最新NANDA护理诊断（2021–2023）（十）.pdfVIP

最新NANDA护理诊断 （2021–2023） （⼗） 原⽂引⽤ 医护英语学习 微信号：medenglish4U 敲⿊板，划重点，⼲货 ，赶紧收藏！ NANDA ：North America Nursing Diagnosis Association，北美护理诊断协会 According to NANDA International ( NANDA-I), a nursing diagnosis is a j udgment based on a comprehensive nursing assessment.” The nursing diagnosis is based on the patient’s current situation and health assessment, allow ing nurses and other healthcare providers to see a patient from a holistic perspective. 根据NANDA国际，护理诊断是 基于综合护理评估的判断。护理诊断以病⼈的现状和健康评估为基础，使护⼠和其他 医疗服务提供者能从整体的⾓度来看待病⼈。 There are 4 types of nursing diagnosis according to NANDA-I. They are: 根据NANDA-I，护理诊断有4种类型。它们是： 1. Problem-focused以问题为中⼼ 2. Risk 风险 3. Health promotion 健康促进 4. Syndrome 综合征 领域11：安全/保护 Domain 11: Safety/protection 1. 有感染的危险 Risk for infection 2. 有术区感染的危险 Risk for surgical site infection 3. 清理呼吸道⽆效 Ineffective airway clearance 4. 有误吸的危险 Risk for aspiration 5. 有出⾎的危险 Risk for bleeding Risk for bleeding 6. ⽛齿受损 Impaired dentition 7. 有⼲眼症的危险 Risk for dry eye 8. ⼲眼症⾃我管理⽆效 Ineffective dry eye self-management 9. 有⼝⼲的危险 Risk for dry mouth 10. 有成⼈跌倒的危险 Risk for adult falls 11. 有⼉童跌倒的危险 Risk for child falls 12. 有受伤的危险 Risk for inj ury 13. 有⾓膜损伤的危险 Risk for corneal inj ury 14. 乳头乳晕复合伤 Nipple-areolar complex inj ury 15. 有乳头乳晕复合伤的危险 Risk for nipple-areolar complex inj ury 16. 有尿道损伤的危险 Risk for urinary tract inj ury 17. 有围⼿术期体位性损伤的危险 Risk for perioperative positioning inj ury 18. 有热损伤的危险 Risk for thermal inj ury 19. ⼝腔黏膜完整性受损 19. ⼝腔黏膜完整性受损 Impaired oral mucous membrane integrity 20. 有⼝腔黏膜完整性受损的危险 Risk for impaired oral mucous membrane integrity 21. 有周围神经⾎管功能障碍的危险 Risk for peripheral neurovascular dysfunction 22. 有躯体创伤的危险 Risk for physical trauma 23. 有⾎管损伤的危险 Risk for vascular trauma 24. 成⼈压疮 Adult pressure inj ury 25. 有成⼈压疮的危险 Risk for adult pressure inj ury 26. ⼉童压疮 Child pressure inj ury 27. 有⼉童压疮的危险 Risk for child pressure i