護理診斷手冊

緒論
序一
序二
第一部分　護理診斷（按英文字母順序）
Activity Intolerance 活動無耐力
Adaptive Capacity, Decreased: Intracranial 適應能力下降(顱內(nèi)的)
Adjustment, Impaired 調(diào)節(jié)障礙
Anxiety 焦慮
　Death Anxiety 對死亡的焦慮
Body Temperature, Risk for Altered 有體溫改變的危險
　Hypothermia 體溫過低
　Hyperthermia 體溫過高
　Thermoregulation, Ineffective 體溫調(diào)節(jié)無效
Bowel Incontinence 排便失禁
Breastfeeding, Effective 母乳喂養(yǎng)有效
Breastfeeding, Ineffective 母乳喂養(yǎng)不當/無效
Breastfeeding, Interrupted 母乳喂養(yǎng)中斷
Cardiac Output, Decreased 心輸出量減少
Caregiver Role Strain 照顧者角色緊張
　Risk for Caregiver Role Strain 有照顧者角色緊張的危險
Comfort, Altered 不舒適
　Acute Pain 急性疼痛
　Chronic Pain 慢性疼痛
　Nausea 惡心
Communication, Impaired 溝通障礙
　Communication, Impaired Verbal 語言溝通障礙
Confusion 意識模糊/混亂
　Acute Confusion 急性意識模糊/混亂
　Chronic Confusion 慢性意識模糊/混亂
Constipation 便秘
　Perceived Constipation 感知性便秘
　Risk for Constipation 有便秘的危險
Coping, Ineffective Individual 個人應對能力失調(diào)
　Defensive Coping 防御性應對
　Ineffective Denial 無效性否認
Coping, Ineffective Community 社區(qū)應對能力失調(diào)
Coping, Potential for Enhanced Community 社區(qū)有應對能力增強的潛力
Family Coping: Potential for Growth 家庭有應對能力增強的潛力
Ineffective Family Coping: Compromised 家庭妥協(xié)性應對能力失調(diào)
Ineffective Family Coping: Disabled 家庭失能性應對能力失調(diào) 
Decisional Conflict 決策沖突
Diarrhea 腹瀉
Disuse Syndrome 廢用綜合征
Diversional Activity Deficit 娛樂活動缺乏
Dysreflexia 反射失調(diào)
　Risk for Dysreflexia 有反射失調(diào)的危險
Energy Field Disturbance 能量場紊亂
Environmental Interpretation Syndrome, Impaired環(huán)境解析障礙綜合征
Family Processes, Altered 家庭運作異改變
　Family Processes, Altered: Alcoholism 家庭運作改變：酗酒
Fatigue 疲乏
Fear 恐懼
Fluid Volume Deficit 體液不足
Fluid Volume Excess 體液過多
Fluid Volume Imbalance, Risk for 有體液失衡的危險
Grieving 悲傷
　Grieving, Anticipatory 預期性悲傷
　Grieving, Dysfunctional 功能障礙性悲傷
　Growth and Development, Altered 生長發(fā)育異常
　Development, Risk for Altered 有發(fā)育異常的危險
　Growth, Risk for Altered 有生長異常的危險
　Adult Failure to Thrive 成年人缺乏生命活力
Health Maintenance, Altered 健康維護能力改變
Health Seeking Behaviors 尋求健康行為
Home Maintenance Management, Impaired 持家能力障礙
Hopelessness 絕望
Infant Behavior, Disorganized 嬰兒行為紊亂
Infant Behavior, Risk for Disorganized 嬰幼兒有行為紊亂的危險
Infant Behavior, Potential for Enhanced Organized 嬰幼兒有行為能力增強的潛力
Infection, Risk for 有感染的危險
　Infection Transmission, Risk for 有傳播感染的危險
Injury， Risk for有受傷的危險
　Aspiration， Risk for 有誤吸的危險 　
Poisoning， Risk for 有中毒的危險
　Suffocation， Risk for 有窒息的危險
　Trauma， Risk for 有外傷的危險
Injury, Risk for Perioperative Positioning 有圍手術(shù)期體位性損傷的危險
Knowledge Deficit 知識缺乏
Latex Allergy 乳膠過敏反應
　Latex Allergy Response, Risk for 有乳膠過敏反應的危險
Loneliness, Risk for 有孤獨的危險
Management of Therapeutic Regimen, Effective: Individual　個人處理治療計劃有效
Management of Therapeutic Regimen, Ineffective 處理治療計劃不當/無效
　Management of Therapeutic Regimen, Ineffective: Famil　家庭處理治療計劃不當/無效
　Management of Therapeutic Regimen, Ineffective: Community社區(qū)處理治療計劃不當/無效
Mobility, Impaired Physical 軀體移動障礙
　Bed Mobility, Impaired 床上活動障礙
　Walking, Impaired 行走障礙
　Wheelchair Mobility, Impaired 借助輪椅活動障礙
　Wheelchair Transfer Ability, Impaired 輪椅轉(zhuǎn)移能力障礙
Neurovascular Dysfunction, Risk for Peripheral　有周圍神經(jīng)血管功能障礙的危險
Noncompliance 不合作
Nutrition, Altered: Less Than Body Requirements營養(yǎng)失調(diào)：低于機體需要量
　Altered Dentition 牙齒異常
　Impaired Swallowing 吞咽能力受損
　Ineffective Infant Feeding Pattern 嬰幼兒喂養(yǎng)不當/無效
Nutrition, Altered: More Than Requirements營養(yǎng)失調(diào)：高于機體需要量
Nutrition, Altered: Potential for More Than Body Requirements營養(yǎng)失調(diào)：潛在的高于機體需要量
Parenting, Altered父母不稱職
　ParentInfant Attachment, Risk for Altered 有親子依附關(guān)系改變的危險
　Parental Role Conflict 父母角色沖突
PostTrauma Response創(chuàng)傷后反應
　PostTrauma Response, Risk for 有創(chuàng)傷后反應的危險
　RapeTrauma Syndrome 強暴創(chuàng)傷綜合征
Powerlessness 無能為力感
Protection, Altered保護能力改變
Relocation Stress (Syndrome) 遷移壓力(綜合征)
Respiratory Function, Risk for Altered有呼吸功能異常的危險 　
Dysfunctional Ventilatory Weaning Response 功能障礙性脫離呼吸機反應
　Dysfunctional Ventilatory Weaning Response，Risk for 有功能障礙性脫離呼吸機
反應的危險
　Ineffective Airway Clearance 清理呼吸道無效
　Ineffective Breathing Patterns 低效性呼吸型態(tài)
　Impaired Gas Exchange 氣體交換受損
　Inability to Sustain Spontaneous Ventilation 不能維持自主呼吸
Role Performance, Altered 角色紊亂
SelfCare Deficit Syndrome 自理能力缺陷綜合征
　Feeding SelfCare Deficit 進食自理缺陷
　Bathing/Hygiene SelfCare Deficit 沐浴/衛(wèi)生自理缺陷
　Dressing/Grooming SelfCare Deficit 穿衣/修飾自理缺陷 
　Toileting SelfCare Deficit 如廁自理缺陷
　Instrumental SelfCare Deficit 使用器具自理缺陷
SelfConcept Disturbance 自我概念紊亂
　Body Image Disturbance 自我形象紊亂
　Personal Identity Disturbance 自我認同紊亂
　SelfEsteem Disturbance 自尊紊亂
　Chronic Low SelfEsteem 長期自尊低下
　Situational Low SelfEsteem 情境性自尊低下
Risk for SelfHarm 有自我傷害的危險
　Risk for SelfAbuse 有自虐的危險
　Risk for SelfMutilation 有自殘的危險
　Risk for Suicide 有自殺的危險
SensoryPerceptual Alterations 感覺/知覺改變
Sexuality Patterns, Altered 性生活型態(tài)改變
　Sexual Dysfunction 性功能障礙
Sleep Pattern Disturbance 睡眠型態(tài)紊亂
　Sleep Deprivation 睡眠剝奪
Social Interaction, Impaired 社交障礙
Social Isolation 社交隔離
Sorrow, Chronic 長期悲傷
Spiritual Distress 精神困擾
　Spiritual Distress, Risk for 有精神困擾的危險
Spiritual WellBeing, Potential for Enhanced 有精神健康增強的潛力
Surgical Recovery, Delayed 外科手術(shù)后恢復延遲
Thought Processes, Altered 思維過程異常
　Memory, Impaired 記憶受損
Tissue Integrity, Impaired 組織完整性受損
　Skin Integrity, Impaired 皮膚完整性受損
　Skin Integrity, Impaired，Risk for 有皮膚完整性受損的危險
　Oral Mucous Membrane，Altered 口腔粘膜改變
Tissue Perfusion, Altered (Specify) 組織灌注量改變(特定的)　
Altered Peripheral Tissue Perfusion 周圍組織灌注量改變
Unilateral Neglect 忽略單側(cè)身體
Urinary Elimination, Altered Patterns of 排尿型態(tài)異常
　Maturational Enuresis 成熟性遺尿
　Functional Incontinence 功能性尿失禁
　Reflex Incontinence 反射性尿失禁
　Stress Incontinence 壓力性尿失禁
　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險 　
Urinary Retention 尿潴留
Violence, Risk for 有暴力行為的危險
第二部分　與醫(yī)學情況相關(guān)的護理診斷及合作性問題
內(nèi)科部分
心血管/血液/周圍血管性異常
心臟方面
……
血液方面 　
周圍血管方面
呼吸系統(tǒng)異常　
代謝/內(nèi)分泌異常　
胃腸道異常　
腎臟/泌尿道異常
神經(jīng)性異常　
知覺異常
皮膚異常
肌肉骨骼/結(jié)締組織異常
感染性/免疫缺陷性疾病
腫瘤
外科部分
婦產(chǎn)科部分
產(chǎn)科方面　
新生兒部分
兒童及青少年部分
精神健康異常
診斷及治療部分　
附錄
參考文獻