基礎護理學知識點輔導:128項護理診斷

型態1:交換(exchanging)
營養失調:高於身體需要量(altered nutrition:more than body requirements)
營養失調:低於身體需要量(altered nutrition:less than body requirements)
營養失調:潛在的高於身體需要量(altered nutrition:potential for more than body requirements)
有感染的危險(risk for infection)
有體溫改變的危險(risk for altered body temperature)
體溫過低(hypothermia)
體溫過高(hyperthermia)
體溫調節無效(ineffective thermoregulation)
反射失調(dysreflexia)
便秘(constipation)
感知性便秘(perceived constipation)
結腸性便秘(colonic constipation)
腹瀉(diarrhea)
大便失禁(bowel incontinence)
排尿異常(altered urinary elimination)
壓迫性尿失禁(stress incontinence)
反射性尿失禁(reflex incomtinence)
急迫性尿失禁(urge incontinence)
功能性尿失禁(functional incontinence)
完全性尿失禁(total incontinence)
尿瀦留(urinary retention)
組織灌注量改變:(特定型)(腎、腦、心肺、胃腸、外周血管)[altered tissue perfusion (specify type)(renal,cerebral,cardiopulmonary,gastrointestinal,peripheral)]
體液過多(fluid volume excess)
體液不足(fluid volume deficit)
有體液不足的危險(risk for fluid volume deficit)
心輸出量減少(decreased cardiac output)
氣體交換受損(impaired gas exchange)
清理呼吸道無效(ineffective airway clearance)
低效性呼吸型態(ineffective breathing pattern)
不能維持自主呼吸(inability to sustain spontaneous ventilation)
呼吸機依賴(dysfunctional ventilatory weaning response,dvwr)
有受傷害的危險(risk for injury)
有窒息的危險(risk for suffocation)
有中毒的危險(risk for poisoning)
有外傷的危險(risk for trauma)
有誤吸的危險(risk for aspiration)
有廢用綜合徵的危險(risk for disuse syndrome)
保護能力改變(altered protection)
組織完整性受損(impaired tissue integrity)
口腔黏膜改變(altered oral mucous membrane)
皮膚完整性受損(impaired skin integrity)
有皮膚完整性受損的危險(risk for impaired skin integrity)
適應能力下降:顱內的(decrased adaptive capacity:intracranial)
能量場困擾(energy field disturbance)

型態2:溝通(communicating)
語言溝通障礙(impaired verbal communication)

型態3:關係(relating)
社交活動障礙(impaired social interaction)
社交孤立(social isolation)
有孤獨的危險(risk for loneliness)
角色紊亂(altered role performance)
父母不稱職(altered parenting)
有父母不稱職的危險(risk for altered parenting)
有親子依戀改變的危險(risk for altered parent/infant/child attachment)
性功能障礙(sexual dysfunction)
家庭作用改變(altered family process)
照顧者角色困難(caregiver role strain)
有照顧者角色困難的危險(risk for caregiver role strain)
家庭作用改變:酗酒(altered family process:alcoholism)
父母角色衝突(parental role conflict)
性生活型態改變(altered sexuality patterns)