The aim of the work was to study the psycho-vegetative state of students using standardized questionnaires. Materials and methods of research. The study involved students of 18–20 y/o, I–II course of the medical university. According to the results of screening of 448 students, we used a standardized questionnaire by OM Vein. There were 82 people with signs of autonomic dysfunction, which comprised the main study group. To assess the state of autonomic balance, we used cardiointervalography; to verify the hyperventilation syndrome, we used the Nijmegen questionnaire; to assess the psycho-emotional state and anxiety, we used the State-Trait Anxiety Inventory. Results of the research. Among 82 students with signs of autonomic dysfunction, the average score by the Vein scale was 36.12 ± 4.26 points (p ˂ 0.001) vs. 15 points denoting the norm. Subjective symptoms identified by the Vein scale closely correlated with the results of the Nijmegen questionnaire. A positive indicator of the latter – 36.24 ± 1.26 points – was observed in 71.95 % of people, which indicated the presence of hyperventilation syndrome in this group of students. The rest of the students in the main group had a negative result (less than 23 points), although according to the Vein scale, they had signs of autonomic dysfunction, which could indicate a certain premorbid condition. According to the State-Trait Anxiety Inventory, among the 82 people surveyed, students with signs of personal anxiety scored the most points, which were accompanied by emotional "explosions" (56.1 %), neurotic conflicts (35.37 %), feelings of insecurity (46.34 %) and anxiety (37.8 %), etc. We found an association between signs of anxiety and hyperventilation syndrome (r = 0.76). According to the results of the assessment, against the background of anxiety and neurotic symptoms and manifestations of hyperventilation syndrome, the results of the survey revealed signs of somatoform autonomic dysfunction in a significant proportion of students (71.95 %) of the main group, including complaints of respiratory, circulatory and gastrointestinal nature. The lack of isolated psychological markers specific to each psychosomatic disorder should also be noted. Thus, the identified signs of autonomic imbalance by the Vein questionnaire were significantly correlated with the manifestations of hyperventilation syndrome, increased anxiety, somatoform abnormalities, which is the evidence of statistical significance and informativeness of the results of the surveys. Conclusions. Screening surveys among students using standardized questionnaires, analysis of heart rate variability allows identifying a risk group with manifestations of psycho-vegetative dysfunction, maladaptation syndrome and recommending the use of certain health measures to improve quality of life, professional activity.
Annotation. One of the most widespread pathogenic condition, among young women, is idiopathic arterial hypertension which significantly worsen the life condition, learning abilities and in future can lead to the development of arterial hypertension, ischemic heart disease, complicate course of the pregnancy and delivery. The aim of the research was to examine the functional state of cardiorespiratory system in female students of 1-3rd year of high school with the signs of idiopathic arterial hypertension under the fixed stress- test. The main group consisted of 32 female students of 1-3rd year of high school with idiopathic arterial hypertension. The control group was formed from almost healthy female students from the same years of study. The treadmill (Biomedical Systems), due to Bruce protocol, was used for estimating the level of tolerance to physical pressure. To assess the degree of reliability of the results of the study used a variational-statistical method of analysis of the results using a package of statistical programs Statistica V. 10 (USA) and the recommendations of O. Yu. Rebrova (2002). Under the treadmill test it was revealed the decrease of tolerance to physical pressure in female students from the main group on 31,24% (р<0,05), in comparison to the MET numbers got in the control group (37,11±2,16) ml/kg/min. Under stress-test reliable increase of heart rate in control group was observed after 6-8 minutes of training, in female students from control group the same reaction was observed after 3-5 min of training without its further increase. The increase of SBP in the main group at the peak of training was (20,88±3,12)%, in the control group – this index was completely higher (27,88±3,36)% (р<0,01). After the finishing of the stress test in the female students of the main group the duration of their heart rhythm and arterial pressure reviving was (9,85±1,22) min., that overcame the result got in control group (6,24±0,67) min. Thus, the treadmill test allows exactly reveal the level of cardiorespiratory system adaptation to physical pressure, aerobic capacity in young women with the signs of idiopathic arterial hypertension.
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