THE STUDY OF DIFFERENT METHODS OF TEACHING THE DIFFERENTIAL DIAGNOSTICS OF ESSENTIAL RESISTANT AND PSEUDORESISTANT ARTERIAL HYPERTENSION FOR RESIDENTS ON SPECIALITY “GENERAL PRACTICE – FAMILY MEDICINE”
DOI:
https://doi.org/10.11603/me.2414-5998.2017.4.8298Keywords:
resistant arterial hypertension, pseudo-resistant hypertension, differential diagnostics.Abstract
The aim of the work – to evaluate the effectiveness of mastering residents improved by us method of differential diagnostics of essential resistant arterial hypertension (RAH) and pseudo-resistant arterial hypertension (PRAH) in comparison with conventional procedures.
The main body. The study included 120 patients (men – 68 (56.7 %); women – 52 (43.3 %); average age 55±8.8 years) with a stable course of hypertension. All patients had a baseline blood pressure (BP) above 140/90 mm hg while receiving 3 or more antihypertensive drugs, one of which was a diuretic. The first year residents of training were divided into two groups: group I – control (30 residents) – processed the conventional method of differential diagnosis of RAH and PRAH; group II (30 residents) – studied new method of differential diagnosis of RAH and PRAH.
The time period for differential diagnostics of RAH and PRAH by our methodology averaged 3.9±2.6 days, comparing to traditional methodology – 16.4±6.8 days, (p<0.01). Introduction of new methodology allowed the residents of basic group to be better oriented in reasons of secondary forms of RAH – 25 (83.3±6.8 %) residents, comparing to the control group – 14 (46.7±9.1 %) residents, (p<0.01). This work allowed increasing the knowledge about methods of differential diagnostics RAH and PRAH in the basic group of residents from 12 (40.0±8.9 %) to 24 (80.0±7.3 %), (p<0.001), and from 14 (46.7±9.1 %) to 18 (60.0±8.9 %) in the control group of residents (p>0.5).
Conclusion. Advanced by us methods of teaching knowledge and skills of differential diagnostics of RAH and PRAH, significantly reduces its time and reliably improve the assimilation of knowledge and practical skills of medical interns in specialty «General Practice – Family Medicine».
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