专业术语—护理诊断术语-1.docx

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1、专业术语一护理诊断术语-1NANDA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(AlteredNutrition:MoreThanBodyRequirements)营养失调：低于机体需要量(AlteredNutrition:lessThanBodyRequirements)营养失调：潜在高于机体需要量(AlteredNutrition:PotentialforMoreThanBodyRequirements)有感染的危险(RiskforInfection)有

2、体温改变的危险(RiSkforAlteredBodyTemperature)体温过低(HyPothennia)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(UrgeI

3、ncontinence)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(InabilitytoSustainSpon

4、taneousVentilation)呼吸机依赖(DysfunctionalVentilatoryWeaningResponse,DVWR)有受伤的危险(RiSkforInjury)有窒息的危险(Riskfor Suffocation)有外伤的危险(Riskfor Trauma)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)