护理常用128个护理诊断

护理常用护理常用128个护理诊断NANDA经过的以人类反应型态(HumanResPonsePatterns)的分类方法。现将人类反应型态分类方法的128个诊断排列以下：(1)交换(Exchanging)营养失调：高于机体需要量(AlteredNutrition：MoreThanBodyRequirements)营养失调：低于机体需要量(AlteredNutrition：lessThanBodyRequirements)营养失调：潜伏高于机体需要量(AlteredNutrition：PotentialforMoreThanBodyRequirements)有传染的危险(RiskforInfection)有体温改变的危险(RiskforAlteredBodyTemperature)体温过低(Hypothermia)体温过高(Hyperthermia)体温调理无效(IneffectiveThermoregulatlon)反射失调(Dysreflexia)便秘(Constipation)感知性便秘（PerceivedConsttipation

结肠性便秘(ColonicConstipation)腹泻(Diarrhea)大便失禁(BowelInconttinence)排尿异常(AlteredUrinaryElimination)压迫性尿失禁(SiresIncontlnence)反射性尿失禁(ReflexIncontlnence)迫切性尿失禁(UngeIncontlnence)功能性尿失禁(FunctionalIncontlnence)完好性尿失禁(TotalIncontlnencdTissue尿储留(UrinaryRetentron)Tissue组织灌注量改变(肾、脑、心肺、胃肠、四周血管)(AlteredPerfuslorl(Renal，Cereral，CardlopulmonaryGastrolntestlnal，Peripheral)体液过多(FluidVolumeExcess)体液不足(FluidVolumeDeficit)体液不足的危险(RiskforFluidVolUmeDeficit心输出量减少(CardlacouPu)气体交换受损(ImnairedGasExc5anse)清理呼吸道无效(IneffectheAirwayClearance)低效性呼吸型态(IneffectiveBreathingPattern )不可以保持自主呼吸(InabilitytoSustainSPontaneousVentilation)呼吸机依赖(DysfunctionalVentilatory WeaningResPonse，DVWR)有受伤的危险(RiskforInjury )有窒息的危险(RiskforSuffocation)有外伤的危险(RiskforTrauma )有误吸的危险(RiskforAspiration)自我防范能力改变(AlteredProtection)组织完好性受损(ImPairedTissueIntegrity)口腔粘膜改变(AlteredOralMucousMembrance)皮肤完好性受损(ImPairedSkinIntegrity有皮肤完好性受损的危险(RiskforImPairedSkinIntegrity)调节颅内压能力下降(DecreasedAdaPtiveCaPacityIntracranial)精力困扰(EnergyFielddistubance)(2)沟通(Communicating)语言沟通阻碍(impairedVerbalCommunlcatlon)(3)关系(Relating)社会阻碍(ImpairedSoialInteratlon)交际孤立(SocialIsolition)有孤立的危险(Risk. )角色杂乱(AlteredRolePerformance)父亲母亲不称职(AlteredParenting)有父亲母亲不称职的危险( RiskforAlteredParenting )有父亲母亲亲子迷恋改变的危险(RiskforAlteredParent／Infant／ChildAtt8Chffi6llt)性功能阻碍(SexualDysfunction)家庭作用改变(AlteredFamilyProcess)照料者角色阻碍(CaresiverRoleStrain)有照料者角色阻碍的危险(RiskforCaregiverRoleStrain )家庭作用改变：酗酒(AlteredFamilyProcess：Alcoholism)父亲母亲角色矛盾(ParentalRoleConflict)性生活型态改变(AlteredSexualityPatterns)(4)给予价值(Valuing)精神困扰(SpiritualDistress)增进精神健康：潜能性(PotentialforEnhanceSpiritualWell-Belug)(5)选择(Choosing)个人对付无效(IneffctiveIndividualCoping )调理阻碍(ImPairedAdjustment)防卫性对付(DefensiveCoping)防卫性否认(IneffectiveDenial)家庭对付无效：失掉能力(IneffectiveFamilyCoping：Disabling)家庭对付无效：妥协性(IneffectivFamilyCoping：Compromised)家庭对付：潜能性(FamilyCoPing：PotentialforGrowth)社区对付：潜能性(PotentialforEnhancedCommunityCoPing)社区对付无效(IneffectiveCommunityCoping)恪守治疗方案无效(个人的)(IneffectiveManagementofTherapeuticRegimen)(Individual)不合作(特定的)(Noncompliance)(Specitfy)恪守治疗方案无效(家庭的)(IneffectiveManagementofTherapeuticRegimen： ((Families)恪守治疗方案无效(社区的)(IneffectiveManagementofThera－peuticRegimen：Community)恪守治疗方案有效(个人的)(EffectiveManagementofThera－peuticRegimen：Individual))(Specify))(Specify)追求健康行为(特定的)(HealthSeekingBehaviors)(Specity)(6)活动(Moving)躯体挪动阻碍(ImPairedPhysicalMobility)有四周血管神经功能阻碍的危险(RiskforPeriPheralNeurovas－cularDysfunction)有围手术期外伤的危险 (RiskforPerloperatlvePositioningInjury)活动无耐力(ActivityIntolerance)疲倦(Fatigue)有活动无耐力的危险(RiskforActivityIntolerance )睡眠状态杂乱(SleepPatternDisturbance)娱乐活动缺少(DiversionalActivityDeficit )持家能力阻碍(ImpairedHomeMaintenanceManagement)保持健康的能力改变(AlteredHealthMaintenance)进食自理缺点(FeedingSelfCareDeficit)吞咽阻碍(ImpairedSwallowing)母乳饲养无效(IneffectiveBreastFeeding)母乳饲养中断(InterruntedBreast1ceding)母乳饲养有效(EffectiveBreastfeeding)婴儿吸吮方式无效(IneffectiveInfantFeedingPattern )洗浴／卫生自理缺点(Bathing／HygieneSelfCareDeficit)衣着／修饰自理阻碍(Dressing／GroomingSelfCareDeficit)入厕自理缺点(ToiletingSelfCareDeficit )生长发育改变(AlteredGrowthandDevelopment)环境改变应激综合征(RelocationStressSyndrome)有婴少儿行为杂乱的危险(RiskforDisorganizedInfantBehavior)婴少儿行为杂乱(DisorganizedInfantBehavior)增进婴少儿行为(潜能性)(potential forDisorganizedInfantganlzedInfantkhavlor)(7)感知(Perceiving)自我形象杂乱(BodyImagseDisturbance自尊杂乱(SolfEsteemdisturbance)长久自我贬低(ChronicLowSelfEsteem)情境性自我贬低(SituationalLowSelfEsteem )自我认可杂乱(PersonalIdentitydisturbance )感知改变(特定的)(视、听、运动、味、触、嗅)(Sensory／PerceptualAlterations)(specify)(Visual，Auditory，Kinesthetlc，Gustatory，Tao－tile，Olfactory)单侧感觉丧失(UnilateralNeglect)无望(Honelessness)力所不及(Powerlessness)(8)认知(Knowing)知识缺少(特定的)(KnowledgeDeficit)(Specify)定向力阻碍(ImpairedEnvironmentalInterpretation )突发性意识模糊(AcuteConfusion)渐进性意识模糊(ChronicConfusion)思想过程改变（AlteredThoughtProcesses记忆力阻碍(ImPairedMemoryy)(9)感觉(Feeling)痛苦(Pain)慢性痛苦(ChronicPain)功能阻碍性悲痛(DysfunctionalCrievins)预见性悲痛(AnticiPatoryCrieving)TOC\o"1-5"\h\z有暴力行为的危险：对自己或对别人( RiskforViolence ：Self