NANDA通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护理诊断分列如下:(1)交换(Exchanging)营养失调:高于机体需要量(Altered )营养失调:低于机体需要量(Altered )营养失调:潜在高于机体需要量(Altered )有感染的危险(RiskforInfection)有体温改变的危险(RiskforAlteredBodyTemperature)体温过低(Hypothermia)体温过高(Hyperthermia)体温调节无效(IneffectiveThermoregulation)便秘(Constipation)感知性便秘(PerceivedConstipation)结肠性便秘(ColonicConstipation)腹泻(Diarrhea)大便失禁(Encopresis)排尿异常(AlteredUrinaryElimination)压迫性尿失禁(SiresIncontinence)反射性尿失禁(ReflexIncontinence)急迫性尿失禁(UrgeIncontinence)功能性尿失禁(FunctionalIncontinence)完全性尿失禁(TotalIncontinence)尿储留(UrinaryRetention)组织灌注量改变AlteredTissuePerfusion体液过多(FluidVolumeExcess)体液不足(FluidVolumeDeficit)体液不足的危险(RiskforFluidVolumeDeficit)清理呼吸道无效(IneffectiveAirwayClearance)低效性呼吸型态(IneffectiveBreathingPattern)不能维持自主呼吸(InabilitytoSustainSpontaneousVentilation)呼吸机依赖(DysfunctionalVentilatoryWeaningResponse,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)自我防护能力改变(AlteredProtection)组织完整性受损(ImpairedTissueIntegrity)皮肤完整性受损(ImpairedSkinIntegrity)有皮肤完整性受损的危险(RiskforImpairedSkinIntegrity)精力困扰(EnergyFielddisturbance)(2)沟通(Communicating)语言沟通障碍(impairedVerbalCommunication)(3)关系(Relating)社会障碍(ImpairedSocialInteraction)社交孤立(SocialIsolation)有孤立的危险(RiskforLoneliness)角色紊乱(AlteredRolePerformance)父母不称职(AlteredParenting)有父母不称职的危险(RiskforAlteredParenting)有父母亲子依恋改变的危险(RiskforAlteredParent/Infant/ChildAtt8Chffi6llt)
性功能障
碍(SexualDysfunction)家庭作用改变(AlteredFamilyProcess)有照顾者角色障碍的危险(RiskforCaregiverRoleStrain)家庭作用改变:酗酒(AlteredFami )父母角色冲突(ParentalRoleConflict)性生活型态改变(AlteredSexualityPatterns)(4)赋予价值(Valuing)精神困扰(SpiritualDistress)(5)选择(Choosing)个人应对无效(IneffectiveIndividualCoping)调节障碍(ImpairedAdjustment)防卫性应对(DefensiveCoping)防卫性否认(IneffectiveDenial)家庭应对无效:失去能力(IneffectiveFam )家庭应对无效:妥协性(IneffectiveFam )家庭应对:潜能性(Fam )社区应对:潜能性(PotentialforEnhancedCommunityCoping)社区应对无效(IneffectiveCommunityCoping)遵守治疗方案无效(个人的)(IneffectiveManagementofTherapeuticRegimen)(Individual)不合作(特定的)(Noncompliance)(Specify)遵守治疗方案无效(家庭的)(IneffectiveManagementofTherapeut )遵守治疗方案无效(社区的)(IneffectiveManagementofTherapeut )遵守治疗方案有效(个人的)(EffectiveManagementofTherapeut )抉择冲突(特定的)(DecisionalConflict)(Specify)寻求健康行为(特定的)(HealthSeekingBehaviors)(Specify)(6)活动(Moving)躯体移动障碍(ImpairedPhysicalMobility)有周围血管神经功能障碍的危险(RiskforPeripheralNeurovascularDysfunction)活动无耐力(ActivityIntolerance)疲乏(Fatigue)有活动无耐力的危险(RiskforActivityIntolerance)睡眠状态紊乱(SleepPatternDisturbance)持家能力障碍(ImpairedHomeMaintenanceManagement)保持健康的能力改变(AlteredHealthMaintenance)进食自理缺陷(FeedingSelfCareDeficit)吞咽障碍(ImpairedSwallowing)母乳喂养无效(IneffectiveBreastFeeding)母乳喂养有效(EffectiveBreastfeeding)婴儿吸吮方式无效(IneffectiveInfantFeedingPattern)沐浴/卫生自理缺陷(Bathing/HygieneSelfCareDeficit)穿戴/修饰自理障碍(Dressing/GroomingSelfCareDeficit)入厕自理缺陷(ToiletingSelfCareDeficit)生长发育改变(AlteredGrowthandDevelopment)环境改变应激综合征(RelocationStressSyndrome)有婴幼儿行为紊乱的危险(RiskforDisorganizedInfantBehavior)婴幼儿行为紊乱(DisorganizedInfantBehavior)(7)感知(Perceiving)自我形象紊乱(BodyImageDisturbance)自尊紊乱(Self-esteemdisturbance)长期自我贬低(ChronicLowSelfEsteem)情境性自我贬低(SituationalLowSelfEsteem)自我认同紊乱(PersonalIdentitydisturbance)感知改变(特定的)(视、听、运动、味、触、嗅)(Sensory/PerceptualAlterations)(specify)(Visual,Auditory,Kinesthetic,Gustatory,tactile,Olfactory)单侧感觉丧失(UnilateralNeglect)绝望(Hopelessness)无能为力(Powerlessness)(8)认知(Knowing)知识缺乏(特定的)(KnowledgeDeficit)(Specify)定向力障碍(ImpairedEnvironmentalInterpretation)突发性意识模糊(AcuteConfusion)渐进性意识模糊(ChronicConfusion)思维过程改变(AlteredThoughtProcesses)记忆力障碍(ImpairedMemory)(9)感觉(Feeling)疼痛(Pain)慢性疼痛(ChronicPain)有自伤的危险(RiskforSelf-Mutilation)创伤后反应(Post-TraumaResponse)强奸创伤综合征(Rape-TraumaSyndrome)强奸创伤综合征:复合性反应(Rape-Traum )强奸创伤综合征:沉默性反应(Rape-Traum )焦虑(Anxiety)恐惧(Fear)参考资料:。