NANDA通過的以人類反應(yīng)型態(tài)(Human Response Patterns)的分類方法,F(xiàn)將人類反應(yīng)型態(tài)分類方法的護(hù)理診斷分列如下:
(1)交換(Exchanging)
營養(yǎng)失調(diào):高于機體需要量(Altered Nutrition: More Than Body Requirements)
營養(yǎng)失調(diào):低于機體需要量(Altered Nutrition: less Than Body Requirements)
營養(yǎng)失調(diào):潛在高于機體需要量(Altered Nutrition: Potential for More Than Body Requirements)
有感染的危險(Risk for Infection)
有體溫改變的危險(Risk for Altered Body Temperature)
體溫過低(Hypothermia)
體溫過高(Hyperthermia)
體溫調(diào)節(jié)無效(Ineffective Thermoregulation)
便秘(Constipation)
感知性便秘(Perceived Constipation)
結(jié)腸性便秘(Colonic Constipation)
腹瀉(Diarrhea)
大便失禁(Encopresis)
排尿異常(Altered Urinary Elimination)
壓迫性尿失禁(Sires Incontinence)
反射性尿失禁(Reflex Incontinence)
急迫性尿失禁(Urge Incontinence)
功能性尿失禁(Functional Incontinence)
完全性尿失禁(Total Incontinence)
尿儲留(Urinary Retention)
組織灌注量改變 Altered Tissue Perfusion
體液過多(Fluid Volume Excess)
體液不足(Fluid Volume Deficit)
體液不足的危險(Risk for Fluid Volume Deficit)
清理呼吸道無效(Ineffective Airway Clearance)
低效性呼吸型態(tài)(Ineffective Breathing Pattern)
不能維持自主呼吸( Inability to Sustain Spontaneous Ventilation)
呼吸機依賴( Dysfunctional Ventilatory Weaning Response,DVWR)
有受傷的危險(Risk for Injury)
有窒息的危險(Risk for Suffocation)
有外傷的危險(Risk for Trauma)
有誤吸的危險(Risk for Aspiration)
自我防護(hù)能力改變(Altered Protection)
組織完整性受損(Impaired Tissue Integrity)
皮膚完整性受損(Impaired Skin Integrity)
有皮膚完整性受損的危險(Risk for Impaired Skin Integrity)
精力困擾(Energy Field disturbance)
(2)溝通(Communicating)
語言溝通障礙(impaired Verbal Communication)
(3)關(guān)系(Relating)
社會障礙(Impaired Social Interaction)
社交孤立(Social Isolation)
有孤立的危險(Risk for Loneliness)
角色紊亂(Altered Role Performance)
父母不稱職(Altered Parenting)
有父母不稱職的危險(Risk for Altered Parenting)
有父母親子依戀改變的危險(Risk for Altered Parent/Infant/Child Att8Chffi6llt)
性功能障礙(Sexual Dysfunction)
家庭作用改變(Altered Family Process)
有照顧者角色障礙的危險(Risk for Caregiver Role Strain)
家庭作用改變:酗酒(Altered Family Process: Alcoholism)
父母角色沖突(Parental Role Conflict)
性生活型態(tài)改變(Altered Sexuality Patterns)
(4)賦予價值(Valuing)
精神困擾(Spiritual Distress)
(5)選擇(Choosing)
個人應(yīng)對無效(Ineffective Individual Coping)
調(diào)節(jié)障礙(Impaired Adjustment)
防衛(wèi)性應(yīng)對(Defensive Coping)
防衛(wèi)性否認(rèn)(Ineffective Denial)
家庭應(yīng)對無效:失去能力( Ineffective Family Coping: Disabling)
家庭應(yīng)對無效:妥協(xié)性 (Ineffective Family Coping: Compromised)
家庭應(yīng)對:潛能性(Family Coping: Potential for Growth)
社區(qū)應(yīng)對:潛能性(Potential for Enhanced Community Coping)
社區(qū)應(yīng)對無效(Ineffective Community Coping)
遵守治療方案無效(個人的)(Ineffective Management of Therapeutic Regimen)(Individual)
不合作(特定的)(Noncompliance)(Specify)
遵守治療方案無效(家庭的)(Ineffective Management of Therapeutic Regimen: Families)
遵守治療方案無效(社區(qū)的)(Ineffective Management of Therapeutic Regimen: Community)
遵守治療方案有效(個人的)(Effective Management of Therapeutic Regimen: Individual)
抉擇沖突(特定的)(Decisional Conflict)(Specify)
尋求健康行為(特定的)(Health Seeking Behaviors)(Specify)
(6)活動(Moving)
軀體移動障礙(Impaired Physical Mobility)
有周圍血管神經(jīng)功能障礙的危險(Risk for Peripheral Neurovascular Dysfunction)
活動無耐力(Activity Intolerance)
疲乏(Fatigue)
有活動無耐力的危險(Risk for Activity Intolerance)
睡眠狀態(tài)紊亂(Sleep Pattern Disturbance)
持家能力障礙(Impaired Home Maintenance Management)
保持健康的能力改變(Altered Health Maintenance)
進(jìn)食自理缺陷(Feeding Self Care Deficit)
吞咽障礙(Impaired Swallowing)
母乳喂養(yǎng)無效(Ineffective Breast Feeding)
母乳喂養(yǎng)有效(Effective Breast feeding)
嬰兒吸吮方式無效(Ineffective Infant Feeding Pattern)
沐。l(wèi)生自理缺陷(Bathing/Hygiene Self Care Deficit)
穿戴/修飾自理障礙(Dressing/Grooming Self Care Deficit)
入廁自理缺陷(Toileting Self Care Deficit)
生長發(fā)育改變(Altered Growth and Development)
環(huán)境改變應(yīng)激綜合征(Relocation Stress Syndrome)
有嬰幼兒行為紊亂的危險( Risk for Disorganized Infant Behavior)
嬰幼兒行為紊亂(Disorganized Infant Behavior)
(7)感知(Perceiving)
自我形象紊亂(Body Image Disturbance)
自尊紊亂(Self-esteem disturbance)
長期自我貶低(Chronic Low Self Esteem)
情境性自我貶低(Situational Low Self Esteem)
自我認(rèn)同紊亂(Personal Identity disturbance)
感知改變(特定的)(視、聽、運動、味、觸、嗅)(Sensory/Perceptual Alterations)(specify)(Visual,Auditory,Kinesthetic,Gustatory,tactile,Olfactory)
單側(cè)感覺喪失(Unilateral Neglect)
絕望(Hopelessness)
無能為力(Powerlessness)
(8)認(rèn)知(Knowing)
知識缺乏(特定的)(Knowledge Deficit)(Specify)
定向力障礙(Impaired Environmental Interpretation)
突發(fā)性意識模糊(Acute Confusion)
漸進(jìn)性意識模糊(Chronic Confusion)
思維過程改變(Altered Thought Processes)
記憶力障礙(Impaired Memory)
(9)感覺(Feeling)
疼痛(Pain)
慢性疼痛(Chronic Pain)
有自傷的危險(Risk for Self-Mutilation)
創(chuàng)傷后反應(yīng)(Post-Trauma Response)
強奸創(chuàng)傷綜合征(Rape-Trauma Syndrome)
強奸創(chuàng)傷綜合征:復(fù)合性反應(yīng)(Rape-Trauma Syndrome: Compound Reaction)
強奸創(chuàng)傷綜合征:沉默性反應(yīng)(Rape-Trauma Syndrome: Silent)
焦慮(Anxiety)
恐懼(Fear)