Ìåòà. Ìåòîþ äàíîãî äîñë³äæåííÿ º âèâ÷åííÿ âïëèâó ³ííîâàö³éíèõ ôîðì äåðæàâíî¿ àòåñòàö³¿ (ë³öåíç³éíîãî ³íòåãðîâàíîãî ³ñïèòó Êðîê òà îá’ºêòèâíîãî ñòðóêòóðîâàíîãî êë³í³÷íîãî ³ñïèòó) íà ñåðöåâî-ñóäèííó ñèñòåìó âèïóñêíèê³â ìåäè÷íîãî óí³âåðñèòåòó.
Îá’ºêò òà ìåòîäè äîñë³äæåííÿ. Íàìè ðîçïî÷àòî äîñë³äæåííÿ âïëèâó íîâèõ ôîðì äåðæàâíî¿ àòåñòàö³¿ íà îðãàí³çì âèïóñêíèê³â ³, çîêðåìà, áóëî ïðîâåäåíî âèâ÷åííÿ îñîáëèâîñòåé ðåàãóâàííÿ ñåðöåâî-ñóäèííî¿ ñèñòåìè ñòóäåíò³â ï³ä ÷àñ ë³öåíç³éíîãî ³íòåãðîâàíîãî ³ñïèòó Êðîê ³ îá’ºêòèâíîãî ñòðóêòóðîâàíîãî êë³í³÷íîãî ³ñïèòó.
Äëÿ îö³íêè ñòàíó ñåðöåâî-ñóäèííî¿ ñèñòåìè ïðîâîäèëè âèâ÷åííÿ àðòåð³àëüíîãî òèñêó, çîêðåìà ñèñòîë³÷íîãî òèñêó, ä³àñòîë³÷íîãî òèñêó, à òàêîæ ÷àñòîòè ñåðöåâèõ ñêîðî÷åíü çà çàãàëüíîïðèéíÿòèìè ìåòîäèêàìè ó ñòóäåíò³â êîíòðîëüíî¿ (115 ÷îë.) òà äîñë³äíî¿ (129 ÷îë.) ãðóï.
Ñòàí âåãåòàòèâíî¿ íåðâîâî¿ ñèñòåìè âèçíà÷àëè çà ïîêàçíèêàìè âåãåòàòèâíîãî ³íäåêñó Êåðäî (²Ê).
Ðåçóëüòàòè äîñë³äæåííÿ òà ¿õ îáãîâîðåííÿ. Ó õîä³ ïðîâåäåíèõ äîñë³äæåíü âïëèâó íîâèõ ôîðì äåðæàâíî¿ àòåñòàö³¿ íà âèïóñêíèê³â ìåäè÷íîãî óí³âåðñèòåòó âèÿâëåíî çì³íè ôóíêö³îíàëüíîãî ñòàíó ñåðöåâî-ñóäèííî¿ òà âåãåòàòèâíî¿ íåðâîâî¿ ñèñòåì îðãàí³çìó ó ïîð³âíÿíí³ ç êîíòðîëüíîþ ãðóïîþ ñòóäåíò³â.
Ðåçóëüòàòè äîñë³äæåíü ñâ³ä÷àòü ïðî òå, ùî çàïðîâàäæåííÿ ó íàâ÷àëüíèé ïðîöåñ íîâèõ ôîðì äåðæàâíî¿ àòåñòàö³¿ ìຠíåîäíîçíà÷íèé õàðàêòåð.
ϳä ÷àñ ñêëàäàííÿ ë³öåíç³éíîãî ³íòåãðîâàíîãî ³ñïèòó Êðîê òà ï³ä ÷àñ îá’ºêòèâíîãî ñòðóêòóðîâàíîãî êë³í³÷íîãî ³ñïèòó, ó ïîð³âíÿíí³ ç êîíòðîëüíîþ ãðóïîþ, ïîêàçíèêè ñèñòîë³÷íîãî òà ä³àñòîë³÷íîãî òèñêó ñóòòºâî ï³äâèùóþòüñÿ.
ϳñëÿ ïðîâåäåííÿ îá’ºêòèâíîãî ñòðóêòóðîâàíîãî êë³í³÷íîãî ³ñïèòó â³äáóâàºòüñÿ ñóòòºâå çíèæåííÿ ñèñòîë³÷íîãî òèñêó ó ïîð³âíÿíí³ ç âèõ³äíèì ð³âíåì.
Äî ³ ï³ñëÿ ³ñïèò³â ó âèïóñêíèê³â ñóòòºâî çðîñòຠ³ ÷àñòîòà ñåðöåâèõ ñêîðî÷åíü.
ϳä ÷àñ ïðîâåäåííÿ îá’ºêòèâíîãî ñòðóêòóðîâàíîãî êë³í³÷íîãî ³ñïèòó â³äáóâàþòüñÿ ñóòòºâ³ çì³íè ñòàíó âåãåòàòèâíî¿ íåðâîâî¿ ñèñòåìè çà ïîêàçíèêàìè âåãåòàòèâíîãî ³íäåêñó Êåðäî: ïåðåâàæຠñèìïàòîòîí³ÿ.
Âèñíîâêè. Íîâ³ ôîðìè äåðæàâíî¿ àòåñòàö³¿ íåñïðèÿòëèâî âïëèâàþòü íà ôóíêö³îíàëüíèé ñòàí îðãàí³çìó ñòóäåíò³â, âèêëèêàþ÷è äîíîçîëîã³÷í³ çì³íè â ñåðöåâî-ñóäèíí³é òà âåãåòàòèâí³é íåðâîâ³é ñèñòåìàõ, ùî ìîæå ñïðè÷èíèòè íåãàòèâí³ çì³íè ó ñòàí³ ¿õíüîãî çäîðîâ’ÿ.
Íåîáõ³äíî ïðîäîâæèòè òà ïîãëèáèòè äîñë³äæåííÿ âïëèâó îá’ºêòèâíîãî ñòðóêòóðîâàíîãî êë³í³÷íîãî ³ñïèòó ÿê íîâîãî ã³ã³ºí³÷íîãî ôàêòîðó òà âðàõîâóâàòè ¿õ ï³ä ÷àñ íàñòóïíèõ ðåôîðìóâàíü âèùî¿ ìåäè÷íî¿ îñâ³òè.

Âèïóñêíèêè, äåðæàâíà àòåñòàö³ÿ, ñåðöåâî-ñóäèííà ñèñòåìà, âåãåòàòèâíà íåðâîâà ñèñòåìà.

1. Serdiuk AM, Polka NS, Yeremenko HM [Hygienic problems of preserving children's health in modern conditions of education reform in Ukraine]. Hygiene of Populated Places. 2004;43:402-6. Ukrainian.

2. [On making changes to the curriculum for the training of specialists of the educational and qualification level "specialist" qualification "doctor" in higher educational institutions of the IV accreditation level in the specialties "medical affairs", "pediatrics", "medical and preventive affairs": Order of the Ministry of Health of Ukraine dated July 8, 2010 No. 539]. Kyiv; 2010. Ukrainian.

3. [On the approval of the Regulation on the organization and procedure for conducting state certification of students studying in higher educational institutions of III-IV accreditation levels in the field of "Medicine" training: Order of the Ministry of Health of Ukraine dated January 31, 2005 No. 53]. Kyiv; 2005. Ukrainian.

̳çþê Ì.²., Ñóñëèê Ç.Á., Ìåëüíèê Â.²., Òîêàð ².Ò. Îñîáëèâîñò³ ôóíêö³îíàëüíîãî ñòàíó ñåðöåâî-ñóäèííî¿ ñèñòåìè ñòóäåíò³â ï³ä ÷àñ çàïðîâàäæåííÿ ³ííîâàö³éíèõ ôîðì äåðæàâíî¿ àòåñòàö³¿. ó㳺íà íàñåëåíèõ ì³ñöü : çá. íàóê. ïð. Ê., 2023. Âèï. 73. Ñ. 151-5.