新版216個護理診斷

新版216個護理診斷NANDA護理診斷NANDA-I護理診斷2012~2014(共216頁)領(lǐng)域1：健康促進(jìn)(HealthPromotion)類別1：健康意識(HealthAwareness)娛樂活動缺乏(DeficientDiversionalActivity)(00097)靜態(tài)的生活方式(SedentaryLifestyle)(00168)類別2：健康管理(HealthManagement)缺乏公共衛(wèi)生(DeficientCommunityHealth)(00215)有危險傾向的健康行為(Risk-ProneHealthBehavior)(00188)健康維持無效(IneffectiveHealthMaintenance)(00099)有增強免疫狀態(tài)的愿望(ReadinessforEnhancedImmunizationStatus)(00186)防護無效(IneffectiveProtection)(00043)自我健康維持無效(IneffectiveSelf-HealthManagement)(00078)有增強自我健康管理的愿望(ReadinessforEnhaneedSelf-HealthManagement)(00162)家庭執(zhí)行治療方案無效(IneffectiveFamilyTherapeuticRegimenManagement)(00080)領(lǐng)域2：營養(yǎng)(Nutrition)類別1：攝入(Ingestion)母乳不足(InsufficientBreastMilk)(00216)嬰兒喂養(yǎng)無效(IneffectiveInfantFeedingPattern)(00107)營養(yǎng)失調(diào)：低于機體需要量(ImbalaneedNutrition：LessThanBodyRequirements)(00002)營養(yǎng)失調(diào)：高于機體需要量(ImbalaneedNutrition：MoreThanBodyRequirements)(00001)有增強營養(yǎng)的愿望(ReadinessforEnhaneedNutrition)(00163)有營養(yǎng)失調(diào)的危險：高于機體需要量(RiskforImbalaneedNutrition：MoreThanBodyRequirements)(00003)吞咽能力受損(ImpairedSwallowing)(00103)類別2：消化(Digestion)類別3：吸收(Absorption)類別4：代謝(Metabolism)有血糖不穩(wěn)定的危險(RiskforUnstableBloodGlucoseLevel)(00179)新生兒黃疸(NeonatalJaundice)(00194)有新生兒黃疸的危險(RiskforNeonatalJaundice)(00230)有肝功能受損的危險(RiskforImpairedLiverFunction)(00178)類別5：水化有電解質(zhì)失衡的危險(RiskforElectrolyteImbalance)(00195)有維持體液平衡的愿望(ReadinessforEnhaneedFluidBalance)(00160)體液不足(DeficientFluidVolume)(00027)體液過多(ExcessFluidVolume)(00026)有體液不足的危險(RiskforDeficientFluidVolume)(00028)有體液失衡的危險(RiskforImbalaneedFluidVolume)(00025)領(lǐng)域3：排泄(EliminationandExchange)類別1：排尿功能(UrinaryFunction)功能性尿失禁(FunctionalUrinaryIncontinence)(00020)充溢性尿失禁(OverflowUrinaryIncontinence)(00176)反射性尿失禁(ReflexUrinaryIncontinence)(00018)壓力性尿失禁(StressUrinaryIncontinence)(00017)急迫性尿失禁(UrgeUrinaryIncontinence)(00019)有急迫性尿失禁的危險(RiskforUrgeUrinaryIncontinence)(00022)排尿形態(tài)改變(ImpairedUrinaryElimination)(00016)有排尿形態(tài)恢復(fù)正常的愿望(ReadinessforEnhaneedUrinaryElimination)(00166)尿潴留(UrinaryRetention)(00023)類別2：胃腸功能(GastrointestinalFunction)便秘(Constipation)(00011)感知性便秘(PerceivedConstipation)(00012)有便秘的危險(RiskforConstipation)(00015)腹瀉(Diarrhea)(00013)胃腸動力紊亂(DysfunctionalGastrointestinalMotility)(00196)有胃腸動力紊亂的危險(RiskforDysfunctionalGastrointestinalMotility)(00197)排便失禁(BowelIncontinence)(00014)類別3：皮膚功能(IntegumentaryFunction)類別4：呼吸功能(RespiratoryFunction)氣體交換受損(ImpairedGasExchange)(00030)領(lǐng)域4：活動休息(ActivityRest)類別1：睡眠/休息(Sleep/Rest)失眠(Insomnia)(00095)睡眠剝奪(SleepDeprivation)(00096)有睡眠形態(tài)增進(jìn)的愿望(ReadinessforEnhaneedSleep)(00165)睡眠形態(tài)紊亂(DisturbedSleepPattern)(00198)類別2：活動/運動(Activity/Exercise)有廢用綜合征的危險(RiskforDisuseSyndrome)(00040)床上活動障礙(ImpairedBedMobility)(00091)軀體移動障礙(ImpairedPhysicalMobility)(00085)借助輪椅活動障礙(ImpairedWheelchairMobility)(00089)移位能力障礙(ImpairedTransferAbility)(00090)行走障礙(ImpairedWalking)(00088)類別3：能量平衡(EnergyBalanee)能量場紊亂(DisturbedEnergyField)(00050)疲乏(Fatigue)(00093)漫游(Wandering)(00154)類別4：心血管/肺部反應(yīng)(Cardiovascular/PulmonaryResponses)活動無耐力(ActivityIntolerance)(00092)有活動無耐力的危險(RiskforActivityIntolerance)(00094)低效性呼吸形態(tài)(IneffectiveBreathingPattern)(00032)心輸出量減少(DecreasedCardiac0utput)(00029)有胃腸灌注不足的危險(RiskforIneffectiveGastrointestinalPerfusion)(00202)有腎臟灌注不足的危險(RiskforIneffectiveRenalPerfusion)(00203)不能維持自主呼吸(ImpairedSpontaneousVentilation)(00033)周圍組織灌注不足(IneffectivePeripheralTissuePerfusion)(00204)有心臟組織灌注不足的危險(RiskforDecreasedCardiacTissuePerfusion)(00200)有腦組織灌注不足的危險(RiskforIneffectiveCerebralTissuePerfusion)(00201)有周圍組織灌注不足的危險(RiskforIneffectivePeripheralTissuePerfusion)(00228)呼吸機依賴(DysfunctionalVentilatoryWeaningResponse)(00034)類別5：自我照顧(Self-Care)持家能力障礙(ImpairedHomeMaintenance)(00098)有增強自理的愿望(ReadinessforEnhaneedSelf-Care)(00182)沐浴自理缺陷(BathingSelf-CareDeficit)(00108)穿衣自理缺陷(DressingSelf-CareDeficit)(00109)進(jìn)食自理缺陷(FeedingSelf-CareDeficit)(00102)如廁自理缺陷(ToiletingSelf-CareDeficit)(00110)忽視自我健康管理(Self-Neglect)(00193)領(lǐng)域5：知覺認(rèn)知(PerceptionCognition)類別1：注意力(Attention)忽視單側(cè)身體(UnilateralNeglect)(00123)類別2：定向力(Orientation)環(huán)境解析障礙綜合征(ImpairedEnvironmentalInterpretationSyndrome)(00127)類別3：感覺/知覺(Sensation/Perception)類別4：認(rèn)知(Cognition)急性意識障礙(AcuteConfusion)(00128)95.慢性意識障礙(ChronicConfusion)(00129)有急性意識障礙的危險(RiskforAcuteConfusion)(00173)自我控制無效(IneffectiveImpulseControl)(00222)知識缺乏(DeficientKnowledge)(00126)有增加知識的愿望(ReadinessforEnhaneedKnowledge)(00161)記憶受損(ImpairedMemory)(00131)類別5：溝通(Communication)有加強溝通的愿望(ReadinessforEnhaneedCommunication)(00157)語言溝通障礙(ImpairedVerbalCommunication)(00051)領(lǐng)域6：自我知覺(Self-Perception)類別1：自我概念(Self-Concept)絕望(Hopelessness)(00124)有危及個人尊嚴(yán)的危險(RiskforCompromisedHumanDignity)(00174)有孤獨的危險(RiskforLoneliness)(00054)自我認(rèn)同紊亂(DisturbedPersonalIdentity)(00121)有自我認(rèn)同紊亂的危險(RiskforDisturbedPersonalIdentity)(00225)有增強自我概念的愿望(ReadinessforEnhancedSelf-Concept)(00167)類別2：自尊Self-Esteem112.慢性低自尊(ChronicLowSelf-Esteem)(00119)情境性低自尊(SituationalLowSelf-Esteem)(00120)有慢性低自尊的危險(RiskforChronicLowSelf-Esteem)(00224)有情境性低自尊的危險(RiskforSituationalLowSelf-Esteem)(00153)類別3：自我形象(BodyImage)自我形象紊亂(DisturbedBodyImage)(00118)領(lǐng)域7：角色關(guān)系(RoleRelationships)類別1：照顧者角色(CaregivingRoles)母乳喂養(yǎng)無效(IneffectiveBreastfeeding)(00104)母乳喂養(yǎng)中斷(InterruptedBreastfeeding)(00105)有增強母乳喂養(yǎng)的愿望(ReadinessforEnhancedBreastfeeding)(00106)照顧者角色緊張(CaregiverRoleStrain)(00061)有照顧者角色緊張的危險(RiskforCaregiverRoleStrain)(00062)撫養(yǎng)障礙(ImpairedParenting)(00056)有增進(jìn)撫養(yǎng)能力的愿望(ReadinessforEnhaneedParenting)(00164)126.有撫養(yǎng)障礙的危險(RiskforImpairedParenting)(00057)類別2：家庭關(guān)系(FamilyRelationships)有依附關(guān)系障礙的危險(RiskforImpairedAttachment)(00058)家庭運作紊亂(DysfunctionalFamilyProcesses)(00063)家庭運作中斷(InterruptedFamilyProcesses)(00060)有家庭運作穩(wěn)定的愿望(ReadinessforEnhaneedFamilyProcesses)(00159)類別3：角色表現(xiàn)(RolePerformanee)無效的關(guān)系(IneffectiveRelationship)(00223)有增進(jìn)關(guān)系的愿望(ReadinessforEnhancedRelationship)(00207)有關(guān)系無效的危險(RiskforIneffectiveRelationship)(00229)父母角色沖突(ParentalRoleConflict)(00064)角色紊亂(IneffectiveRolePerformance)(00055)社交障礙(ImpairedSocialInteraction)(00052)領(lǐng)域8：性學(xué)(Sexuality)類別1：性別認(rèn)同(SexualIdentity)類別2：性功能(SexualFunction)性功能障礙(SexualDysfunction)(00059)142.性生活形態(tài)改變(IneffectiveSexualityPattern)(00065)類別3：生殖(Reproduction)分娩過程無效(IneffectiveChildbearingProcess)(00221)有增進(jìn)分娩過程的愿望(ReadinessforEnhaneedChildbearingProcess)(00208)有分娩過程無效的危險(RiskforIneffectiveChildbearingProcess)(00227)有母體-胎兒受干擾的危險(RiskforDisturbedMaternal-FetalDyad)(00209)領(lǐng)域9：調(diào)適壓力耐受(CopingStressToleranee)類別1：創(chuàng)傷后反應(yīng)(Post-TraumaResponses)創(chuàng)傷后綜合征(Post-TraumaSyndrome)(00141)有創(chuàng)傷后綜合征的危險(RiskforPost-TraumaSyndrome)(00145)強暴創(chuàng)傷綜合征(Rape-TraumaSyndrome)(00142)遷移應(yīng)激綜合征(RelocationStressSyndrome)(00114)有遷移應(yīng)激綜合征的危險(RiskforRelocationStressSyndrome)(00149)類別2：應(yīng)對反應(yīng)(CopingResponses)活動計劃無效(IneffectiveActivityPlanning)(00199)有活動計劃無效的危險(RiskforIneffectiveActivityPlanning)(00226)焦慮(Anxiety)(00146)防御性應(yīng)對(DefensiveCoping)(00071)應(yīng)對無效(IneffectiveCoping)(00069)有增強應(yīng)對的愿望(ReadinessforEnhancedCoping)(00158)社區(qū)應(yīng)對無效(IneffectiveCommunityCoping)(00077)社區(qū)有增強應(yīng)對的愿望(ReadinessforEnhaneedCommunityCoping)(00076)家庭妥協(xié)性應(yīng)對(CompromisedFamilyCoping)(00074)家庭應(yīng)對缺陷(DisabledFamilyCoping)(00073)家庭有增強應(yīng)對的愿望(ReadinessforEnhancedFamilyCoping)(00075)死亡焦慮(DeathAnxiety)(00147)無效性否認(rèn)(IneffectiveDenial)(00072)成人生存功能衰退(AdultFailuretoThrive)(00101)恐懼(Fear)(00148)悲痛(Grieving)(00136)復(fù)雜性哀傷(ComplicatedGrieving)(00135)有復(fù)雜性哀傷的危險(RiskforComplicatedGrieving)(00172)有增強能力的愿望(ReadinessforEnhaneedPower)(00187)無能為力(Powerlessness)(00125)有無能為力的危險(RiskforPowerlessness)(00152)個人復(fù)原能力受損(ImpairedIndividualResilience)(00210)有增強復(fù)原能力的愿望(ReadinessforEnhaneedResilience)(00212)有危及復(fù)原的危險(RiskforCompromisedResilience)(00211)長期悲傷(ChronicSorrow)(00137)超負(fù)荷壓力(StressOverload)(00177)類別3：神經(jīng)行為壓力(NeurobehavioralStress)自主性反射障礙(AutonomicDysreflexia)(00009)有自主反射障礙的危險(RiskforAutonomicDysreflexia)(00010)嬰兒行為紊亂(DisorganizedInfantBehavior)(00116)嬰兒有行為能力增強的潛力(ReadinessforEnhaneedOrganizedInfantBehavior)(00117)有嬰兒行為紊亂的危險(RiskforDisorganizedInfantBehavior)(00115)顱內(nèi)調(diào)試能力下降(DecreasedIntracranialAdaptiveCapacity)(00049)領(lǐng)域10：生命原則(LifePrinciples)類別1：價值觀(Values)有增進(jìn)希望的愿望(ReadinessforEnhancedHope)(00185)類別2：信念(Beliefs)有促進(jìn)精神健康增強的愿望(ReadinessforEnhaneedSpiritualWell-Being)(00068)類別3：價值/信念/行動一致(Value侶elief/ActionCongruenee)有增強決策的愿望(ReadinessforEnhancedDecision-Making)(00184)決策沖突(DecisionalConflict)(00083)道德困擾(MoralDistress)(00175)不合作(Noncompliance)(00079)虔信受損(ImpairedReligiosity)(00169)有增進(jìn)虔信的愿望(Readinessfor