Indicadores clínicos do diagnóstico de enfermagem “tensão do papel do cuidador”: uma revisão de acurácia

Abstract

Introduction: The increase in life expectancy consequently leads to long-term care needs, with this informal caregivers can experience overload and tension linked to the act of caring, with an influence on the well-being and health of the subjects, favoring, over time , the emergence of the effort to exercise its role. At this juncture, a condition called Caregiver Role Tension was instituted. Objective: To verify the clinical indicators of the Nursing Diagnosis “Caregiver role tension” described in the literature. Methodology: This is a systematic review of diagnostic accuracy, carried out in November 2022, following the recommendations of the Joanna Briggs Institute, its protocol was registered and approved in the Prospective International Register of Systematic Reviews, with the registration number: CRD42022377411 . QUADAS-2 was used to assess the risk of bias and study quality. The databases used were the US National Library of Medicine, Latin American and Caribbean Literature in Health Sciences, SciVerse Scopus, CINAHL with Full Text, PsycINFO and 48 journal articles were included for quantitative synthesis in this review. Results: The clinical indicators found were depressive symptoms (31%), anxiety (23%), emotional disturbance (20%), deterioration of physical health (13%), fatigue (13%), anguish (10%), interruption of sleep pattern (8%), irritability (9%) and role conflict (6%). The set of findings indicate that, under the circumstances and limitations defined in this research, the verification of clinical indicators for the diagnosis of Caregiver Role Tension has the potential to advance scientific knowledge about human responses through the casualties experienced by caregivers. Conclusion: Thus, this study contributes to the review and update of the diagnosis, collaborating to increase the level of its evidence.