NANDA201项护理诊断（200X-201X）与155项护理诊断

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NANDA护理诊断(全)

NANDA通过的以人类反应型态(Human ResPonse Patterns)的分类方法。

现将人类反应型态分类方法的128个护理诊断分列如下：一、交换(Exchanging)营养失调：高于机体需要量(Altered Nutrition：More Than Body Requirements)营养失调：低于机体需要量(Altered Nutrition：less Than Body Requirements)营养失调：潜在高于机体需要量(Altered Nutrition：Potential for More Than Body Requirements)有感染的危险(Risk for Infection)有体温改变的危险(Risk for Altered Body Temperature)体温过低(Hypothermia)体温过高(Hyperthermia)体温调节无效(Ineffective Thermoregulatlon)反射失调(Dysre flexia)便秘(Constipation)感知性便秘(Perceived Consttipation)结肠性便秘(Colonic Constipation)腹泻(Diarrhea)大便失禁(Bowel Inconttinence)排尿异常(Altered Urinary Elimination)压迫性尿失禁(Sires Incontlnence)反射性尿失禁(Reflex Incontlnence)急迫性尿失禁(Unge Incontlnence)功能性尿失禁(Functional Incontlnence)完全性尿失禁(Total Incontlnencd尿储留(Urinary Retentron)组织灌注量改变(肾、脑、心肺、胃肠、周围血管)(Altered Tissue Perfuslorl( Renal，Cereral，Cardlopulmonary Gastrolntestlnal，Peripheral))体液过多(Fluid V olume Excess)体液不足(Fluid V olume Deficit)体液不足的危险(Risk for Fluid VolUme Deficit)心输出量减少(Deer。

NANDA护理诊断一览表(2018-2020)中英文对照版

NANDA 护理诊断一览表（2018-2020）领域 1:健康促进(Health Promotion)类别1：健康觉察（Health awareness）∙娱乐活动参与减少(Decreased diversional activity engagement)∙增进健康管理的准备度（Readiness for enhanced health literacy）∙久坐的生活方式(Sedentary lifestyle)类别2：健康管理（Health management）∙老年综合征（Frail elderly syndrome）∙有老年综合征的危险（Risk for frail elderly syndrome）∙缺乏社区保健（Deficient community health）∙风险倾向的健康行为（Risk-prone health behavior）∙健康维持无效（Ineffective health maintenance）∙健康管理无效(Ineffective Health Management)∙有健康管理改善的趋势(Readiness for Enhanced Health Management) ∙家庭健康管理无效(Ineffective Family Health Management)∙防护无效(Ineffective Protection)领域 2:营养(Nutrition)类别1：摄食（Ingestion）∙营养失调:低于机体需要量(Imbalanced nutrition: less than body requirements)∙有营养改善的趋势 (Readiness for enhanced nutrition)∙母乳泌乳不足(Insufficient breast milk production)∙母乳喂养无效(Ineffective breastfeeding)∙母乳喂养中断(Readiness for enhanced breastfeeding)∙有母乳喂养改善的趋势(Ineffective breastfeeding)∙青少年进食动力不足（Ineffective adolescent eating dynamics）∙儿童进食动力不足（Ineffective child eating dynamics）∙婴儿受哺养动力不足（Ineffective infant feeding dynamics）∙无效性婴儿喂养型态(Ineffective Infant Feeding Pattern)∙肥胖(Obesity)∙超重(Overweight)∙有超重的危险(Risk for overweight)∙吞咽障碍(Impaired Swallowing)类别2：消化（Digestion）类别3：吸收（Absorption）类别4：代谢（Metabolism）∙有血糖不稳定的危险(Risk for Unstable Blood Glucose Level)∙新生儿高胆红素血症 (Neonatal hyperbilirubinemia)∙有新生儿高胆红素血症的危险(Risk for neonatal hyperbilirubinemia) ∙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)类别5：水化（Hydration）∙有电解质失衡的危险（Risk for electrolyte imbalance）∙有体液失衡的危险(Risk for imbalanced fluid volume)∙体液不足(Deficient fluid volume)∙有体液不足的危险(Risk for deficient fluid volume)∙体液过多(Risk for deficient fluid volume)领域 3:排泄(Elimination and Exchange)类别1：泌尿功能（Urinary function）∙排尿障碍(Impaired Urinary Elimination)∙功能性尿失禁(Functional Urinary Incontinence)∙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)类别2：胃肠功能（Gastrointestinal function）∙便秘(Constipation)∙有便秘的危险(Risk for Constipation)∙感知性便秘(Perceived Constipation)∙慢性功能性便秘(Chronic Functional Constipation)∙有慢性功能性便秘的危险(Risk for Chronic Functional Constipation) ∙腹泻(Diarrhea)∙胃肠动力失调(Dysfunctional Gastrointestinal Motility)∙有胃肠动力失调的危险(Risk for Dysfunctional Gastrointestinal Motility)∙排便失禁(Bowel Incontinence)类别3：皮肤功能（Integumentary function）类别4：呼吸功能（ Respiratory function）∙气体交换受损(Impaired Gas Exchange)领域 4:活动/休息(Activity/Rest)类别1：睡眠/休息（Sleep/rest）∙失眠(Insomnia)∙睡眠剥夺(Sleep deprivation)∙有睡眠改善的趋势（Disturbed sleep pattern)∙睡眠型态紊乱（Disturbed sleep pattern)类别2：活动/运动（Activity/exercise）∙有失用综合征的危险(Risk for disuse syndrome)∙床上活动障碍(Impaired bed mobility)∙躯体活动障碍(Impaired bed mobility)∙借助轮椅活动障碍(Impaired wheelchair mobility)∙坐起障碍(Impaired sitting)∙站立障碍(Impaired standing)∙移动能力障碍(Impaired transfer ability)∙行走障碍(Impaired walking)类别3：能量平衡（Energy balance）∙能量失衡（Imbalanced energy field）∙疲乏(Fatigue)∙游走状态(Wandering)类别4：心血管/肺部反应（Cardiovascular/pulmonary responses）∙活动无耐力(Activity intolerance)∙有活动无耐力的危险(Risk for activity intolerance)∙低效性呼吸型态(Risk for activity intolerance)∙心输出量减少(Decreased cardiac output)∙有心输出量减少的危险(Risk for decreased cardiac output)∙自主呼吸障碍(Decreased cardiac output)∙潜在危险性血压不稳定（Risk for unstable blood pressure）∙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)∙外周组织灌注无效（Ineffective peripheral tissue perfusion)∙有外周组织灌注无效的危险(Risk for ineffective peripheral tissue perfusion)∙呼吸机依赖(Dysfunctional ventilatory weaning response)类别5：自我照顾（Self-care）∙持家能力障碍(Impaired home maintenance)∙沐浴自理缺陷(Bathing self-care deficit)∙穿着自理缺陷(Dressing self-care deficit)∙进食自理陷（Feeding self-care deficit)∙如厕自理缺陷(Toileting self-care deficit)∙有自理能力改善的趋势(Readiness for enhanced self-care)∙自我忽视(Self-neglect)领域 5:感知/认知(Perception/Cognition)类别1：注意力（Attention）∙单侧身体忽视(Unilateral Neglect)类别2：定向力类别3：感觉/知觉类别4：认知∙急性意识障碍(Acute confusion)∙有急性意识障碍的危险(Acute confusion)∙慢性意识障碍(Acute confusion)∙情绪控制失调(Labile emotional control)∙冲动控制无效(Labile emotional control)∙知识缺乏(Deficient knowledge)∙有知识增进的趋势(Readiness for enhanced knowledge)∙记忆功能障碍(Impaired memory)类别5：沟通∙有沟通增进的趋势(Readiness for enhanced communication)∙语言沟通障碍(Impaired verbal communication)领域 6:自我感知(Self-Perception)类别1：自我概念（Self-concept）∙无望感(Hopelessness)∙有希望增强的趋势(Readiness for enhanced hope)∙有个人尊严受损的危险（Risk for compromised human dignity）∙自我认同紊乱（Disturbed personal identity）∙有自我认同紊乱的危险（Risk for disturbed personal identity）∙有自我概念改善的趋势（Readiness for enhanced self-concept）类别2：自尊（Self-esteem）∙长期低自尊(Chronic low self-esteem)∙有长期低自尊的危险(Risk for chronic low self-esteem)∙情境性低自尊(Situational low self-esteem)∙有情境性低自尊的危险(Risk for situational low self-esteem)类别3：身体形象（Body image）∙体像紊乱(Disturbed body image)领域 7:角色关系(Role Relationships)类别1：照顾者角色（Caregiving roles）∙照顾者角色紧张(Caregiving roles)∙有照顾者角色紧张的危险(Risk for caregiver role strain)∙养育功能障碍(Impaired parenting)∙有养育功能障碍的危险(Risk for impaired parenting)∙有养育功能改善的趋势(Readiness for enhanced parenting)类别2：家庭关系（Family relationships）∙有依附关系受损的危险(Risk for impaired attachment)∙家庭运作过程失常(Dysfunctional family processes)∙家庭运作过程改变(Interrupted family processes)∙有家庭运作过程改善的趋势(Readiness for enhanced family processes) 类别3：角色扮演（Role performance）∙关系无效（Ineffective relationship）∙有关系无效的危险（Risk for ineffective relationship）∙有关系改善的趋势（Readiness for enhanced relationship）∙父母角色冲突（Parental role conflict）∙无效性角色行为（Ineffective role performance）∙社会交往障碍（Impaired social interaction）领域 8:性(Sexuality)类别1：性认同（Sexual identity）类别2：性功能（Sexual function）∙性功能障碍（Sexual dysfunction）∙性生活型态无效（Ineffective sexuality pattern）类型3：生殖（Reproduction）∙生育进程无效（Ineffective childbearing process）∙有生育进程无效的危险（Risk for ineffective childbearing process）∙有生育进程改善的趋势（Readiness for enhanced childbearing process）∙有母体与胎儿双方受干扰的危险（Risk for disturbed maternal-fetal dyad）领域 9:应对/应激耐受性(Coping/Stress Tolerance)类别1：创伤后反应（Post-trauma responses）∙有复杂性移民的危险（Risk for complicated immigration transition）∙创伤后综合征（Post-trauma syndrome）∙有创伤后综合征的危险（Risk for post-trauma syndrome）∙强暴创伤综合征（Rape-trauma syndrome）∙迁移应激综合征（Relocation stress syndrome）有迁移应激综合征的危险（Risk for relocation stress syndrome）类别2：应对反应（Coping responses）∙活动计划无效（Ineffective activity planning）∙有活动计划无效的危险（Risk for ineffective activity planning）∙焦虑（Anxiety）∙防卫性应对（Defensive coping）∙应对无效（Ineffective coping）∙有应对改善的趋势（Readiness for enhanced coping）∙社区应对无效（Ineffective community coping）∙有社区应对改善的趋势（Readiness for enhanced community coping）∙妥协性家庭应对（Compromised family coping）∙无能性家庭应对（Disabled family coping）∙有家庭应对改善的趋势（Readiness for enhanced family coping）∙对死亡的焦虑（Death anxiety）∙无效性否认（Ineffective denial）∙恐惧（Fear）∙悲伤（Grieving）∙复杂性悲伤（Complicated grieving）∙有复杂性悲伤的危险（Risk for complicated grieving）∙情绪调控受损（Impaired mood regulation）∙无能为力感（Powerlessness）∙有无能为力感的危险（Risk for powerlessness）∙有能力增强的趋势（Readiness for enhanced power）∙恢复能力障碍（Impaired resilience）∙有恢复能力障碍的危险（Risk for impaired resilience）∙有恢复能力增强的趋势（Readiness for enhanced resilience）∙持续性悲伤（Chronic sorrow）∙压力负荷过重（Stress overload）类别3：神经行为压力（Neurobehavioral stress）∙急性成瘾物质戒断综合征（Acute substance withdrawal syndrome）∙有急性成瘾物质戒断综合征的危险（Risk for acute substance withdrawal syndrome）∙自主反射失调（Autonomic dysreflexia）∙有自主反射失调的危险（Risk for autonomic dysreflexia）∙颅内调适能力降低（Decreased intracranial adaptive capacity）∙新生儿戒断综合征（Neonatal abstinence syndrome）∙婴儿行为紊乱（Disorganized infant behaviour）∙有婴儿行为紊乱的危险（Risk for disorganized infant behaviour）∙有婴儿行为调节改善的趋势（Readiness for enhanced organized infant behavior）领域 10:生活准则(Life Principles)类别1：价值（Values）类别2：信念（Beliefs）∙有精神安适增进的趋势（Readiness for enhanced spiritual well-being）类别3：价值/信念/行动一致性（Value/belief/action congruence）∙有决策能力增强的趋势（Readiness for enhanced decision-making）∙抉择冲突（Decisional conflict）∙独立决策能力减弱（Impaired emancipated decision-making）∙有独立决策能力减弱的危险（Risk for impaired emancipated decision-making）∙有独立决策能力增强的趋势（Readiness for enhanced emancipated decision-making）∙道德困扰（Moral distress）∙宗教信仰减弱（Impaired religiosity）∙有宗教信仰减弱的危险（Risk for impaired religiosity）∙有宗教信仰增强的趋势（Readiness for enhanced religiosity）∙精神困扰（Spiritual distress）∙有精神困扰的危险（Risk for spiritual distress）领域 11:安全/防护(Safety/Protection)类别1：感染（Infection）∙有感染的危险（Risk for infection）∙有手术部位感染的危险（Risk for surgical site infection）类别2：身体伤害（Physical injury）∙清理呼吸道无效（Ineffective airway clearance）∙有误吸的危险（Risk for aspiration）∙有出血的危险（Risk for bleeding）∙牙齿受损（Impaired dentition）∙有干眼症的危险（Risk for dry eye）∙有口干症的危险（Risk for dry mouth）∙有跌倒的危险（Risk for falls）∙有角膜受损的危险（Risk for corneal injury）∙有受伤的危险（Risk for injury）∙有尿道损伤的危险（Risk for urinary tract injury）∙有手术期体位性损伤危险（Risk for perioperative positioning injury）∙有热损伤的危险（Risk for thermal injury）∙口腔黏膜完整性受损（Impaired oral mucous membrane integrity）∙有口腔黏膜完整性受损的危险(Risk for impaired oral mucous membrane integrity)∙有外周神经血管功能障碍的危险(Risk for peripheral neurovascular dysfunction)∙有身体创伤的危险(Risk for physical trauma)∙有血管损伤的危险(Risk for vascular trauma)∙有压疮的危险(Risk for pressure ulcer)∙有休克的危险(Risk for shock)∙皮肤完整性受损(Impaired skin integrity)∙有皮肤完整性受损的危险(Risk for impaired skin integrity)∙有婴儿猝死的危险(Risk for sudden infant death)∙有窒息的危险(Risk for suffocation)∙术后康复迟缓(Delayed surgical recovery)∙有术后康复迟缓的危险(Risk for delayed surgical recovery)∙组织完整性 (Impaired tissue integrity)∙有组织完整性受损的危险(Risk for impaired tissue integrity)∙有静脉栓塞的危险（Risk for venous thromboembolism）类别3：暴力（Violence）∙有女性割礼的危险（Risk for female genital mutilation）∙有对他人施行暴力的危险(Risk for other-directed violence)∙有对自己施行暴力的危险（Risk for self-directed violence）∙自残（Self-mutilation）∙有自残的危险（Risk for self-mutilation）∙有自杀的危险（Risk for suicide）类别4：环境伤害（Environmental hazards）∙受污染（Contamination）∙有受污染的危险（Risk for contamination）∙有职业伤害的危险（Risk for occupational injury）∙有中毒的危险（Risk for poisoning）类别5：防卫过程（Defensive processes）∙有碘造影剂不良反应的危险(Risk for adverse reaction to iodinated contrast media)∙有过敏反应的危险（Risk for allergy reaction）∙乳胶过敏反应（Latex allergy reaction）∙有乳胶过敏反应的危险（Risk for latex allergy reaction）类别6：体温调节（Thermoregulation）∙体温过高（Hyperthermia）∙体温过低（Hypothermia）∙有体温过低的危险（Risk for hypothermia）∙有手术期体温过低的危险（Risk for perioperative hypothermia）∙体温调节无效（Ineffective thermoregulation）∙有体温调节无效的危险（Risk for ineffective thermoregulation）领域 12:舒适(Comfort)类别1：身体舒适（Physical comfort）∙舒适度减弱（Impaired comfort）∙有舒适增进的趋势（Readiness for enhanced comfort）∙恶心（Nausea）∙急性疼痛（Acute pain）∙慢性疼痛（Chronic pain）∙慢性疼痛综合征（Chronic pain syndrome）∙分娩疼痛（Labor pain）类别2：环境舒适（Environmental comfort）类别3：社会舒适（Social comfort）∙有孤独的危险（Risk for loneliness）∙社交孤立（Social isolation）领域 13:生长/发展(Growth/Development)类别1：生长类别2：发展有发育迟缓的危险（Risk for delayed development）。

新版216个护理诊断

新版216个护理诊断护士出国- NANDA（北美护理诊断协会）128个护理诊断NANDA（北美护理诊断协会）通过的以人类反应型态（Human ResPonse Patterns）的分类方法。

现将人类反应型态分类方法的128个护理诊断分列如下：（1）交换（Exchanging）营养失调：高于机体需要量（Altered Nutrition：More Than Body Requirements）营养失调：低于机体需要量（Altered Nutrition：less Than Body Requirements）营养失调：潜在高于机体需要量（Altered Nutrition：Potential for More Than Body Requirements）有感染的危险（Risk for Infection）有体温改变的危险（Risk for Altered Body Temperature）体温过低（Hypothermia）体温过高（Hyperthermia）体温调节无效（Ineffective Thermoregulatlon）反射失调（Dysre flexia）便秘（Constipation)感知性便秘（Perceived Consttipation）结肠性便秘（Colonic Constipation）腹泻（Diarrhea）大便失禁（Bowel Inconttinence）排尿异常（Altered Urinary Elimination）压迫性尿失禁（Sires Incontlnence）反射性尿失禁（Reflex Incontlnence）急迫性尿失禁（Unge Incontlnence）功能性尿失禁（Functional Incontlnence）完全性尿失禁（T otal Incontlnencd尿储留（Urinary Retentron）组织灌注量改变（肾、脑、心肺、胃肠、周围血管）（Altered TissuePerfuslorl（Renal，Cereral，Cardlopulmonary Gastrolntestlnal，Peripheral）体液过多（Fluid Volume Excess）体液不足（Fluid Volume Deficit）体液不足的危险（Risk for Fluid VolUme Deficit）心输出量减少（Deer。

NANDA201项护理诊断(2009-2011)

201项护理诊断一览表(2009~2011)领域1:健康促进(Health Promotion)1.健康维护能力低下(Ineffective Health Maintenance)2.自我健康管理无效(Ineffective Self Health Management)3.持家能力障碍(Impaired Home Maintenance)4.有免疫状态改善的趋势(Readiness for Enhanced Immunization Status)5.忽视自我健康管理(Self Neglect)6.有营养改善的趋势(Readiness for Enhanced Nutrition)7.家庭执行治疗方案无效Ineffective Family Therapeutic Regimen Management)8.有自我健康管理改善的趋势(Readiness for Enhanced Self Health Management)领域2:营养(Nutrition)9.无效性婴儿喂养型态(Ineffective Infant Feeding Pattern)10.营养失调:低于机体需要量(Imbalanced Nutrition: Less Than Body Requirements)11.营养失调:高于机体需要量(Imbalanced Nutrition: More Than Body Requirements)12.有营养失调的危险:高于机体需要量(Risk for Imbalanced Nutrition: More Than Body Requirements)13.吞咽障碍(Impaired Swallowing)14.有血糖不稳定的危险(Risk for Unstable Glucose Level)15.新生儿黄疸(Neonatal Jaundice)16.有肝功能受损的危险(Risk for Impaired Liver Function)17.有电解质失衡的危险(Risk for Electrolyte Imbalance)18.有体液平衡改善的趋势(Readiness for Enhanced Fluid Balance)19.体液不足(Deficient Fluid Volume)20.体液过多(Excess Fluid Volume)21.有体液不足的危险(Risk for Deficient Fluid Volume)22.有体液失衡的危险(Risk for Imbalanced Fluid Volume)领域3:排泄(Elimination and Exchange)23.排尿障碍(Impaired Urinary Elimination)24.功能性尿失禁(Functional Urinary Incontinence)25.溢出性尿失禁(Overflow Urinary Incontinence)26.反射性尿失禁(Reflex Urinary Incontinence)27.压力性尿失禁(Stress Urinary Incontinence)28.急迫性尿失禁(Urge Urinary Incontinence)29.有急迫性尿失禁的危险(Risk for Urge Urinary Incontinence)30.尿潴留(Urinary Retention)31.有排尿功能改善的趋势(Readiness for Enhanced Urinary Elimination)32.排便失禁(Bowel Incontinence)33.便秘(Constipation)34.感知性便秘(Perceived Constipation)35.有便秘的危险(Risk for Constipation)36.腹泻(Diarrhea)37.胃肠动力失调(Dysfunctional Gastrointestinal Motility)38.有胃肠动力失调的危险(Risk for Dysfunctional Gastrointestinal Motility)39.气体交换障碍(Impaired Gas Exchange)领域4:活动/休息(Activity/Rest)40失眠(Insomnia)41.睡眠型态紊乱(Disturbed Sleep Pattern)42.睡眠剥夺(Sleep Deprivation)43.有睡眠改善的趋势(Readiness for Enhanced Sleep)44.有废用综合征的危险(Risk for Disuse Syndrome)45.缺乏娱乐活动(Deficient Diversional Activity)46.久坐的生活方式(Sedentary Lifestyle)47.床上活动障碍(Impaired Bed Mobility)48.躯体活动障碍(Impaired Physical Mobility)49.借助轮椅活动障碍(Impaired wheelchair Mobility)50.移动能力障碍(Impaired Transfer Ability)51.行走障碍(Impaired Walking)52.术后康复迟缓(Delayed Surgical Recovery)53.能量场紊乱(Disturbed Energy Field)54.疲乏(Fatigue)55.活动无耐力(Activity Intolerance)56.有活动无耐力的危险(Risk for Activity Intolerance)57.有出血的危险(Risk for Bleeding)58.低效性呼吸型态(Ineffective Breathing Pattern)59.心输出量减少(Decreased Cardiac Output)60.外周组织灌注无效(Ineffective Peripheral Tissue Perfusion)61.有心脏组织灌注不足的危险(Risk for Decreased Cardiac Tissue Perfusion)62.有脑组织灌注无效的危险(Risk for Ineffective Cerebral Tissue Perfusion)63.有胃肠道灌注无效的危险(Risk for Ineffective Gastrointestinal Tissue Perfusion)64.有肾脏灌注无效的危险(Risk for Ineffective Renal Perfusion)65.有休克的危险(Risk for Shock)66.自主呼吸障碍(Impaired Spontaneous Ventilation)67.呼吸机依赖(Dysfunctional Ventilatory Weaning Response)68.有自理能力增强的趋势(Readiness for Enhanced Self-Care)69.沐浴/卫生自理缺陷(Bathing/Hygiene Self-Care Deficit))70.穿着/修饰自理缺陷(Dressing/grooming Self-Care Deficit)71.进食自理缺陷(Feeding Self-Care Deficit)72.如厕自理缺陷(Toileting Self-Care Deficit)领域5:感知/认知(Perception/Cognition)73单侧身体忽视(Unilateral Neglect)74.环境认知障碍综合征(Impaired Environmental Interpretation Syndrome)75.漫游状态(Wandering)76.感知觉紊乱(具体说明:视觉、听觉、方位感、味觉、触觉、嗅觉)(Disturbed Sensory Perception〔Specify:Visual,Auditory,Kinesthetic,Gustatory, Tactile,Olfactory)77.急性意识障碍(Acute Confusion)78.慢性意识障碍(Chronic Confusion)79.有急性意识障碍的危险(Risk for Acute Confusion)80.知识缺乏(Deficient Knowledge)81.有知识增进的趋势(Readiness for Enhanced Knowledge)82.记忆功能障碍(Impaired Memory)83.有决策能力增强的趋势(Readiness for Enhanced Decision-Making)84.活动计划无效(Ineffective Activity Planning)85.语言沟通障碍(Impaired Verbal Communication)86.有沟通增进的趋势(Readiness for Enhanced Communication)领域6:自我感知(Self-Perception)87.有个人尊严受损的危险(Risk for Compromised Human Dignity)88.无望感(Hopelessness)89.自我认同紊乱(Disturbed Personal Identity)90.有孤独的危险(Risk for Loneliness)91.有能力增强的趋势(Readiness for Enhanced Power)92.无能为力感(Powerlessness)93.有无能为力感的危险(Risk for Powerlessness)94.有自我概念改善的趋势(Readiness for Enhanced Self-Concept)95.情境性低自尊(Situational low Self-Esteem)96.长期性低自尊(Chronic Low Self-Esteem)97.有情境性低自尊的危险(Risk for Situational Low Self-Esteem)98.体像紊乱(Disturbed Body Image)领域7:角色关系(Role Relationships)99.照顾者角色紧张(Caregiver Role Strain)100.有照顾者角色紧张的危险(Risk for Caregiver Role Strain) 101.养育功能障碍(Impaired Parenting)102.有养育功能改善的趋势(Readiness for Enhanced Parenting)103.有养育功能障碍的危险(Risk for Impaired Parenting)104.有依附关系受损的危险(Risk for Impaired Parent/Infant/Child Attachment)105.家庭运作过程失常(Dysfunctional Family Processes)106.家庭运作过程改变(Interrupted Family Processes)107.有家庭运作过程改善的趋势(Readiness for Enhanced Family Processes) 108.母乳喂养有效(Effective Breastfeeding)109.母乳喂养无效(Ineffective Breastfeeding)110.母乳喂养中断(Interrupted Breastfeeding)111.父母角色冲突(Parental Role Conflict)。

NANDA护理诊断全

NANDA!过的以人类反应型态(Human ResPonse Patterns)的分类方法。

现将人类反应型态分类方法的128 个护理诊断分列如下：一、交换(Exchanging)营养失调：高于机体需要量(Altered Nutrition ：More Than BodyRequirements)营养失调：低于机体需要量(Altered Nutrition ：less Than BodyRequirements)营养失调：潜在高于机体需要量(Altered Nutrition ：Potentialfor More Than Body Requirements)有感染的危险(Risk for Infection)有体温改变的危险(Risk for Altered Body Temperature)体温过低(Hypothermia)体温过高(Hyperthermia)体温调节无效(Ineffective Thermoregulatlon)反射失调(Dysre flexia)便秘(Co nstipati on)感知性便秘(Perceived Consttipation)结肠性便秘(Colonic Constipation)腹泻(Diarrhea)大便失禁(Bowel Inconttinence)排尿异常(Altered Urinary Elimination)压迫性尿失禁(Sires Incontlnence)反射性尿失禁(Reflex Incontlnence)急迫性尿失禁(Unge Incontlnence)功能性尿失禁(Functional Incontlnence)完全性尿失禁(Total Incontlnencd尿储留(Urinary Retentron)组织灌注量改变( 肾、脑、心肺、胃肠、周围血管)(Altered Tissue Perfuslorl( Renal ，Cereral ，Cardlopulmonary Gastrolntestlnal，Peripheral))体液过多(Fluid Volume Excess)体液不足(Fluid Volume Deficit) 体液不足的危险(Risk for Fluid VolUme Deficit)心输出量减少(Deer。

201项护理诊断一览表

附录2 201项护理诊断一览表（2009～2011）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（Nutrition）无效性婴儿喂养型态（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（Imbalanced 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（Readiness for Enhanced Fluid Balance）体液不足（Deficient Fluid V olume）体液过多（Excess Fluid V olume）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）功能性尿失禁（Functional Urinary Incontinence）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（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（Activity/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）有休克的危险（Risk for Shock）自主呼吸障碍（Impaired Spontaneous Ventilation）呼吸机依赖（Dysfunctional Ventilatory Weaning Response）有自理能力增强的趋势（Readiness for Enhanced Self-Care）沐浴/卫生自理缺陷（Bathing/Hygiene Self-Care Deficit））穿着/修饰自理缺陷（Dressing/grooming Self-Care Deficit）进食自理缺陷（Feeding Self-Care Deficit）如厕自理缺陷（Toileting Self-Care Deficit）领域5：感知/认知（Perception/Cognition）单侧身体忽视（Unilateral Neglect）环境认知障碍综合征（Impaired Environmental Interpretation Syndrome）漫游状态（Wandering）感知觉紊乱（具体说明：视觉、听觉、方位感、味觉、触觉、嗅觉）（Disturbed Sensory Perception〔Specify：Visual，Auditory，Kinesthetic，Gustatory，Tactile，Olfactory）急性意识障碍（Acute Confusion）慢性意识障碍（Chronic Confusion）有急性意识障碍的危险（Risk for Acute Confusion）知识缺乏（Deficient Knowledge）有知识增进的趋势（Readiness for Enhanced Knowledge）记忆功能障碍（Impaired Memory）有决策能力增强的趋势（Readiness for Enhanced Decision-Making）活动计划无效（Ineffective Activity Planning）语言沟通障碍（Impaired Verbal Communication）有沟通增进的趋势（Readiness for Enhanced Communication）领域6：自我感知（Self-Perception）有个人尊严受损的危险（Risk for Compromised Human Dignity）无望感（Hopelessness）自我认同紊乱（Disturbed Personal Identity）有孤独的危险（Risk for Loneliness）有能力增强的趋势（Readiness for Enhanced Power）无能为力感（Powerlessness）有无能为力感的危险（Risk for Powerlessness）有自我概念改善的趋势（Readiness for Enhanced Self-Concept）情境性低自尊（Situational low Self-Esteem）长期性低自尊（Chronic Low Self-Esteem）有情境性低自尊的危险（Risk for Situational Low Self-Esteem）体像紊乱（Disturbed Body Image）领域7：角色关系（Role Relationships）照顾者角色紧张（Caregiver Role Strain）有照顾者角色紧张的危险（Risk for Caregiver Role Strain）养育功能障碍（Impaired Parenting）有养育功能改善的趋势（Readiness for Enhanced Parenting）有养育功能障碍的危险（Risk for Impaired Parenting）有依附关系受损的危险（Risk for Impaired Parent/Infant/Child Attachment）家庭运作过程失常（Dysfunctional Family Processes）家庭运作过程改变（Interrupted Family Processes）有家庭运作过程改善的趋势（Readiness for Enhanced Family Processes）母乳喂养有效（Effective Breastfeeding）母乳喂养无效（Ineffective Breastfeeding）母乳喂养中断（Interrupted Breastfeeding）父母角色冲突（Parental Role Conflict）有关系改善的趋势（Readiness for Enhanced Relationship）无效性角色行为（Ineffective Role Performance）社会交往障碍（Impaired Social Interaction）领域8：性（Sexuality）性功能障碍（Sexual Dysfunction）性生活型态无效（Ineffective Sexuality Patterns）有生育进程改善的趋势（Readiness for Enhanced Childbearing Process）有母体与胎儿双方受干扰的危险（Risk for Disturbed Maternal/Fetal Dyad）领域9：应对/应激耐受性（Coping/ Stress Tolerance）创伤后综合征（Post Trauma Syndrome）有创伤后综合征的危险（Risk for Post Trauma Syndrome）强暴创伤综合征（Rape-Trauma Syndrome）迁移应激综合征（Relocation Stress Syndrome）有迁移应激综合征的危险（Risk for Relocation Stress Syndrome）焦虑（Anxiety）对死亡的焦虑（Death Anxiety）有威胁健康的行为（Risk-Prone Health Behavior）妥协性家庭应对（Compromised Family Coping）无能性家庭应对（Disabled Family Coping）防卫性应对（Defensive Coping）应对无效（Ineffective Coping）社区应对无效（Ineffective Community Coping）有应对增强的趋势（Readiness for Enhanced Coping）有社区应对增强的趋势（Readiness for Enhanced Community Coping）有家庭应对增强的趋势（Readiness for Enhanced Family Coping）无效性否认（Ineffective Denial）恐惧（Fear）悲伤（Grieving）复杂性悲伤（Complicated Grieving）有复杂性悲伤的危险（Risk for Complicated Grieving）个人恢复能力障碍（Impaired Individual Resilience）有恢复能力受损的危险（Risk for Compromised Resilience）有恢复能力增强的趋势（Readiness for Enhanced Resilience）持续性悲伤（Chronic Sorrow）压力负荷过重（Stress Overload）自主性反射失调（Autonomic Dysreflexia）有自主性反射失调的危险（Risk for Autonomic Dysreflexia）婴儿行为紊乱（Disorganized Infant Behavior）有婴儿行为紊乱的危险（Risk for Disorganized Infant Behavior）有婴儿行为调节改善的趋势（Readiness for Enhanced Organized Infant Behavior）颅内调适能力降低（Decreased Intracranial Adaptive Capacity）领域10：生活准则（Life Principles）有希望增强的趋势（Readiness for Enhanced Hope）有精神安适增进的趋势（Readiness for Enhanced Spiritual Well-being）抉择冲突（Decisional Conflict）道德困扰（Moral Distress）不依从行为（Noncompliance）宗教信仰减弱（Impaired Religiosity）有宗教信仰增强的趋势（Readiness for Enhanced Religiosity）有宗教信仰减弱的危险（Risk for Impaired Religiosity）精神困扰（Spiritual Distress）有精神困扰的危险（Risk for Spiritual Distress）领域11：安全/防护（Safety/Protection）有感染的危险（Risk for Infect ion）清理呼吸道无效（Ineffective Airway Clearance）有误吸的危险（Risk for Aspiration）有婴儿猝死综合症的危险（Risk for Sudden Infant Death Syndrome）牙齿受损（Impaired Dentition）有跌倒的危险（Risk for Falls）有受伤害的危险（Risk for Injury）有手术期体位性损伤的危险（Risk for Perioperative-Positioning Injury）口腔黏膜受损（Impaired Oral Mucous Membrane）有外周神经血管功能障碍的危险（Risk for Peripheral Neurovascular Dysfunction）防护能力低下（Ineffective Protection）皮肤完整性受损（Impaired Skin Integrity）有皮肤完整性受损的危险（Risk for Impaired Skin Integrity）有窒息的危险（Risk for Suffocation）组织完整性受损（Impaired Tissue Integrity）有外伤的危险（Risk for Trauma）有血管损伤的危险（Risk for Vascular Trauma）自伤（Self-Mutilation）有自伤的危险（Risk for Self-Mutilation）有自杀的危险（Risk for Suicide）有对他人施行暴力的危险（Risk for Other-Directed Violence）有对自己施行暴力的危险（Risk for Self-Directed Violence）受污染（Contamination）有受污染的危险（Risk for Contamination）有中毒的危险（Risk for Poisoning）乳胶过敏反应（Latex Allergy Response）有乳胶过敏反应的危险（Risk for Latex Allergy Response）有体温失调的危险（Risk for Imbalanced Body Temperature）体温过高（Hyperthermia）体温过低（Hypothermia）体温调节无效（Ineffective Thermoregulation）领域12：舒适（Comfort）有舒适增进的趋势（Readiness for Enhanced Comfort）舒适度减弱（Impaired Comfort）恶心（Nausea）急性疼痛（Acute Pain）慢性疼痛（Chronic Pain）社交孤立（Social Isolation）领域13：生长/发展（Growth/Development）成人身心功能衰退（Adult Failure to Thrive）生长发展迟缓（Delayed Growth and Development）有发展迟缓的危险（Risk for Delayed Development）有生长比例失调的危险（Risk for Disproportionate Growth）。

155个NANDA的护理诊断

155 项护理诊断一览表一、健康促进(Health promotion)1．执行治疗方案有效 2．执行治疗方案无效3．家庭执行治疗方案无效 4．社区执行治疗方案无效5．寻求健康行为 6．保持健康无效7．持家能力障碍二、营养(Nutrition)8．无效性婴儿喂养型态 9．吞咽障碍10．营养失调：低于机体需要量 11．营养失调：高于机体需要量12．有营养失调的危险：高于机体需要量 13．体液不足14．有体液不足的危险 15．体液过多16．有体液失衡的危险三、排泄(Elimination )17．排尿障碍 18．尿潴留19．完全性尿失禁 20．功能性尿失禁21．压力性尿失禁 22．急迫性尿失禁23．反射性尿失禁 24．有急迫性尿失禁的危险25．排便失禁 26．腹泻27．便秘 28．有便秘的危险29．感知性便秘 30．气体交换受损四、活动/休息(Activity/rest)31．睡眠型态 32．睡眠剥夺33．有废用综合征的危险 34．躯体活动障碍35．床上活动障碍 36．借助轮椅活动障碍37．转移能力障碍 38．行走障碍39．缺乏娱乐活动 40．漫游状态41．穿着/修饰自理缺陷 42．沐浴/卫生自理缺陷43．进食自理缺陷 44．如厕自理缺陷45．术后康复延缓 46．能量场紊乱47．疲乏 48．心输出量减少49．自主呼吸受损 50．低效性呼吸型态51．活动无耐力 52．有活动无耐力的危险53．功能障碍性撤离呼吸机反应54．组织灌注无效（具体说明类型：肾脏、大脑、心、肺、胃肠道、外周）五、感知/认识(Perception/cognition)55．单侧性忽视 56．认识环境障碍综合征57．感知紊乱（具体说明：视觉、听觉、运动觉、味觉、触觉、嗅觉）58．知识缺乏 59．急性意识障碍60．慢性意识障碍 61．记忆受损62．思维过程紊 63．语言沟通障碍六、自我感知(Self-perception)64．自我认可紊乱 65．无能为力感66．有无能为力感的危险 67．无望感68．有孤独的危险 69．长期自尊低下70．情境性自尊低下 71．有情境性自尊低下的危险72．体像紊乱七、角色关系(Role relationship)73．照顾者角色紧张 74．有照顾者角色紧张的危险75．父母不称职 76．有父母不称职的危险77．家庭运作中断 78．家庭运作功能不全（酗酒）79．有亲子依恋受损的危险 80．母乳喂养有效81．母乳喂养无效 82．母乳喂养中断83．无效性角色行为 84．父母角色冲突85．社交障碍八、性(Sexuality) 86．性功能障碍 87．无效性性生活型态九、应对/应激耐受性(Coping/stress tolerance)88．迁居应激综合征 89．有迁居应激综合征的危险90．强暴创伤综合征 91．强暴创伤综合征：隐匿性反应92．强暴创伤综合征：复合性反应 93．创伤后反应94．有创伤后反应的危险 95．恐惧96．焦虑 97．对死亡的焦虑98．长期悲伤 99．无效性否认100．预感性悲哀 101．功能障碍性悲哀102．调节障碍 103．应对无效104．无能性家庭应对 105．妥协性家庭应对106．防卫性应对 107．社区应对无效108．有增强家庭应对趋势 109．有增强社区应对趋势110．自主性反射失调 111. 有自主反射失调的危险112．婴儿行为紊乱 113．有婴儿行为紊乱的危险114．有增强调节婴儿行为的趋势 115．颅内适应能力下降十、生活准则(Life principles)116．有增强精神健康的趋势 117．精神困扰118．有精神困扰的危险 119．抉择冲突120．不依从行为十一、安全/防御(Safety/protection)121．有感染的危险 122．口腔黏膜受损123．有受伤的危险 124．有围手术期体位性损伤的危险125．有摔倒的危险 126．有外伤的危险127．皮肤完整性受损 128．有皮肤完整性受损的危险129．组织完整性受损 130．牙齿受损131．有窒息的危险 132．有误息的危险133．清理呼吸道无效 134. 有外周神经血管功能障碍的危险135．防护无效 136．自伤137．有自伤的危险 138．有对他人施行暴力的危险139．有对自己施行暴力的危险 140．有自杀的危险141．有中毒的危险 142．乳胶过敏反应143．有乳胶过敏反应的危险 144．有体温失调的危险145．体温调节无效 146．体温过低147．体温过高十二、舒适(Comfort)148．急性疼痛 149．慢性疼痛 150．恶心 151．社交孤立十三、成长/发展(Growth/development)152．成长发展延缓 153．成人身心衰竭154．有发展迟滞的危险 155．有成长比例失调的危险。

128个护理诊断

NANDA确定的128个护理诊断文章来源：护理园地2004-11-29 11:38:20文字大小：【大】【中】【小】NANDA通过的以人类反应型态(Human ResPonse Patterns)的分类方法。

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NANDA201项护理诊断（200X-201X）与155项护理诊断155 项护理诊断 -览表 (2001～2002)( 按 NANDA 分类法Ⅱ排列〉一、健康促进(Health promotion)1．执行治疗方案有效2．执行治疗方案无效3．家庭执行治疗方案无效4．社区执行治疗方案无效5．寻求健康行为（具体说明）6．保持健康无效7．持家能力障碍二、营养(Nutrition)8．无效性婴儿喂养型态9．吞咽障碍10．营养失调：低于机体需要量11．营养失调：高于机体需要量12．有营养失调的危险：高于机体需要量13．体液不足14．有体液不足的危险AHA12GAGGAGAGGAFFFFAFAF15．体液过多16．有体液失衡的危险三、排泄(Elimination )17．排尿障碍18．尿潴留AHA12GAGGAGAGGAFFFFAFAF19．完全性尿失禁20．功能性尿失禁21．压力性尿失禁22．急迫性尿失禁23．反射性尿失禁24．有急迫性尿失禁的危险25．排便失禁26．腹泻27．便秘28．有便秘的危险29．感知性便秘30．气体交换受损四、活动/休息(Activity/rest) 31．睡眠型态紊乱32．睡眠剥夺33．有废用综合征的危险34．躯体活动障碍35．床上活动障碍AHA12GAGGAGAGGAFFFFAFAF 36．借助轮椅活动障碍37．转移能力障碍38．行走障碍39．缺乏娱乐活动AHA12GAGGAGAGGAFFFFAFAF 40．漫游状态41．穿着/修饰自理缺陷42．沐浴/卫生自理缺陷43．进食自理缺陷44．如厕自理缺陷45．术后康复延缓46．能量场紊乱47．疲乏48．心输出量减少49．自主呼吸受损50．低效性呼吸型态51．活动无耐力52．有活动无耐力的危险53．功能障碍性撤离呼吸机反应54．组织灌注无效（具体说明类型：肾脏、大脑、心、肺、胃肠道、外周）五、感知/认识(Perception/cognition)55．单侧性忽视AHA12GAGGAGAGGAFFFFAFAF56．认识环境障碍综合征57．感知紊乱（具体说明：视觉、听觉、运动觉、味觉、触觉、嗅觉）58．知识缺乏59．急性意识障碍AHA12GAGGAGAGGAFFFFAFAF60．慢性意识障碍61．记忆受损62．思维过程紊乱63．语言沟通障碍六、自我感知(Self-perception)64．自我认可紊乱65．无能为力感66．有无能为力感的危险67．无望感68．有孤独的危险69．长期自尊低下70．情境性自尊低下71．有情境性自尊低下的危险72．体像紊乱七、角色关系(Role relationship)73．照顾者角色紧张74．有照顾者角色紧张的危险75．父母不称职AHA12GAGGAGAGGAFFFFAFAF76．有父母不称职的危险77．家庭运作中断78．家庭运作功能不全（酗酒）79．有亲子依恋受损的危险AHA12GAGGAGAGGAFFFFAFAF80．母乳喂养有效81．母乳喂养无效82．母乳喂养中断83．无效性角色行为84．父母角色冲突85．社交障碍八、性(Sexuality)86．性功能障碍87．无效性性生活型态九、应对/应激耐受性(Coping/stress tolerance) 88．迁居应激综合征89．有迁居应激综合征的危险90．强暴创伤综合征91．强暴创伤综合征：隐匿性反应92．强暴创伤综合征：复合性反应93．创伤后反应94．有创伤后反应的危险95．恐惧AHA12GAGGAGAGGAFFFFAFAF96．焦虑97．对死亡的焦虑98．长期悲伤99．无效性否认AHA12GAGGAGAGGAFFFFAFAF100．预感性悲哀101．功能障碍性悲哀102．调节障碍103．应对无效104．无能性家庭应对105．妥协性家庭应对106．防卫性应对107．社区应对无效108．有增强家庭应对趋势109．有增强社区应对趋势110．自主性反射失调111．有自主性反射失调的危险112．婴儿行为紊乱113．有婴儿行为紊乱的危险114．有增强调节婴儿行为的趋势 115．颅内适应能力下降十、生活准则(Life principles)116．有增强精神健康的趋势AHA12GAGGAGAGGAFFFFAFAF117．精神困扰118．有精神困扰的危险119．抉择冲突120．不依从行为AHA12GAGGAGAGGAFFFFAFAF十一、安全/防御(Safety/protection)121．有感染的危险122．口腔黏膜受损123．有受伤的危险124．有围手术期体位性损伤的危险 125．有摔倒的危险126．有外伤的危险127．皮肤完整性受损128．有皮肤完整性受损的危险129．组织完整性受损130．牙齿受损131．有窒息的危险132．有误息的危险133．清理呼吸道无效134．有外周神经血管功能障碍的危险 135．防护无效136．自伤137．有自伤的危险AHA12GAGGAGAGGAFFFFAFAF138．有对他人施行暴力的危险139．有对自己施行暴力的危险140．有自杀的危险141．有中毒的危险AHA12GAGGAGAGGAFFFFAFAF142．乳胶过敏反应143．有乳胶过敏反应的危险144．有体温失调的危险145．体温调节无效146．体温过低147．体温过高十二、舒适(Comfort)148．急性疼痛149．慢性疼痛150．恶心151．社交孤立十三、成长/发展(Growth/development) 152．成长发展延缓153．成人身心衰竭154．有发展迟滞的危险155．有成长比例失调的危险AHA12GAGGAGAGGAFFFFAFAF201项护理诊断一览表（2009～2011）领域1：健康促进（Health Promotion）1.健康维护能力低下（Ineffective Health Maintenance）AHA12GAGGAGAGGAFFFFAFAF2.自我健康管理无效（Ineffective Self Health Management）3.持家能力障碍（Impaired Home Maintenance）4.有免疫状态改善的趋势（Readiness for Enhanced Immunization Status）5.忽视自我健康管理（Self Neglect）6.有营养改善的趋势（Readiness for Enhanced Nutrition）7.家庭执行治疗方案无效Ineffective Family Therapeutic Regimen Manageme nt）8.有自我健康管理改善的趋势（Readiness for Enhanced Self Health Managemen t）领域2：营养（Nutrition）9.无效性婴儿喂养型态（Ineffective Infant Feeding Pattern）10.营养失调：低于机体需要量AHA12GAGGAGAGGAFFFFAFAF（Imbalanced Nutrition: Less Than Body Require ments）11.营养失调：高于机体需要量（Imbalanced Nutrition: More Than Body Require ments）12.有营养失调的危险：高于机体需要量（Risk for Imbalanced Nutrition: More Than Bo dy Requirements）13.吞咽障碍（Impaired Swallowing）14.有血糖不稳定的危险（Risk for Unstable Glucose Level）15.新生儿黄疸（Neonatal Jaundice）16.有肝功能受损的危险（Risk for Impaired Liver Function）17.有电解质失衡的危险（Risk for Electrolyte Imbalance）18.有体液平衡改善的趋势（Readiness for Enhanced Fluid Balance）AHA12GAGGAGAGGAFFFFAFAF19.体液不足（Deficient Fluid Volume）20.体液过多（Excess Fluid Volume）21.有体液不足的危险（Risk for Deficient Fluid Volume）22.有体液失衡的危险（Risk for Imbalanced Fluid Volume）领域3：排泄（Elimination and Exchange）23.排尿障碍（Impaired Urinary Elimination）AHA12GAGGAGAGGAFFFFAFAF。