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附录
2 201
项护理诊断一览表<
/p>
(
2009
?
2
011
)
领域
1
：健康促进
(
Health
Promotion
)
健康维护能力
低下
(
Ineffective Health
Maintenance
)
自我健康
管理无效
(
Ineffective Self Health
Management
)
持家能力障碍
(
Impaired
Home Maintenance
)
有免疫状态改善的趋势
(
Readiness for Enhanced Immunization
Status
忽视自我健康管理
(
Self
Neglect
)
有营养改善的趋势
(
Readiness for Enhanced
Nutrition
)
家庭执行治疗
方案无效
(
Ineffective Family
Therapeutic Regimen
Management
)
有自我健康管理改善的趋势
(
Readiness for Enhanced Self Health
Management
领域
2
:
营养
(
Nutr
ition
)
无效性婴儿喂养型态<
/p>
(
Ineffective Infant Feeding
Pattern
)
营养失调：低于机
体需要量
(
Imbalanced Nutrition:
Less Than Body Requirements
)
营养失调：高于机体需要量
(
Imba
lanced Nutrition: More Than Body Requirements
有营养失调的危险：高于机体需要量
(
Risk for Imbalanced Nutrition: More
Than Body Requirements
)
吞咽障碍
(
Impaired
Swallowing
)
有血糖不稳定的危险
(
Risk
for Unstable Glucose Level
)
新生儿黄疸
(
Neonatal
Jaundice
)
有肝功能受损的危险
(
Risk
for Impaired Liver Function
)
有电解质失衡的危险
(
Risk
for Electrolyte Imbalance
)
有体液平衡改善的趋势
(
Readin
ess for Enhanced Fluid
Balance
)
体液不足
(
Deficient
Fluid V olume
)
体液过多
(
Excess Fluid
Volume
)
有体液不足的危险
(
Risk for
Deficient Fluid V olume
)
有体液失衡的危险
(
Risk for
Imbalanced Fluid V olume
)
领域
3
:
排泄
(
Elimination
and Exchange
)
排尿障碍
(
Impaired
Urinary Elimination
溢出性尿失禁
(
Overflow
Urinary Incontinence
)
反射性尿失禁
(
Reflex
Urinary
Incontinence
)
压力性尿失禁
(
Stress
Urinary Incontinence
)
急迫性尿失禁
(
Urge
Urinary Incontinence
)
有急迫性尿失禁的危险
(
Risk
for Urge Urinary Incontinence
)
尿潴留
(
Urinary
Retention
)
有排尿功能改善的趋势
(
Readiness for Enhanced Urinary
Elimination
)
排便失禁
(
Bowel
Incontinence
)
便秘
(
Constipation
)
感知性便秘
(
Perceived
Constipation
)
有便秘的危险
(
Risk for
Constipation
)
腹泻
(
Diarrhea
)
胃肠动力失调
(
< br>Dysfunctional Gastrointestinal Motility
)
有胃肠动力失调
的危险
(
Risk for Dysfunctional
Gastrointestinal Motility
)
气体交换障碍
(
Impaired
Gas Exchange
)
领域
4
:
活
动
/
休息
(
A
ctivity/Rest
)
失眠
(
Insomnia
)
睡眠型态紊乱
(
Disturbed
Sleep Pattern)
睡眠剥夺
(
Sleep
Deprivation
)
有睡眠改
善的趋势
(
Readiness for Enhanced
Sleep
有废用综合征的危险
(
Risk
for
Disuse Syndrome
)
缺乏娱乐活动
(
Deficient
Diversional Activity
)
久坐的生活方式
(
Sedentary
Lifestyle
)
床上活动障碍
(
Impaired
Bed Mobility
躯体活动障碍
(
Impaired
Physical Mobility
)
借助轮椅活动障碍
(
Impaired
wheelchair Mobility
)
移动能力障碍
(
Impaired
Transfer Ability
)
行走障碍
(
Impaired
Walking
)
术后康复迟缓
(
Delayed
Surgical Recovery
)
能量场紊乱
(
Disturbed
Energy Field
)
疲乏
(
Fatigue
)
活动无
耐力
(
Activity Intolerance
)
有活动无耐力的危险
(
Risk
for Activity Intolerance
)
有
出
血的危险
(
Risk for
Bleeding
)
低效性呼吸型态
(
Ineffective Breathing
Pattern
)
心输
出量减少
(
Decreased Cardiac Output
外周组织灌注无效
(
Ineffective
Peripheral
Tissue Perfusion
)
有心脏组织灌注不足的危险
(
Risk
for Decreased Cardiac Tissue
Perfusion
)
有脑组织灌注无效的危险
(
Risk
for Ineffective Cerebral Tissue
Perfusion
)
有胃肠道灌注无效的危险
(
Risk
for Ineffective Gastrointestinal Tissue
Perfusion
)
有肾脏灌注无效的危险
(
Risk
for Ineffective Renal Perfusion
)
功能性尿失禁
(
Functional
Urinary Incontinence
)