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1、附录2201项护理诊断一览表（200旷2011）领域1：健康促进(HealthPromotion)健康维护能力低下(IneffectiveHealthMaintenance)自我健康管理无效(IneffectiveSelfHealthManagement)持家能力障碍(ImpairedHomeMaintenance)有免疫状态改善的趋势(ReadinessforEnhancedImmunizationStatus)忽视自我健康管理(SelfNeglect)有营养改善的趋势(ReadinessforEnhancedNutrition)家庭执行治疗方案无效(IneffectiveFamilyThe
2、rapeuticRegimenManagement)有自我健康管理改善的趋势(ReadinessforEnhancedSelfHealthManagement)领域2：营养(Nutrition)无效性婴儿喂养型态(IneffectiveInfantFeedingPattern)营养失调：低于机体需要量(ImbalancedNutrition：LessThanBodyRequirements)营养失调：高于机体需要量(ImbalancedNutrition：MoreThanBodyRequirements)有营养失调的危险：I岛于机体需要量(RiskforImbalancedNutrition：
3、MoreThanBodyRequirements)祚口因障碍(ImpaledSwallowing)有血糖不稳定的危险(RiskforUnstableGlucoseLevel)新生儿黃疸(NeonatalJaundice)有肝功能受损的危险(RiskforImpairedLiverFunction)有电解质失衡的危险(RiskforElectrolyteImbalance)有体液平衡改善的趋势(ReadinessforEnhancedFluidBalance)体液不足(DeficientFluidVolume)体液过多(ExcessFluidVolume)有体液不足的危险(RiskforDefi
4、cientFluidVolume)有体液失衡的危险(RiskforImbalancedFluidVolume)领域3：排泄(EliminationandExchange)排尿障碍(ImpairedUrinaryElimindtion)功能性尿失禁(FunctionalUrinaryIncontinence)溢出性尿失禁(OverflowUrinaryIncontinence)反射性尿失禁(ReflexUrinaryIncontinence)丿k力性尿失禁(StressUrinaryIncontinence)急迫性尿失禁(UrgeUrinaryIncontinence)有急迫性尿失禁的危险(Ri
5、skforUrgeUrinaryIncontinence)尿潴留(UrinaryRetention)有排尿功能改善的趋势(ReadinessforEnhancedUrinaryElimination)排便失禁(BowelIncontinence)便秘(Constipation)感知性便秘(PerceivedConstipation)有便秘的危险(RiskforConstipation)腹泻(Diarrhea)胃肠动力失调(DysfunctionalGastrointestinalMotility)有胃肠动力失调的危险(RiskforDysfunctionalGastrointestinalMo
6、tility)气体交换障碍(ImpairedGasExchange)领域4:活动/休息(Activity/Rest)失HR(Insomnia)睡眠型态紊乱(DisturbedSleepPattern)睡II民剥夺(SleepDeprivation)有睡眠改善的趋势(ReadinessforEnhancedSleep)有废用综合征的危险(RiskforDisuseSyndrome)缺乏娱乐活动(DeficientDiversionalActivity)久坐的生活方式(SedentaryLifestyle)床上活动障碍(ImpairedBedMobility)躯体活动障碍(ImpairedPhys
7、icalMobility)借助轮椅活动障碍(ImpairedwheelchairMobility)移动能力障碍(ImpairedTransferAbility)行走障碍(ImpairedWalking)术后康复迟缓(DelayedSurgicalRecovery)能量场紊乱(DisturbedEnergyField)疲乏(Fatigue)活动无耐力(ActivityIntolerance)有活动无耐力的危险(RiskforActivityIntolerance)有出血的危险(RiskforBleeding)低效性呼吸型态(IneffectiveBreathingPattern)心输出量减少(D
8、ecreasedCardiacOutput)外周组织灌注无效(IneffectivePeripheralTissuePerfusion)有心脏组织灌注不足的危险(RiskforDecreasedCardiacTissuePerfusion)有胃肠道灌注无效的危险(RiskforIneffectiveGastrointestinalTissuePerfusion)有肾脏灌注无效的危险(RiskforIneffectiveRenalPerfusion)有休克的危险(RiskforShock)自主呼吸障碍(ImpairedSpontaneousVentilation)呼吸机依赖(Dysfunctio
9、nalVentilatoryWeaningResponse)有自理能力增强的趋势(ReadinessforEnhancedSelf-Care)沐浴/卫生自理缺陷(Bathing/HygieneSelf-CareDeficit)穿着/修饰自理缺陷(Dressing/groomingSelf-CareDeficit)进食自理缺陷(FeedingSelf-CareDeficit)如厕自理缺陷(ToiletingSelf-CareDeficit)领域3:感知/认知(Perception/Cognition)单侧身体忽视(UnilateralNeglect)环境认知障碍综合征(ImpairedEnvir
10、onmentalInterpretationSyndrome)漫游状态(Wandering)Sensory感知觉紊乱(具体说明：视觉、听觉、方位感、味觉、触觉、嗅觉)(DisturbedPerception(Specify:Visual,Auditory,Kinesthetic,Gustatory,Tactile,Olfactory)急性意识障碍(AcuteConfusion)慢性意识障碍(ChronicConfusion)有急性意识障碍的危险(RiskforAcuteConfusion)知识缺乏(DeficientKnowledge)有知识增进的趋势(ReadinessforEnhanced
11、Knowledge)记忆功能障碍(ImpairedMemory)有决策能力增强的趋势(ReadinessforEnhancedDecision-Making)活动计?划无效(IneffectiveActivityPlanning)语言沟通障碍(ImpairedVerbalCommunication)有沟通增进的趋势(ReadinessforEnhancedCommunication)领域6：自我感知(Self-Perception)有个人尊严受损的危险(RiskforCompromisedHumanDignity)无望感(Hopelessness)自我认同紊乱(DisturbedPersona
12、lIdentity)有孤独的危险(RiskforLoneliness)有能力增强的趋势(ReadinessforEnhancedPower)无能为力感(Powerlessness)有无能为力感的危险(RiskforPowerlessness)有自我概念改善的趋势(ReadinessforEnhancedSelf-Concept)1W境性低自尊(SituationallowSelf-Esteem)长期性低自厚(ChronicLowSelf-Esteem)有悄境性低自尊的危险(RiskforSituationalLowSelf-Esteem)体像紊乱(DisturbedBodyImage)领域7：
13、角色关系(RoleRelationships)照顾者角色紧张(CaregiverRoleStrain)有照顾者角色紧张的危险(RiskforCaregiverRoleStrain)养育功能障碍(ImpairedParenting)有养育功能改善的趋势(ReadinessforEnhancedParenting)有养育功能障碍的危险(RiskforImpairedParenting)有依附关系受损的危险(RiskforImpairedParent/Infant/ChildAttachment)家庭运作过程失常(DysfunctionalFamilyProcesses)家庭运作过程改变(Inter
14、ruptedFandlyProcesses)有家庭运作过程改善的趋势(ReadinessforEnhancedFandlyProcesses)母乳喂养有效(EffectiveBreastfeeding)母乳喂养无效(IneffectiveBreastfeeding)母乳喂养中断(InterruptedBreastfeeding)父母角色冲突(ParentalRoleConflict)有关系改善的趋势(ReadinessforEnhancedRelationship)无效性角色行为(IneffectiveRolePerformance)社会交往障碍(ImpairedSocialInteracti
15、on)领域8：性(Sexuality)性功能障碍(SexualDysfunction)性生活型态无效(IneffectiveSexualityPatterns)有生育进程改善的趋势(ReadinessforEnhancedChildbearingProcess)有母体与胎儿双方受干扰的危险(RiskforDisturbedMaternal/FetalDyad)领域9：应对/应激耐受性(Coping/StressTolerance)创伤后综合征(PostTraumaSyndrome)有创伤后综合征的危险(RiskforPostTraumaSyndrome)强暴创伤综合征(Rape-TraumaS
16、yndrome)迁移应激综合征(RelocationStressSyndrome)有迁移应激综合征的危险(RiskforRelocationStressSyndrome)焦虑(Anxiety)对死亡的焦虑(DeathAnxiety)有威胁健康的彳亍为(Risk-ProneHealthBehavior)妥协性家庭应对(CompromisedFam订yCoping)无能性家庭应对(DisabledFamilyCoping)防卫性应对(DefensiveCoping)应对无效(IneffectiveCoping)社区应对无效(IneffectiveCommunityCoping)无效性否认有应对增强的趋势(ReadinessforEnhancedCoping)有社区应对增强的趋势(ReadinessforEnhancedCommunityCoping)有家庭应对增强的趋势(ReadinessforEnhancedFamilyCoping)(In
