护理诊断项目表详解Word下载.docx
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护理诊断项目表详解Word下载.docx
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多于身体需要(00001)ImbalancedNutrition:
MoreThanBodyRequirements
准备妥增进营养(00163)ReadinessforEnhancedNutrition
风险性营养失衡:
多于身体需要(00003)RiskforImbalancedNutrition:
MoreThanBodyRequirements
吞咽障碍(00103)ImpairedSwallowing
消化Digestion
目前没有
类别3:
吸收Absorption
类别4:
代谢Metabolism
风险性不稳定血糖浓度(00179)RiskforUnstableBloodGlucoseLevel
新生儿黄疸(00194)NeonatalJaundice
风险性新生儿黄疸(00230)RiskforNeonatalJaundice
风险性肝脏功能障碍(00178)RiskforImpairedLiverFunction
类别5:
水化
Hydration
风险性电解质失衡(00195)RiskforElectrolyteImbalance
准备妥增进体液平衡(00160)ReadinessforEnhancedFluidBalance
体液容积缺失
(00027)
DeficientFluidVolume
体液容积过量
(00026)
ExcessFluidVolume
风险性体液容积缺失(00028)RiskforDeficientFluidVolume
风险性体液容积失衡(00025)RiskforimbalanceFluidVolume
领域3:
排泄及交换EliminationandExchange
泌尿功能UrinaryFunction
功能性尿失禁(00020)FunctionalUrinaryIncontinence
满溢性尿失禁(00176)OverflowUrinaryIncontinence
反射性尿失禁(00018)ReflexUrinaryIncontinence
压力性尿失禁(00017)StressUrinaryIncontinence
急迫性尿失禁(00019)UrgeUrinaryIncontinence
风险性急迫性尿失禁(00022)RiskforUrgeUrinaryIncontinence
排尿型态障碍(00016)ImpairedUrinaryElimination
准备妥增进排尿型态(00166)ReadinessforEnhancedUrinaryElimination
尿潴留(00023)UrinaryRetention
胃肠功能
GastrointestinalFunction
便祕(00011)Constipation
感受性便祕(00012)PerceivedConstipation
风险性便祕(00015)RiskforConstipation
腹泻(00013)Diarrhea
胃肠能动性失常(00196)DysfunctionalGastrointestinalMotility
风险性胃肠能动性失常(00197)RiskforDysfunctionalGastrointestinalMotility
排便失禁(00014)BowelIncontinence
皮肤功能
IntegumentaryFunction
呼吸功能RespiratoryFunction
气体交换障碍(00030)ImpairedGasExchange
领域4:
活动/休息Activity/Rest
睡眠/休息Sleep/Rest
失眠(00095)Insomnia
睡眠剥削(00096)SleepDeprivation
准备妥增进睡眠型态(00165)ReadinessforEnhancedSleep
睡眠型态紊乱(00198)DisturbedSleepPattern
活动/运动Activity/Exercise
风险性废用症候群(00040)RiskforDisuseSyndrome
床上移动功能障碍(00091)ImpairedBedMobility
身体活动功能障碍(00085)ImpairedPhysicalMobility
轮椅移动功能障碍(00089)ImpairedWheelchairMobility
移位能力障碍(00090)ImpairedTransferAbility
步行障碍(00088)ImpairedWalking
能量平衡EnergyBalance
能量场紊乱(00050)DisturbedEnergyField
疲惫(00093)Fatigue
漫游(00154)Wandering
心血管/肺部反应Cardiovascular/PulmonaryResponses
活动无耐力(00092)ActivityIntolerance
风险性活动无耐力(00094)RiskforActivityIntolerance
低效性呼吸型态(00032)IneffectiveBreathingPattern
心输出量减低(00029)DecreasedCardiacOutput
风险性胃肠灌流失效(00202)RiskforIneffectiveGastrointestinalPerfusion
风险性肾脏灌流失效(00203)RiskforIneffectiveRenalPerfusion
自主性换气障碍(00033)ImpairedSpontaneousVentilation
周边组织灌流失效(00204)IneffectivePeripheralTissuePerfusion
风险性心脏组织灌流减少(00200)RiskforDecreasedCardiacTissuePerfusion
风险性脑组织灌流失效(00201)RiskforIneffectiveCerebralTissuePerfusion
风险性周边组织灌流失效(00228)RiskforIneffectivePeripheralTissuePerfusion
呼吸机戒断反应功能失常(00034)DysfunctionalVentilatoryWeaningResponse
自我照顾Self-care
持家能力障碍(00098)ImpairedHomeMaintenance
准备妥增进自理(00182)ReadinessforEnhancedSelf-Care
沐浴自理能力缺失(00108)BathingSelf-CareDeficit
穿着自理能力缺失(00109)DressingSelf-CareDeficit
进食自理能力缺失(00102)FeedingSelf-CareDeficit
如厕自理能力缺失(00110)ToiletingSelf-CareDeficit
忽略自我健康管理(00193)SelfNeglect
领域5:
知觉/认知Perception/Cognition
注意力Attention
单侧身体忽略(00123)UnilateralNeglect
定向力Orientation
环境解析障碍症候群(00127)ImpairedEnvironmentalInterpretationSyndrome
感觉/知觉Sensation/Perception
认知Cognition
急性意识混乱(00128)AcuteConfusion
慢性意识混乱(00129)ChronicConfusion
风险性急性意识混乱(00173)RiskforAcuteConfusion
冲动控制无效
(00222)
IneffectiveImpulseControl
知识缺乏
(00126)
DeficientKnowledge
准备妥增进知识
(00161)
ReadinessforEnhancedKnowledge
记忆减退
(00131)
ImpairedMemory
沟通Communication
准备妥增进沟通
(00157)
ReadinessforEnhancedCommunication
言词沟通障碍
(00051)
ImpairedVerbalCommunication
领域6:
自我知觉Self-Perception
自我概念Self-concept
无望感(00124)Hopelessness
风险性个人尊严受损(00174)RiskforCompromisedHumanDignity
风险性孤寂(00054)RiskforLoneliness
个人认同紊乱(00121)DisturbedPersonalIdentity
风险性个人认同紊乱(00225)RiskforDisturbedPersonalIdentity
准备妥增进自我概念(00167)ReadinessforEnhancedSelf-Concept
自尊Self-esteem
长期性低自尊(00119)ChronicLowSelf-Esteem
情境性低自尊(00120)SituationalLowSelf-Esteem
风险性长期低自尊(00224)RiskforChronicLowSelf-Esteem
风险性情境低自尊(00153)RiskforSituationalLowSelf-Esteem
身体心像Image
身体心像紊乱(00118)DisturbedBodyImage
领域7:
角色关系RoleRelationships
照顾者角色CaregivingRoles
无效性母乳哺喂(00104)IneffectiveBreastfeeding
母乳哺喂中断(00105)InterruptedBreastfeeding
准备妥增进母乳哺喂(00106)ReadinessforEnhancedBreastfeeding
照顾者角色紧张(00061)CaregiverRoleStrain
风险性照顾者角色紧张(00062)RiskforCaregiverRoleStrain
亲职障碍(00056)ImpairedParenting
准备妥增进养育功能(00164)ReadinessforEnhancedParenting
风险性养育障碍(00057)RiskforImpairedParenting
家庭关系FamilyRelationship
风险性依附关系障碍(00058)RiskforImpairedAttachment
家庭运作功能障碍(00063)DysfunctionalFamilyProcesses
家庭运作功能紊乱(00060)InterruptedFamilyProcesses
准备妥增进家庭运作功能(00159)ReadinessforEnhancedFamilyProcesses
角色扮演RolePerformance
人际关系失常(00223)IneffectiveRelationship
准备妥增进人际关系(00207)ReadinessforEnhancedRelationship
风险性人际关系失常(00229)RiskforIneffectiveRelationship
亲职角色冲突(00064)ParentalRoleConflict
角色扮演无效(00055)IneffectiveRolePerformance
社交互动障碍(00052)ImpairedSocialInteraction
领域8:
性学Sexuality
性认同SexualIdentity
性功能SexualFunction
性功能障碍(00059)SexualDysfunction
性生活型态失常(00065)IneffectiveSexualityPattern
生殖Reproduction
分娩过程不当(00221)IneffectiveChildbearingProcess
准备妥增进分娩过程(00208)ReadinessforEnhancedChildbearingProcess
风险性分娩过程不当(00227)RiskforIneffectiveChildbearingProcess
风险性母婴共扰(00209)RiskforDisturbedMaternal/FetalDyad
领域9:
调适/压力耐受Coping/StressTolerance
创伤后反应Post-trumaResponses
创伤后症候群(00141)Post-TraumaSyndrome
风险性创伤后症候群(00145)RiskforPost-TraumaSyndrome
强暴创伤症候群(00142)Rape-TraumaSyndrome
迁移压力症候群(00114)RelocationStressSyndrome
风险性迁移压力症候群(00149)RiskforRelocationStressSyndrome
调适反应CopingResponses
无效性活动计划(00199)IneffectiveActivityPlanning
风险性无效性活动计划(00226)RiskforIneffectiveActivityPlanning
焦虑(00146)Anxiety
防御性因应能力(00071)DefensiveCoping
无效性因应能力(00069)IneffectiveCoping
准备妥增进因应能力(00158)ReadinessforEnhancedCoping
无效性社区因应能力(00077)IneffectiveCommunityCoping
准备妥增进社区因应能力(00076)ReadinessforEnhancedCommunityCoping
受损性家庭因应能力(00074)CompromisedFamilyCoping
家庭因应失能(00073)DisabledFamilyCoping
准备妥增进家庭因应能力(00075)ReadinessforEnhancedFamilyCoping
死亡焦虑(00147)DeathAnxiety
否认行为不当(00072)IneffectiveDenial
成人生存功能衰竭(00101)AdultFailuretoThrive
恐惧(00148)Fear
哀伤(00136)Grieving
复杂性哀伤(00135)ComplicatedGrieving
风险性复杂性哀伤(00172)RiskforComplicatedGrieving
准备妥增进权能(00187)ReadinessforEnhancedPower
无力感(00125)Powerlessness
风险性无力感(00152)RiskforPowerlessness
个人复原力障碍(00210)ImpairedIndividualResilience
准备妥增进复原力(00212)ReadinessforEnhancedResilience
风险性危及复原力(00211)RiskforCompromisedResilience
慢性悲伤(00137)ChronicSorrow
压力负荷过重(00177)StressOverload
神经行为压力NeurobehavioralStress
自主性反射障碍(00009)AutonomicDysreflexia
风险性自主反射障碍(00010)RiskforAutonomicDysreflexia
紊乱性婴儿行为(00116)DisorganizedInfantBehavior
风险性紊乱性婴儿行为(00115)RiskforDisorganizedInfantBehavior
准备妥增进调整性婴儿行为(00117)ReadinessforEnhancedOrganizedInfantBehavior
颅内调适能力降低(00049)DecreasedIntracranialAdaptiveCapacity
领域10:
生命原则LifePrinciples
价值Value
准备妥增进希望(00185)ReadinessforEnhancedHope
信念Beliefs
准备妥增进心灵安适(00068)ReadinessforEnhancedSpiritualWell-Being
价值/信念/行动一致Value/Belief/ActionCongruence
准备妥增进决定能力(00184)ReadinessforEnhancedDecision-Making
抉择冲突(00083)DecisionalConflict
道德困扰(00175)MoralDistress
不遵从(00079)Noncompliance
宗教信仰障碍(00169)ImpairedReligiosity
准备妥增进宗教信仰(00171)ReadinessforEnhancedReligiosity
风险性宗教信仰障碍(00170)RiskforImpairedReligiosity
心灵困扰(00066)SpiritualDistress
风险性心灵困扰(00067)RiskforSpiritualDistress
领域11:
安全/保护Safety/Protection
感染Infection
风险性感染(00004)RiskforInfection
身体伤害PhysicalInjury
呼吸道清除功能失效(00031)IneffectiveAirwayClearance
风险性肺吸入(00039)RiskforAspiration
风险性出血(00206)RiskforBleeding
齿列生长障碍(00048)ImpairedDentition
风险性干眼症(00219)RiskforDryEye
风险性跌倒(00155)RiskforFalls
风险性损伤(00035)RiskforInjury
口腔粘膜受损(00045)ImpairedOralMucousMembrane
风险性围术期体位损伤(00087)RiskforPerioperativePositioningInjury
风险性周围血管神经功能障碍(00086)RiskforPeripheralNeurovascularDysfunction
风险性休克(00205)RiskforShock
皮肤完整性受
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