專業(yè)術(shù)語—護(hù)理診斷術(shù)語-1
NANDA通過的以人類反應(yīng)型態(tài)(Human Response Patterns)的分類方法。現(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(jī)體需要量(Altered Nutrition: More Than Body Requirements)
營養(yǎng)失調(diào):低于機(jī)體需要量(Altered Nutrition: less Than Body Requirements)
營養(yǎng)失調(diào):潛在高于機(jī)體需要量(Altered Nutrition: Potential for More Than Body Requirements)
有感染的危險(xiǎn)(Risk for Infection)
有體溫改變的危險(xiǎn)(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(chǔ)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(xiǎn)(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(jī)依賴( Dysfunctional Ventilatory Weaning Response,DVWR)
有受傷的危險(xiǎn)(Risk for Injury)
有窒息的危險(xiǎn)(Risk for Suffocation)
有外傷的危險(xiǎn)(Risk for Trauma)
有誤吸的危險(xiǎn)(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(xiǎn)(Risk for Impaired Skin Integrity)
精力困擾(Energy Field disturbance)
NANDA通過的以人類反應(yīng)型態(tài)(Human Response Patterns)的分類方法。現(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(jī)體需要量(Altered Nutrition: More Than Body Requirements)
營養(yǎng)失調(diào):低于機(jī)體需要量(Altered Nutrition: less Than Body Requirements)
營養(yǎng)失調(diào):潛在高于機(jī)體需要量(Altered Nutrition: Potential for More Than Body Requirements)
有感染的危險(xiǎn)(Risk for Infection)
有體溫改變的危險(xiǎn)(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(chǔ)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(xiǎn)(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(jī)依賴( Dysfunctional Ventilatory Weaning Response,DVWR)
有受傷的危險(xiǎn)(Risk for Injury)
有窒息的危險(xiǎn)(Risk for Suffocation)
有外傷的危險(xiǎn)(Risk for Trauma)
有誤吸的危險(xiǎn)(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(xiǎn)(Risk for Impaired Skin Integrity)
精力困擾(Energy Field disturbance)