Abstract：
:Caring, a core tenet of nursing practice, grew out of a holistic approach. Nurse theorists often note the establishment of a therapeutic relationship as the beginning point of caring, with subsequent nursing interventions reliant upon this relationship for effectiveness. Relational exchange serves as a source of either stress or healing between participants, and rarely is its impact neutral. Relational stress, in fact, has become a primary contributor to many disease processes in terms of promotion and progression and perhaps even initiation. Patient-provider relationships have a long history in medical and nursing literature as critical to providing effective interventions, but our understanding of relational dynamics between patients and providers remains fairly superficial. This theoretical article adapts a previously described biobehavioral model to illustrate the nature and centrality of caring relationships in nursing practice. The dynamic process of face-to-face engagement is deconstructed from a psychobiological standpoint in order to understand the physiological, emotional, cognitive, and behavioral impacts of relational interaction. This understanding is then applied to the patient-provider relationship. Finally, the utility of biomarkers of stress, positive emotion and resonance, and of disease is discussed relative to the patient-provider relationship. Methodological and interpretive challenges inherent in this line of research, along with suggestions to address such challenges, are also presented.
journal_name
Biol Res Nursjournal_title
Biological research for nursingauthors
Zender R,Olshansky Edoi
10.1177/1099800412450505subject
Has Abstractpub_date
2012-10-01 00:00:00pages
419-30issue
4eissn
1099-8004issn
1552-4175pii
1099800412450505journal_volume
14pub_type
杂志文章abstract：:Cytokines such as angiogenin (ANG) and interleukin (IL-8) have been shown to be related to depressive symptoms and inflammatory diseases like coronary heart disease. They may thus be used as stress biomarkers to identify and prevent health problems. To investigate the relationship between cytokines and nurses' job-rel...
journal_title：Biological research for nursing
pub_type： 杂志文章
doi：10.1177/1099800408323219
更新日期：2008-10-01 00:00:00
abstract：INTRODUCTION:Plasma concentrations of lipids (i.e., total cholesterol, high-density cholesterol, low-density cholesterol, and triglycerides) are amenable to therapeutic intervention and remain important factors for assessing risk of cardiovascular diseases. Some of the observed variability in serum lipid concentrations...
journal_title：Biological research for nursing
pub_type： 杂志文章
doi：10.1177/1099800417752246
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abstract：:The effects of a 12-week low-intensity exercise conditioning program (walking) on blood pressure (BP), heart rate (HR), rate-pressure product (RPP), and cardiac autonomic function were measured in 40 sedentary women with hypertension. Women were assigned to either an exercise group (n = 20) or a control group (n = 20)...
journal_title：Biological research for nursing
pub_type： 杂志文章
doi：10.1177/1099800412461562
更新日期：2013-10-01 00:00:00
abstract：:The purpose of this study was to examine whether the hepatitis B seroconversion rates in a small sample of subjects reflected that of the published rates, regardless of HIV status, after a hepatitis B vaccination series was completed while following strict vaccine protocols. The study, which had a nonexperimental, cor...
journal_title：Biological research for nursing
pub_type： 杂志文章
doi：10.1177/1099800414524619
更新日期：2015-01-01 00:00:00
abstract：:Shift work schedules, intensive physical exercise late in the day, psychological stress, or a busy lifestyle might induce disorders of the circadian structure, which can affect health on both the physiological and neurobehavioral levels. Rest-activity rhythm is strongly connected with an organism's circadian structure...
journal_title：Biological research for nursing
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doi：10.1177/1099800411416224
更新日期：2013-01-01 00:00:00
abstract：:For precision health care to be successful, an in-depth understanding of the biological mechanisms for symptom development and severity is essential. Omics-based research approaches facilitate identification of the biological underpinnings of symptoms. We reviewed literature for omics-based approaches and exemplar sym...
journal_title：Biological research for nursing
pub_type： 杂志文章,评审
doi：10.1177/1099800417751069
更新日期：2018-03-01 00:00:00
abstract：:Multiple chemical sensitivity (MCS) is a chronic condition prevalent in women; the symptoms are reproducible with repeated low-level chemical exposure. Evidence gathered through clinical observations suggests that women with MCS may be at risk for autonomic nervous system dysfunction as evidenced by abnormal heart rat...
journal_title：Biological research for nursing
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更新日期：2009-01-01 00:00:00
abstract：:The purpose of this study was to compare physiological and psychological reactions among Taiwanese women with different degrees of severity of nausea and vomiting (NV) during pregnancy. Based on their scores on the Index of Nausea, Vomiting, and Retching (INVR), 59 pregnant women ≥ 18 years of age, with single gestati...
journal_title：Biological research for nursing
pub_type： 杂志文章
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更新日期：2011-10-01 00:00:00
abstract：OBJECTIVE:To investigate associations between components of cumulative risk (CR) and physiological stress responses in African American adolescents and evaluate emotion regulation as a mediator and sex as a moderator of these associations. METHODS:Cortisol and salivary alpha amylase (sAA) were collected in adolescents...
journal_title：Biological research for nursing
pub_type： 杂志文章
doi：10.1177/1099800417702742
更新日期：2017-07-01 00:00:00
abstract：:This article explores ethical concerns and emerging dilemmas associated with the proliferation of information resulting from the extraordinary advances in molecular genetics. It provides an overview of the ethical and legal challenges associated with predictive testing for inherited disease currently being addressed i...
journal_title：Biological research for nursing
pub_type： 杂志文章,评审
doi：10.1177/109980040100300104
更新日期：2001-07-01 00:00:00
abstract：:The prevalence of obesity and obesity-related illnesses is higher among Hispanics (Latinos) than other racial and ethnic groups, and rates increase exponentially with the number of years living in the United States. Mounting evidence suggests that the origins of many chronic illnesses among disadvantaged minority grou...
journal_title：Biological research for nursing
pub_type： 杂志文章,评审
doi：10.1177/1099800412457017
更新日期：2012-10-01 00:00:00
abstract：BACKGROUND:Incidence rates of both type 1 and type 2 diabetes mellitus (DM) are increasing in youth and may eventually contribute to premature heart disease in early adulthood. This investigation explored the influence of type of diabetes, gender, body mass index (BMI), metabolic control (HbA1c), exercise beliefs and p...
journal_title：Biological research for nursing
pub_type： 杂志文章
doi：10.1177/1099800405275202
更新日期：2005-07-01 00:00:00
abstract：:Stress during pregnancy has been associated with a number of adverse outcomes. This study compared and correlated neuroendocrine parameters in women (n=8) who self-reported battering during their pregnancy to those in women who did not (n=8). Women who identified themselves as having a violent relationship with an int...
journal_title：Biological research for nursing
pub_type： 杂志文章
doi：10.1177/1099800405283182
更新日期：2006-01-01 00:00:00
abstract：BACKGROUND:Leptin and adiponectin, two adipokines involved in glucose and lipid metabolism, have been linked to regulation of growth in early infancy, energy balance, and metabolic disorders in childhood. The aim of this study was to determine if concentrations of leptin and adiponectin could be measured reliably in in...
journal_title：Biological research for nursing
pub_type： 杂志文章
doi：10.1177/1099800420973366
更新日期：2020-11-28 00:00:00
abstract：OBJECTIVE:Although the roles of testosterone and cortisol in various health problems have been extensively investigated, little is known about their associations with health outcomes in mothers and their very-low-birthweight (VLBW) infants when maternal testosterone and cortisol are examined together during the postpar...
journal_title：Biological research for nursing
pub_type： 杂志文章
doi：10.1177/1099800417703704
更新日期：2017-07-01 00:00:00
abstract：RESULTS:hs-CRP correlated significantly with SLEDAI-2K (p = .036), SDI (p = .00), anti-dsDNA titers (p = .034), diabetes (p = .005), and obesity (p = .027). hs-CRP and Hcy correlated with triglyceride (TG) levels (p = .032 and p < .001, respectively), TG/high-density lipoprotein cholesterol index (p = .020 and p = .001...
journal_title：Biological research for nursing
pub_type： 杂志文章
doi：10.1177/1099800419889192
更新日期：2020-04-01 00:00:00
abstract：:The purpose of this study was to longitudinally describe changes in heart rate variability (HRV) from 28 to 34 weeks postmenstrual age (PMA). A convenience sample of 31 low-risk preterm infants participated. HRV was quantified using a spectral analysis of heart periods and recorded during seven weekly test sessions fr...
journal_title：Biological research for nursing
pub_type： 杂志文章
doi：10.1177/1099800409341175
更新日期：2010-01-01 00:00:00
abstract：PURPOSE:In recent years, researchers have noted an "obesity paradox," where individuals with obesity survive sepsis at higher rates than their nonobese counterparts. This systematic review summarizes the literature on studies examining the association between obesity and 1-year mortality among patients admitted with se...
journal_title：Biological research for nursing
pub_type： 杂志文章
doi：10.1177/1099800419876070
更新日期：2020-01-01 00:00:00
abstract：:Self-management programs that include cognitive behavioral strategies have been shown to improve gastrointestinal (GI) symptoms, psychological distress, and quality of life (QoL) in persons with irritable bowel syndrome (IBS). However, less is known about the physiological impact of such a change. As part of a randomi...
journal_title：Biological research for nursing
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更新日期：2013-01-01 00:00:00
abstract：OBJECTIVE:Proinflammatory activity has been suggested as one of the psychophysiological mechanisms responsible for the health risks associated with stress and mood disorders. There have been limited studies evaluating central immune and hypothalamic- pituitary-adrenal (HPA) axis responses to experimental stress in heal...
journal_title：Biological research for nursing
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更新日期：2011-04-01 00:00:00
abstract：:During the menopausal transition and early postmenopause, participants in the Seattle Midlife Women's Health Study (SMWHS) experienced one of the three symptom severity clusters identified through latent class analysis: severe hot flashes with moderate sleep, mood, cognitive, and pain symptoms (high-severity hot flash...
journal_title：Biological research for nursing
pub_type： 杂志文章
doi：10.1177/1099800417753536
更新日期：2018-03-01 00:00:00
abstract：BACKGROUND:To report the complexity and richness of study variables within biological nursing research, authors often use tables; however, the ease with which consumers understand, synthesize, evaluate, and build upon findings depends partly upon table design. OBJECTIVES:To assess and compare table characteristics wit...
journal_title：Biological research for nursing
pub_type： 杂志文章
doi：10.1177/1099800417724901
更新日期：2018-01-01 00:00:00
abstract：OBJECTIVE:We examined genomic variation potentially associated with the cortisol stress response in children having a painful medical procedure. DESIGN:Children 4-10 years old having a peripheral intravenous line inserted provided saliva samples for evaluation of the cortisol response as a biological measure of distre...
journal_title：Biological research for nursing
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更新日期：2019-03-01 00:00:00
abstract：OBJECTIVE:This study examined adherence to a personalized, community-based exercise intervention by sedentary adolescents with type 1 or type 2 diabetes or those with obesity. RESEARCH DESIGN AND METHODS:We conducted a pretest-posttest investigation to explore the application of an individualized exercise prescription...
journal_title：Biological research for nursing
pub_type： 杂志文章
doi：10.1177/1099800413500064
更新日期：2014-01-01 00:00:00
abstract：INTRODUCTION:Diabetes is a serious health problem affecting approximately 29.1 million individuals in the United States. Another 86 million have prediabetes. The development and implementation of lifestyle modifications such as physical activity for these persons are among the most effective methods for prevention and ...
journal_title：Biological research for nursing
pub_type： 杂志文章
doi：10.1177/1099800418767572
更新日期：2018-07-01 00:00:00
abstract：:Cytokines are small signaling proteins released from a variety of cells that influence virtually every aspect of growth and development and every host response to infection, injury, and inflammation. Because of their widespread and potent effects across the life span, cytokines without a doubt influence nursing resear...
journal_title：Biological research for nursing
pub_type： 杂志文章,评审
doi：10.1177/109980040000200105
更新日期：2000-07-01 00:00:00
abstract：BACKGROUND:Eating disorders are a significant cause of morbidity and mortality. The etiology and maintenance of eating-disorder symptoms are not well understood. Evidence suggests that there may be gustatory alterations in patients with eating disorders. OBJECTIVE:This article systematically reviews research assessing...
journal_title：Biological research for nursing
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更新日期：2020-01-01 00:00:00
abstract：:The theoretical constructs of allostasis and allostatic load (AL) have contributed to our understanding of how constantly changing social and environmental factors impact physiological functioning and shape health and aging disparities, particularly along socioeconomic, gendered, racial, and ethnic lines. AL represent...
journal_title：Biological research for nursing
pub_type： 杂志文章,评审
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更新日期：2012-10-01 00:00:00
abstract：:The purpose of this study was to describe the sleep patterns and fatigue of both mothers and fathers before and after childbirth. The authors used wrist actigraphy and questionnaires to estimate sleep and fatigue in 72 couples during their last month of pregnancy and 1st month postpartum. Both parents experienced more...
journal_title：Biological research for nursing
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更新日期：2004-04-01 00:00:00
abstract：BACKGROUND:Drug addiction is a multifactorial disorder. Researchers have posited that an individual's inherited behavioral propensity or temperament contributes to the disorder by shaping a personality strongly linked with the risk of drug abuse. Further, they hypothesize that the polymorphism of dopamine D2 receptor i...
journal_title：Biological research for nursing
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更新日期：2012-04-01 00:00:00
