附1 人类反应型态护理诊断
NANDA通过的以人类反应型态分类方法的128个护理诊断
(1)交换(Exchanging)
营养失调:高于机体需要量(Altered Nutrition:More Than Body Requirements)
营养失调:低于机体需要量(Altered Nutrition: less Than Body Requirements)
营养失调:潜在高于机体需要量(Altered Nutrition:Potential for More Than Body
Requirements)
有感染的危险(Risk for Infection)
有体温改变的危险(Risk for Altered Body Temperature)
体温过低(Hypothermia)
体温过高(Hyperthermia)
体温调节无效(Ineffective Thermoregulation)
反射失调(Dysre flexia)
便秘(Constipation)
感知性便秘(Perceived Constipation)
结肠性便秘(Colonic Constipation)
腹泻(Diarrhea)
大便失禁(Bowel Incontinence)
排尿异常(Altered Urinary Elimination)
压迫性尿失禁(Stress Incontinence)
反射性尿失禁(Reflex Incontinence)
急迫性尿失禁(Unge Incontinence)
功能性尿失禁(Functional Incontinence)
完全性尿失禁(Total Incontinence)
尿储留(Urinary Retentron)
组织灌注量改变(肾、脑、心肺、胃肠、周围血管)(Altered Tissue Pefusion( Renal, Cereral, Cardiopulmonary Gastrointestinal,Peripheral))
体液过多(Fluid Volume Excess)
体液不足(Fluid Volume Deficit)
体液不足的危险(Risk for Fluid Volume Deficit)
心输出量减少(Decreased Cardiac Output)
气体交换受损(Impaired Gas Exchanse)
清理呼吸道无效(Ineffective Airway Clearance)
低效性呼吸型态(Ineffective Breathing Pattern)