안녕하세요!
간호사 널스프렌드입니다.
임상 실습, 근무하시면서 케이스 스터디를 쓸 때 반드시 알아야 하는 간호진단들.
간호진단 내리고 간호과정 쓰는 과정에서 빼놓을 수 없는 게 '난다 간호진단'이죠-
난다(NANDA) 간호진단은 북미간호진단협회(NANDA, North American Nursing Diagnosis Association)에서 만든 간호진단 리스트인데요.
간호진단은 간호사가 임의로 정할 수 없고, 반드시 이 목록안에서 골라 써야 한답니다.
난다 간호진단은 일정한 주기마다 개정이 되기 때문에,
새로운 개정판이 나올 때마다 어떤 간호진단은 삭제되고 추가되거나 수정되기도 하는데요.
그래서 이번에 2024년 이후 개정된 간호진단 리스트의 정보를 열심히 찾다가...
2023년까지의 간호진단 리스트만 있고, 아무리 찾아도 없더라고요.
간호진단 내리는데 꼭 필요한데 이렇게 중요한 정보가 아무 데도 없다니 ㅠㅠ
다행히 2024-2026판(13 에디션) 영문으로 된 자료가 있는 것을 발견하고!
그냥 제가 타이핑해서 리스트를 정리하기로 했어요.
여러 번 꼼꼼히 확인해서, 정리를 하고 나니...
이건 정말 간호학생분들, 간호사 분들께 꼭 필요하지 않을까 생각이 들어
다 같이 보려고 블로그에 업로드합니다!
그런데 쭉 살펴보니까 이번에 개정이 많이 된 것 같아요.
앞으로 간호진단 리스트를 좀 더 세세하게 살펴본 다음-
다음 포스팅에서 간호진단을 한글로도 번역하고,
2021-2023 버전과 어떤 부분이 다른 지도 살펴본 후 그 결과도 공유할게요 :)
필요하신 분들께 도움이 되었으면 좋겠어요!
난다 간호진단 리스트: 13 에디션 (2024-2026)
Domain 1. Health promotion
Class 1. Health awareness
- Decreased diversional activity engagement
- Risk for decreased diversional activity engagement
- Excessive sedentary behaviors
- Risk for excessive sedentary behaviors
- Imbalanced energy field
Class 2. Health management
- Ineffective health self-management
- Risk for ineffective health self-management
- Readiness for enhanced health self-management
- Ineffective family health management
- Risk for ineffective family health management
- Ineffective community health management
- Risk for ineffective community health management
- Risk for ineffective blood glucose pattern self-management
- Ineffective dry eye self-management
- Ineffective dry mouth self-management
- Risk for ineffective dry mouth self-management
- Ineffective fatigue self-management
- Ineffective lymphedema self-management
- Risk for ineffective lymphedema self-management
- Ineffective nausea self-management
- Ineffective pain self-management
- Readiness for enhanced weight self-management
- Ineffective overweight self-management
- Risk for ineffective overweight self-management
- Ineffective underweight self-management
- Risk for ineffective underweight self-management
- Ineffective health maintenance behaviors
- Risk for ineffective health maintenance behaviors
- Readiness for enhanced health maintenance behaviors
- Readiness for enhanced home maintenance behaviors
- Readiness for enhanced exercise engagement
- Inadequate health literacy
- Risk for inadequate health literacy
- Readiness for enhanced health literacy
- Readiness for enhanced healthy aging
- Elder frailty syndrome
- Risk for elder frailty syndrome
Domain 2. Nutrition
Class 1. Ingestion
- Inadequate nutritional intake
- Risk for inadequate nutritional intake
- Readiness for enhanced nutritional intake
- Inadequate protein energy nutritional intake
- Risk for inadequate protein energy nutritional intake
- Ineffective chestfeeding
- Risk for ineffective chestfeeding
- Disrupted exclusive chestfeeding
- Risk for disrupted exclusive chestfeeding
- Readiness for enhanced chestfeeding
- Inadequate human milk production
- Risk for inadequate human milk production
- Ineffective infant feeding dynamics
- Ineffective child eating dynamics
- Ineffective adolescent eating dynamics
- Impaired swallowing
Class 2. Digestion
This class does not currently contain any diagnoses
Class 3. Absorption
This class does not currently contain any diagnoses
Class 4. Metabolism
- Neonatal hyperbilirubinemia
- Risk for neonatal hyperbilirubinemia
Class 5. Hydration
- Risk for impaired water-electrolyte balance
- Risk for impaired fluid volume balance
- Excessive fluid volume
- Risk for excessive fluid volume
- Inadequate fluid volume
- Risk for inadequate fluid volume
Domain 3. Elimination and exchange
Class 1. Urinary function
- Impaired urinary elimination
- Risk for urinary retention
- Disability-associated urinary incontinence
- Stress urinary incontinence
- Mixed urinary incontinence
- Stress urinary incontinence
- Urge urinary incontinence
- Risk for urge urinary incontinence
Class 2. Gastrointestinal function
- Impaired gastrointestinal motility
- Risk for impaired gastrointestinal motility
- Impaired intestinal elimination
- Risk for impaired intestinal elimination
- Chronic functional constipation
- Risk for chronic functional constipation
- Impaired fecal continence
- Risk for impaired fecal continence
Class 3. Integumentary function
This class does not currently contain any diagnoses
Class 4. Respiratory function
- Impaired gas exchange
Domain 4. Activity / rest
Class 1. Sleep / rest
- Ineffective sleep pattern
- Risk for ineffective sleep pattern
- Readiness for enhanced sleep pattern
- Ineffective sleep hygiene behaviors
- Risk for ineffective sleep hygiene behaviors
Class 2. Activity / exercise
- Impaired physical mobility
- Risk for impaired physical mobility
- Impaired bed mobility
- Impaired wheelchair mobility
- Impaired sitting ability
- Impaired standing ability
- Impaired transfer ability
- Impaired walking ability
Class 3. Energy balance
- Decreased activity tolerance
- Risk for decreased activity tolerance
- Excessive fatigue burden
- Impaired surgical recovery
- Risk for impaired surgical recovery
Class 4. Cardiovascular / pulmonary responses
- Risk for impaired cardiovascular function
- Risk for imbalanced blood pressure
- Risk for decreased cardiac output
- Risk for ineffective cerebral tissue perfusion
- Ineffective peripheral tissue perfusion
- Risk for ineffective peripheral tissue perfusion
- Ineffective breathing pattern
- Impaired spontaneous ventilation
- Impaired child ventilatory weaning response
- Impaired adult ventilatory weaning response
Class 5. Self-care
- Decreased self-care ability syndrome
- Risk for decreased self-care ability syndrome
- Readiness for enhanced self-care abilities
- Decreased bathing abilities
- Decreased dressing abilities
- Decreased feeding abilities
- Decreased grooming abilities
- Decreased toileting abilities
- Ineffective oral hygiene behaviors
- Risk for ineffective oral hygiene behaviors
Domain 5. Perception / cognition
Class 1. Attention
This class does not currently contain any diagnoses
Class 2. Orientation
This class does not currently contain any diagnoses
Class 3. Sensation / perception
This class does not currently contain any diagnoses
Class 4. Cognition
- Acute confusion
- Risk for acute confusion
- Chronic confusion
- Ineffective impulse control
- Disrupted thought processes
- Inadequate health knowledge
- Readiness for enhanced health knowledge
- Impaired memory
- Impaired decision-making
- Readiness for enhanced decision-making
- Impaired emancipated decision-making
- Risk for impaired emancipated decision-making
- Readiness for enhanced emancipated decision-making
Class 5. Communication
- Impaired verbal communication
- Risk for impaired verbal communication
- Readiness for enhanced verbal communication
Domain 6. Self-perception
Class 1. Self-concept
- Readiness for enhanced self-concept
- Disrupted personal identity
- Disrupted family identity syndrome
- Risk for disrupted family identity syndrome
- Risk for impaired human dignity
- Readiness for enhanced transgender social identity
Class 2. Self-esteem
- Chronic inadequate self-esteem
- Risk for chronic inadequate self-esteem
- Situational inadequate self-esteem
- Risk for situational inadequate self-esteem
- Inadequate health self-efficacy
Class 3. Body image
- Disrupted body image
Domain 7. Role relationship
Class 1. Caregiving roles
- Impaired parenting behaviors
- Risk for impaired parenting behaviors
- Readiness for enhanced parenting behaviors
- Excessive parental role conflict
Class 2. Family relationships
- Disrupted family interaction patterns
- Risk for disrupted family interaction patterns
- Impaired family processes
- Readiness for enhanced family processes
- Risk for disrupted attachment behaviors
Class 3. Role performance
- Ineffective role performance
- Ineffective intimate partner relationship
- Risk for ineffective intimate partner relationship
- Readiness for enhanced intimate partner relationship
- Impaired social interaction
- Ineffective childbearing process
- Risk for ineffective childbearing process
- Readiness for enhanced childbearing process
Domain 8. Sexuality
Class 1. Sexual identity
This class does not currently contain any diagnoses
Class 2. Sexual function
- Impaired sexual function
Class 3. Reproduction
- Risk for impaired maternal-fetal dyad
Domain 9. Coping / stress tolerance
Class 1. Post-trauma responses
- Post-trauma syndrome
- Risk for post-trauma syndrome
- Risk for disrupted immigration transition
Class 2. Coping responses
- Maladaptive coping
- Readiness for enhanced coping
- Maladaptive family coping
- Readiness for enhanced family coping
- Maladaptive community coping
- Readiness for enhanced community coping
- Excessive caregiving burden
- Risk for excessive caregiving burden
- Maladaptive grieving
- Risk for maladaptive grieving
- Readiness for enhanced grieving
- Impaired resilience
- Risk for impaired resilience
- Readiness for enhanced resilience
- Readiness for enhanced hope
- Inadequate self-compassion
- Excessive anxiety
- Excessive death anxiety
- Excessive fear
Class 3. Neurobehavioral responses
- Risk for autonomic dysreflexia
- Ineffective emotion regulation
- Impaired mood regulation
- Acute substance withdrawal syndrome
- Risk for acute substance withdrawal syndrome
Domain 10. Life principles
Class 1. Values
This class does not currently contain any diagnoses
Class 2. Beliefs
This class does not currently contain any diagnoses
Class 3. Value / belief / action congruence
- Moral distress
- Impaired spiritual well-being
- Risk for impaired spiritual well-being
- Readiness for enhanced spiritual well-being
- Impaired religiosity
- Risk for impaired religiosity
- Readiness for enhanced religiosity
Domain 11. Safety / protection
Class 1. Infection
- Impaired immune response
- Risk for infection
- Risk for surgical wound infection
Class 2. Physical injury
- Risk for physical injury
- Risk for burn injury
- Risk for cold injury
- Risk for corneal injury
- Risk for dry eye
- Risk for perioperative positioning injury
- Neonatal pressure injury
- Risk for neonatal pressure injury
- Risk for child pressure injury
- Child pressure injury
- Adult pressure injury
- Risk for adult pressure injury
- Risk for urinary tract injury
- Impaired tissue integrity
- Risk for impaired tissue integrity
- Impaired skin integrity
- Risk for impaired skin integrity
- Impaired nipple-areolar complex integrity
- Risk for impaired nipple-areolar complex integrity
- Impaired oral mucous membrane integrity
- Risk for impaired oral mucous membrane integrity
- Risk for child falls
- Risk for adult falls
- Risk for aspiration
- Ineffective airway clearance
- Risk for accidental suffocation
- Risk for excessive bleeding
- Risk for shock
- Risk for thrombosis
- Risk for impaired peripheral neurovascular function
- Risk for sudden infant death
- Risk for elopement attempt
Class 3. Violence
- Risk for other-directed violence
- Risk for female genital mutilation
- Risk for suicidal self-injurious behavior
- Non-suicidal self-injurious behavior
- Risk for non-suicidal self-injurious behavior
Class 4. Environmental hazards
- Contamination
- Risk for contamination
- Risk for accidental poisoning
- Risk for occupational illness
- Risk for occupational physical injury
Class 5. Defensive processes
- Risk for allergic reaction
- Risk for latex allergy reaction
Class 6. Thermoregulation
- Ineffective thermoregulation
- Risk for ineffective thermoregulation
- Decreased neonatal body temperature
- Risk for decreased neonatal body temperature
- Decreased body temperature
- Risk for decreased body temperature
- Risk for decreased perioperative body temperature
- Hyperthermia
- Risk for hyperthermia
Domain 12. Comfort
Class 1. Physical comfort
- Impaired physical comfort
- Readiness for enhanced physical comfort
- Impaired end-of-life comfort syndrome
Class 2. Environmental comfort
This class does not currently contain any diagnoses
Class 3. Social comfort
- Readiness for enhanced social comfort
- Inadequate social connectedness
- Inadequate social support network
- Excessive loneliness
- Risk for excessive loneliness
Class 4. Psychological comfort
- Impaired psychological comfort
- Readiness for enhanced psychological comfort
Domain 13. Growth / development
Class 1. Growth
- Delayed child growth
- Risk for delayed child growth
Class 2. Development
- Delayed child development
- Risk for delayed child development
- Delayed infant motor development
- Risk for delayed infant motor development
- Impaired infant neurodevelopmental organization
- Risk for impaired infant neurodevelopmental organization
- Readiness for enhanced infant neurodevelopmental organization
- Ineffective infant suck-swallow response
도움이 되었다면 구독, 공감♥ 꾹! 눌러주시면 큰 힘이 됩니다 :)
다음 번에는 한글 번역과 함께 디테일한 내용 추가해서 포스팅해볼게요!
널스프렌드의 유튜브 채널에도 들르셔서 유용한 영상도 확인해보세요~ ♥
☞ 널스프렌드 유튜브 채널에 놀러오세요 ♥
https://www.youtube.com/@nursefriend
널스프렌드 Nursefriend
RN 널스프렌드의 채널 - 의료인, 간호사를 위한 정보와 재밌는 건강 이야기 ❤️ 그리고 여기는 간호사와 예비 간호사를 위한 NANDA 간호진단과 간호과정, 케이스 스터디 맛집이에요! 핵심을 꼼꼼
www.youtube.com
감사합니다. 즐거운 하루하루 보내세요! :)
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