Assessment of the Quality of Life of Patients with Diabetic Polyneuropathy Using Hydrogen Sulphide Baths

Abstract

Aim: Evaluation of the effect of hydrogen sulfide baths on the quality of life of patients with diabetic polyneuropathy. Materials and Methods: 125 patients with type 2 diabetes mellitus complicated by diabetic polyneuropathy were examined. The patients were divided into 2 groups: the 1st group included 61 patients who received standard treatment in outpatient settings, whereas 64 patients of the 2nd group, in addition to standard treatment, received hydrogen sulfide baths in sanatorium conditions. Quality of life was assessed using the EQ-5D-3L questionnaire before treatment, followed by subsequent assessments made 14 days, 3 and 6 months after the treatment, to assess the durability of the effect. Results: Positive changes in physical, psychological and social condition were noted in all studied patients, and the patients who took hydrogen sulfide baths managed to achieve statistically significant positive changes and maintain positive dynamics for 3 months. However, after 6 months, quality of life indicators began to decrease, which shows the need for a repeated course of balneotherapy to be taken no later than 6 months. Conclusions: The use of hydrogen sulfide baths in the complex treatment of diabetic polyneuropathy improves the quality of life of patients for up to 6 months.