绪论序一序二第一部分 护理诊断(按英文字母顺序)Activity
Intolerance
活动无耐力Adaptive
Capacity,
Decreased:
Intracranial
适应能力下降(颅内的)Adjustment,
Impaired
调节障碍Anxiety
焦虑 Death
Anxiety
对死亡的焦虑Body
Temperature,
Risk
for
Altered
有体温改变的危险 Hypothermia
体温过低 Hyperthermia
体温过高 Thermoregulation,
Ineffective
体温调节无效Bowel
Incontinence
排便失禁Breastfeeding,
Effective
母乳喂养有效Breastfeeding,
Ineffective
母乳喂养不当/无效Breastfeeding,
Interrupted
母乳喂养中断Cardiac
Output,
Decreased
心输出量减少Caregiver
Role
Strain
照顾者角色紧张 Risk
for
Caregiver
Role
Strain
有照顾者角色紧张的危险Comfort,
Altered
不舒适 Acute
Pain
急性疼痛 Chronic
Pain
慢性疼痛 Nausea
恶心Communication,
Impaired
沟通障碍 Communication,
Impaired
Verbal
语言沟通障碍Confusion
意识模糊/混乱 Acute
Confusion
急性意识模糊/混乱 Chronic
Confusion
慢性意识模糊/混乱Constipation
便秘 Perceived
Constipation
感知性便秘 Risk
for
Constipation
有便秘的危险Coping,
Ineffective
Individual
个人应对能力失调 Defensive
Coping
防御性应对 Ineffective
Denial
无效性否认Coping,
Ineffective
Community
社区应对能力失调Coping,
Potential
for
Enhanced
Community
社区有应对能力增强的潜力Family
Coping:
Potential
for
Growth
家庭有应对能力增强的潜力Ineffective
Family
Coping:
Compromised
家庭妥协性应对能力失调Ineffective
Family
Coping:
Disabled
家庭失能性应对能力失调
Decisional
Conflict
决策冲突Diarrhea
腹泻
Disuse
Syndrome
废用综合征Diversional
Activity
Deficit
娱乐活动缺乏
Dysreflexia
反射失调 Risk
for
Dysreflexia
有反射失调的危险Energy
Field
Disturbance
能量场紊乱Environmental
Interpretation
Syndrome,
Impaired环境解析障碍综合征Family
Processes,
Altered
家庭运作异改变 Family
Processes,
Altered:
Alcoholism
家庭运作改变:酗酒Fatigue
疲乏Fear
恐惧Fluid
Volume
Deficit
体液不足Fluid
Volume
Excess
体液过多Fluid
Volume
Imbalance,
Risk
for
有体液失衡的危险Grieving
悲伤 Grieving,
Anticipatory
预期性悲伤 Grieving,
Dysfunctional
功能障碍性悲伤
Growth
and
Development,
Altered
生长发育异常 Development,
Risk
for
Altered
有发育异常的危险 Growth,
Risk
for
Altered
有生长异常的危险 Adult
Failure
to
Thrive
成年人缺乏生命活力Health
Maintenance,
Altered
健康维护能力改变Health
Seeking
Behaviors
寻求健康行为Home
Maintenance
Management,
Impaired
持家能力障碍Hopelessness
绝望Infant
Behavior,
Disorganized
婴儿行为紊乱Infant
Behavior,
Risk
for
Disorganized
婴幼儿有行为紊乱的危险Infant
Behavior,
Potential
for
Enhanced
Organized
婴幼儿有行为能力增强的潜力Infection,
Risk
for
有感染的危险 Infection
Transmission,
Risk
for
有传播感染的危险
Injury,
Risk
for有受伤的危险
Aspiration,
Risk
for
有误吸的危险
Poisoning,
Risk
for
有中毒的危险 Suffocation,
Risk
for
有窒息的危险 Trauma,
Risk
for
有外伤的危险Injury,
Risk
for
Perioperative
Positioning
有围手术期体位性损伤的危险Knowledge
Deficit
知识缺乏Latex
Allergy
乳胶过敏反应 Latex
Allergy
Response,
Risk
for
有乳胶过敏反应的危险Loneliness,
Risk
for
有孤独的危险Management
of
Therapeutic
Regimen,
Effective:
Individual 个人处理治疗计划有效Management
of
Therapeutic
Regimen,
Ineffective
处理治疗计划不当/无效 Management
of
Therapeutic
Regimen,
Ineffective:
Famil 家庭处理治疗计划不当/无效 Management
of
Therapeutic
Regimen,
Ineffective:
Community社区处理治疗计划不当/无效Mobility,
Impaired
Physical
躯体移动障碍 Bed
Mobility,
Impaired
床上活动障碍 Walking,
Impaired
行走障碍 Wheelchair
Mobility,
Impaired
借助轮椅活动障碍 Wheelchair
Transfer
Ability,
Impaired
轮椅转移能力障碍
Neurovascular
Dysfunction,
Risk
for
Peripheral 有周围神经血管功能障碍的危险Noncompliance
不合作Nutrition,
Altered:
Less
Than
Body
Requirements营养失调:低于机体需要量 Altered
Dentition
牙齿异常 Impaired
Swallowing
吞咽能力受损 Ineffective
Infant
Feeding
Pattern
婴幼儿喂养不当/无效Nutrition,
Altered:
More
Than
Requirements营养失调:高于机体需要量Nutrition,
Altered:
Potential
for
More
Than
Body
Requirements营养失调:潜在的高于机体需要量Parenting,
Altered父母不称职 ParentInfant
Attachment,
Risk
for
Altered
有亲子依附关系改变的危险 Parental
Role
Conflict
父母角色冲突PostTrauma
Response创伤后反应 PostTrauma
Response,
Risk
for
有创伤后反应的危险 RapeTrauma
Syndrome
强暴创伤综合征Powerlessness
无能为力感Protection,
Altered保护能力改变
Relocation
Stress
(Syndrome)
迁移压力(综合征)Respiratory
Function,
Risk
for
Altered有呼吸功能异常的危险
Dysfunctional
Ventilatory
Weaning
Response
功能障碍性脱离呼吸机反应 Dysfunctional
Ventilatory
Weaning
Response,Risk
for
有功能障碍性脱离呼吸机
反应的危险 Ineffective
Airway
Clearance
清理呼吸道无效 Ineffective
Breathing
Patterns
低效性呼吸型态 Impaired
Gas
Exchange
气体交换受损 Inability
to
Sustain
Spontaneous
Ventilation
不能维持自主呼吸Role
Performance,
Altered
角色紊乱SelfCare
Deficit
Syndrome
自理能力缺陷综合征 Feeding
SelfCare
Deficit
进食自理缺陷 Bathing/Hygiene
SelfCare
Deficit
沐浴/卫生自理缺陷 Dressing/Grooming
SelfCare
Deficit
穿衣/修饰自理缺陷
Toileting
SelfCare
Deficit
如厕自理缺陷 Instrumental
SelfCare
Deficit
使用器具自理缺陷SelfConcept
Disturbance
自我概念紊乱 Body
Image
Disturbance
自我形象紊乱 Personal
Identity
Disturbance
自我认同紊乱 SelfEsteem
Disturbance
自尊紊乱 Chronic
Low
SelfEsteem
长期自尊低下 Situational
Low
SelfEsteem
情境性自尊低下Risk
for
SelfHarm
有自我伤害的危险 Risk
for
SelfAbuse
有自虐的危险 Risk
for
SelfMutilation
有自残的危险 Risk
for
Suicide
有自杀的危险SensoryPerceptual
Alterations
感觉/知觉改变Sexuality
Patterns,
Altered
性生活型态改变 Sexual
Dysfunction
性功能障碍Sleep
Pattern
Disturbance
睡眠型态紊乱 Sleep
Deprivation
睡眠剥夺Social
Interaction,
Impaired
社交障碍Social
Isolation
社交隔离Sorrow,
Chronic
长期悲伤Spiritual
Distress
精神困扰 Spiritual
Distress,
Risk
for
有精神困扰的危险Spiritual
WellBeing,
Potential
for
Enhanced
有精神健康增强的潜力Surgical
Recovery,
Delayed
外科手术后恢复延迟Thought
Processes,
Altered
思维过程异常 Memory,
Impaired
记忆受损Tissue
Integrity,
Impaired
组织完整性受损 Skin
Integrity,
Impaired
皮肤完整性受损 Skin
Integrity,
Impaired,Risk
for
有皮肤完整性受损的危险 Oral
Mucous
Membrane,Altered
口腔粘膜改变Tissue
Perfusion,
Altered
(Specify)
组织灌注量改变(特定的) Altered
Peripheral
Tissue
Perfusion
周围组织灌注量改变Unilateral
Neglect
忽略单侧身体Urinary
Elimination,
Altered
Patterns
of
排尿型态异常 Maturational
Enuresis
成熟性遗尿 Functional
Incontinence
功能性尿失禁 Reflex
Incontinence
反射性尿失禁 Stress
Incontinence
压力性尿失禁 Total
Incontinence
完全性尿失禁 Urge
Incontinence
急迫性尿失禁 Urge
Incontinence,
Risk
for
有急迫性尿失禁的危险
Urinary
Retention
尿潴留Violence,
Risk
for
有暴力行为的危险第二部分 与医学情况相关的护理诊断及合作性问题内科部分心血管/血液/周围血管性异常心脏方面……血液方面
周围血管方面呼吸系统异常 代谢/内分泌异常 胃肠道异常 肾脏/泌尿道异常神经性异常 知觉异常皮肤异常肌肉骨骼/结缔组织异常感染性/免疫缺陷性疾病肿瘤外科部分妇产科部分产科方面 新生儿部分儿童及青少年部分精神健康异常诊断及治疗部分 附录参考文献