护理诊断项目表

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护理诊断项目表 领域1: 健康促进Health Promotion 类别1:健康察觉 Health Awareness 娱乐活动缺失(00097)Deficient Diversional Activity 静态生活方式(00168)Sedentary Lifestyle 类别2:健康管理Health Management 社区健康缺失(00215)Deficient Community Health 危险倾向的健康行为(00188)Risk-Prone Health Behavior 无效性健康维护(00099) Ineffective Health Maintenance 准备妥增进免疫状态(00186)Readiness for Enhanced Immunization Status 无效性保护能力(00043) Ineffective Protection 无效性自我健康管理(00078)Ineffective Self-Health Management 准备妥增进自我健康管理(00162)Readiness for Enhanced Self-Health Management 家庭治疗计划处置失当(00080) Ineffective Family Therapeutic Regimen Management 领域2: 营养 Nutrition 类别1:摄食Ingestion 母乳不足(00216)Insufficient Breast Milk 无效性婴儿哺喂模式(00107)Ineffective Infant Feeding Pattern 营养失衡:少于身体需要(00002)Imbalanced Nutrition: Less Than Body Requirements 营养失衡:多于身体需要(00001)Imbalanced Nutrition: More Than Body Requirements 准备妥增进营养(00163)Readiness for Enhanced Nutrition 风险性营养失衡:多于身体需要(00003)Risk for Imbalanced Nutrition:More Than Body Requirements 吞咽障碍(00103)Impaired Swallowing 类别2:消化Digestion 目前没有 类别3:吸收Absorption 目前没有 类别4:代谢 Metabolism 风险性不稳定血糖浓度(00179)Risk for Unstable Blood Glucose Level 新生儿黄疸 (00194)Neonatal Jaundice 风险性新生儿黄疸 (00230)Risk for Neonatal Jaundice 风险性肝脏功能障碍(00178)Risk for Impaired Liver Function 类别5:水化 Hydration 风险性电解质失衡(00195)Risk for Electrolyte Imbalance 准备妥增进体液平衡(00160)Readiness for Enhanced Fluid Balance 体液容积缺失 (00027) Deficient Fluid Volume 体液容积过量 (00026) Excess Fluid Volume 风险性体液容积缺失 (00028) Risk for Deficient Fluid Volume 风险性体液容积失衡 (00025) Risk for imbalance Fluid Volume 领域3:排泄与交换 Elimination and Exchange 类别1:泌尿功能Urinary Function 功能性尿失禁(00020) Functional Urinary Incontinence 满溢性尿失禁(00176)Overflow Urinary Incontinence 反射性尿失禁(00018)Reflex Urinary Incontinence 压力性尿失禁(00017)Stress Urinary Incontinence 急迫性尿失禁(00019)Urge Urinary Incontinence 风险性急迫性尿失禁(00022)Risk for Urge Urinary Incontinence 排尿型态障碍(00016)Impaired Urinary Elimination 准备妥增进排尿型态(00166)Readiness for Enhanced Urinary Elimination 尿潴留(00023)Urinary Retention 类别2:胃肠功能 Gastrointestinal Function 便祕(00011) Constipation 感受性便祕(00012) Perceived Constipation 风险性便祕(00015) Risk for Constipation 腹泻(00013) Diarrhea 胃肠能动性失常(00196) Dysfunctional Gastrointestinal Motility 风险性胃肠能动性失常(00197)Risk for Dysfunctional Gastrointestinal Motility 排便失禁(00014)Bowel Incontinence 类别3:皮肤功能 Integumentary Function 目前没有 类别4:呼吸功能Respiratory Function 气体交换障碍(00030)Impaired Gas Exchange 领域4:活动/休息Activity/Rest 类别1:睡眠/休息Sleep/Rest 失眠(00095)Insomnia 睡眠剥削(00096)Sleep Deprivation 准备妥增进睡眠型态(00165)Readiness for Enhanced Sleep 睡眠型态紊乱(00198)Disturbed Sleep Pattern 类别2:活动/运动Activity /Exercise 风险性废用症候群(00040) Risk for Disuse Syndrome 床上移动功能障碍(00091)Impaired Bed Mobility 身体活动功能障碍(00085)Impaired Physical Mobility 轮椅移动功能障碍(00089)Impaired Wheelchair Mobility 移位能力障碍(00090) Impaired Transfer Ability 步行障碍(00088)Impaired Walking 类别3:能量平衡Energy Balance 能量场紊乱(00050) Disturbed Energy Field 疲惫(00093) Fatigue 漫游(00154) Wandering 类别4:心血管/肺部反应Cardiovascular/Pulmonary Responses 活动无耐力(00092)Activity Intolerance 风险性活动无耐力(00094)Risk for Activity Intolerance 低效性呼吸型态(00032) Ineffective Breathing Pattern 心输出量减低(00029)Decreased Cardiac Output 风险性胃肠灌流失效(00202) Risk for Ineffective Gastrointestinal Perfusion 风险性肾脏灌流失效(00203)Risk for Ineffective Renal Perfusion 自主性换气障碍(00033)Impaired Spontaneous Ventilation 周边组织灌流失效(00204)Ineffective Peripheral Tissue Perfusion 风险性心脏组织灌流减少(00200) Risk for Decreased Cardiac Tissue Perfusion 风险性脑组织灌流失效(00201)Risk for Ineffective Cerebral Tissue Perfusion 风险性周边组织灌流失效(00228)Risk for Ineffective Peripheral Tissue Perfusion 呼吸机戒断反应功能失常(00034)Dysfunctional Ventilatory Weaning Response 类别5:自我照顾Self-care 持家能力障碍(00098)Impaired Home Maintenance 准备妥增进自理(00182)Readiness for Enhanced Self-Care 沐浴自理能力缺失(00108)Bathing Self-Care Deficit 穿着自理能力缺失(00109)Dressing Self-Care Deficit 进食自理能力缺失(00102)Feeding Self-Care Deficit 如厕自理能力缺失(00110)Toileting Self-Care Deficit 忽略自我健康管理(00193)Self Neglect 领域5:知觉/认知Perception/Cognition 类别1:注意力Attention 单侧身体忽略(00123)Unilateral Neglect 类别2:定向力Orientation 环境解析障碍症候群(00127)Impaired Environmental Interpretation Syndrome 类别3:感觉/知觉 Sensation/Perception 目前没有 类别4:认知Cognition 急性意识混乱(00128)Acute Confusion 慢性意识混乱(00129)Chronic Confusion 风险性急性意识混乱(00173)Risk for Acute Confusion 冲动控制无效 ( 00222 ) Ineffective Impulse Control 知识缺乏 ( 00126 ) Deficient Knowledge 准备妥增进知识 ( 00161) Readiness for Enhanced Knowledge 记忆减退 ( 00131 ) Impaired Memory 类别5:沟通Communication 准备妥增进沟通 ( 00157 ) Readiness for Enhanced Communication 言词沟通障碍 ( 00051 ) Impaired Verbal Communication 领域6:自我知觉Self-Perception 类别1:自我概念Self-concept 无望感(00124)Hopelessness 风险性个人尊严受损(00174)Risk for Compromised Human Dignity 风险性孤寂(00054)Risk for Loneliness 个人认同紊乱(00121)Disturbed Personal Identity 风险性个人认同紊乱(00225)Risk for Disturbed Personal Identity 准备妥增进自我概念(00167) Readiness for Enhanced Self-Concept 类别2:自尊Self-esteem 长期性低自尊(00119)Chronic Low Self-Esteem 情境性低自尊(00120)Situational Low Self-Esteem 风险性长期低自尊(00224)Risk for Chronic Low Self-Esteem