201项护理诊断一览表

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附录2 201 项护理诊断一览表(2009〜2011)

领域1 ：健康促进(Health Promotion)

健康维护能力低下(Ineffective Health Maintenance)

自我健康管理无效(Ineffective Self Health Management)

持家能力障碍(Impaired Home Maintenance)

有免疫状态改善的趋势( Readiness for Enhanced Immunization Status

忽视自我健康管理(Self Neglect)

有营养改善的趋势( Readiness for Enhanced Nutrition)

家庭执行治疗方案无效(Ineffective Family Therapeutic Regimen Management)

有自我健康管理改善的趋势( Readiness for Enhanced Self Health Management

领域2:营养(Nutrition)

无效性婴儿喂养型态(Ineffective Infant Feeding Pattern)

营养失调：低于机体需要量(Imbalanced Nutrition: Less Than Body Requirements)

营养失调：高于机体需要量(Imbalanced Nutrition: More Than Body Requirements

有营养失调的危险：高于机体需要量( Risk for Imbalanced Nutrition: More Than Body Requirements )吞咽障碍(Impaired Swallowing )

有血糖不稳定的危险(Risk for Unstable Glucose Level)

新生儿黄疸(Neonatal Jaundice)

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 )

有体液平衡改善的趋势(Readiness for Enhanced Fluid Balance)

体液不足(Deficient Fluid V olume )

体液过多(Excess Fluid Volume )

有体液不足的危险(Risk for Deficient Fluid V olume )

有体液失衡的危险(Risk for Imbalanced Fluid V olume )

领域3 :排泄(Elimination and Exchange)

排尿障碍(Impaired Urinary Elimination 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 )

有排尿功能改善的趋势( Readiness for Enhanced Urinary Elimination )

排便失禁(Bowel Incontinence)

便秘(Constipation )

感知性便秘(Perceived Constipation) 有便秘的危险(Risk for 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 ) 气体交换障碍(Impaired Gas Exchange)

领域4 :活动/休息(Activity/Rest )

失眠(Insomnia )

睡眠型态紊乱(Disturbed Sleep Pattern)

睡眠剥夺(Sleep Deprivation)

有睡眠改善的趋势(Readiness for Enhanced Sleep 有废用综合征的危险(Risk for Disuse Syndrome ) 缺乏娱乐活动(Deficient Diversional Activity ) 久坐的生活方式(Sedentary Lifestyle) 床上活动障碍(Impaired Bed Mobility 躯体活动障碍(Impaired Physical Mobility ) 借助轮椅活动障碍(Impaired wheelchair Mobility ) 移动能力障碍(Impaired Transfer Ability ) 行走障碍(Impaired Walking ) 术后康复迟缓(Delayed Surgical Recovery ) 能量场紊乱(Disturbed Energy Field ) 疲乏(Fatigue ) 活动无耐力(Activity Intolerance ) 有活动无耐力的危险(Risk for Activity Intolerance ) 有出血的危险(Risk for Bleeding ) 低效性呼吸型态(Ineffective Breathing Pattern) 心输出量减少(Decreased Cardiac Output 外周组织灌注无效(Ineffective Peripheral Tissue Perfusion ) 有心脏组织灌注不足的危险(Risk for Decreased Cardiac Tissue Perfusion) 有脑组织灌注无效的危险(Risk for Ineffective Cerebral Tissue Perfusion) 有胃肠道灌注无效的危险(Risk for Ineffective Gastrointestinal Tissue Perfusion ) 有肾脏灌注无效的危险(Risk for Ineffective Renal Perfusion )