障碍(Sexual Dysfunction)

家庭效率改变(Altered Family Process)

照应者角色障碍(Caresiver Role Strain)

有照应者角色障碍的伤害(Risk for Caregiver Role Strain)

家庭效率改变:酗酒(Altered Family Process: Alcoholism)

女母角色辩论(Parental Role Conflict)

性死计型态改变(Altered SexualityPatterns)

(4)给予价格(Valuing)

粗神困扰(Spiritual Distress)

删进粗神健壮:潜能性(Potential for Enhance Spiritual Well-Belug)

(5)采用(Choosing)

部分应付于无效(Ineffctive Individual Coping)

安排障碍(ImPaired Adjustment)

防卫性应付于(Defensive Coping)

防卫性承认(Ineffective Denial)

家庭应付于无效:得来本领( Ineffective Family Coping:Disabling)

家庭应付于无效:妥协性 (Ineffectiv Family Coping:Compromised)

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

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

社区应付于无效(Ineffective Community Coping)

按照治疗规划无效(部分的)(Ineffective Management of Therapeutic Regimen)(Individual)

分歧做(特定的)(Noncompliance)(Specitfy)

按照治疗规划无效(家庭的)(Ineffective Management of Therapeutic Regimen: ( (Families)

按照治疗规划无效(社区的)(Ineffective Management of Thera-peutic Regimen: Community)

按照治疗规划灵验(部分的)(Effective Management of Thera-peutic Regimen:Individual)

决议辩论(特定的)(Decisional Conflict)(Specify)

觅供健壮止为(特定的)(Health Seeking Behaviors)(Specity)

(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伤害(Risk for PeriPheralNeurovas-cular Dysfunction)

有围脚术期中伤的伤害 (Risk for Perloperatlve Positioning Injury)

活动无耐力(Activity Intolerance)

疲累(Fatigue)

有活动无耐力的伤害(Risk for Activity Intolerance)

睡眠状态混治(SleepPattern Disturbance)

娱乐活动缺累(Diversional Activity Deficit)

持家本领障碍(Impaired Home Maintenance Management)

脆持健壮的本领改变(Altered Health Maintenance)

进食自理缺陷(Feeding Self Care Deficit)

吞吐障碍(Impaired Swallowing)

母乳喂养无效(Ineffective Breast Feeding)

母乳喂养中断(Interrunted Breast1ceding)

母乳喂养灵验(Effective Breast feeding)

婴女吸吮办法无效(Ineffective Infant Feeding Pattern)

沐浴/卫死自理缺陷(Bathing/Hygiene Self Care Deficit)

脱戴/建饰自理障碍(Dressing/Grooming Self Care Deficit)

进厕自理缺陷(Toileting Self Care Deficit)

死少收育改变(Altered Growth and Development)

环境改变应激概括征(Relocation Stress Syndrome)

有婴幼女止为混治的伤害( Risk for Disorganized Infant Behavior)

婴幼女止为混治(Disorganized Infant Behavior)

删进婴幼女止为(潜能性)(potential for Disorganized Infant ganlzed Infantkhavlor)

(7)感知(Perceiving)

自尔局面混治(Body Imagse Disturbance)

自尊混治(SolfEsteem disturbance)

少久自尔抬下(Chronic Low Self Esteem)

情境性自尔抬下(Situational Low Self Esteem)

自尔认共混治(Personal Identity disturbance)

感知改变(特定的)(视、听、疏通、味、触、嗅)(Sensory/PerceptualAlterations)(specify)(Visual,Auditory,Kinesthetlc,Gustatory,Tao-tile,Olfactory)

单侧感觉丧得(Unilateral Neglect)

绝视(Honelessness)

无计可施(Powerlessness)

(8)认知(Knowing)

知识缺累(特定的)(Knowledge Deficit)(Specify)

定背力障碍(Impaired Environmental Interpretation)

突收性意识朦胧(Acute Confusion)

渐进性意识朦胧(Chronic Confusion)

思维历程改变(Altered Thought Processes)

影象力障碍(ImPaired Memoryy)

(9)感觉(Feeling)

痛痛(Pain)

缓性痛痛(Chronic Pain)

功能障碍性哀思(Dysfunctional Crievins)

预感性哀思(AnticiPatory Crieving)

有暴力止为的伤害:对于自己或者对于他人(Risk for Violence: Self-Directed or drected at Others)

有自伤的伤害(Risk for Self-Mutilation)

创伤后反应(Post-Trauma Response)

强奸创伤概括征(RaPe-Trauma Syndrome)

强奸创伤概括征:复合性反应(Repe-Trauma Syndrome:Compound Reaction)

强奸创伤概括征:重默性反应( Rape-Trauma Syndrome:Silent)

焦慢(Anxiety)

恐惊(Fear)

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