Comparing between the healing effects of chamomile solution and topical steroid on peristomal skin wound

Peristomal skin breakdown is one of the most common complications of ostomy. This problem results in physical, psychosocial and economical complications for patients with negative impact on adaptative behaviors and, to some extent, reduce their ability in stoma care and other duties. Since steroids have different side effects in healing process, methods with less adverse reactions are sought by researchers. This clinical trial was conducted to compare between the healing effects of chamomile solution and topical steroids on peristomal skin wounds of colostomy patients. 72 patients in two groups with some degree of peristomal skin breakdown reffering to Tehran Ostomy Association participated in the study. Data were collected by a 2-part form regarding demographic and disease characteristics and an observational checklist to measure the healing process. In 36 patients, chamomile compress was used twice a day and in other patients hydrocortisone 1% ointment was used once a day. Healing process was evaluated 3, 6, 9, 12 and 15 days after the interventions. Findings indicated a significant difference between the two groups, i.e., healing took place more quickly in chamomile group than hydrocortisone group. It seems that chamomile solution is more effective than hydrocortisone in healing of peristomal wounds. Therefore, it is recommended for these wounds

Effects of touch on O[2] saturation in newborns with respiratory distress syndrome

Approximately, 7% of all newborns weigh less than 1500 gr. 10% - 15% of newborns less than 2500 gr. may develop respiratory distress syndrome. Because of their anatomic, chemical and physiologic immaturity and instability, premature infants are unable to fully modulate extrauterine stressors, a critical challenge for care providers. A wide variety of sensory stimulations has been found to be beneficial for premature infants. This quasi-experimental research was conducted to determine the effects of touch on oxygen saturation of arterial blood in newborns with respiratory distress syndrome. Subjects in this clinical trial included 37 affected infants in neonatal intensive care unit of Mofid Pediatric Hospital. An information form and a pulse oxymeter were used for data collection. Validity of the form was measured by content validity. The pulse oxymeter was selected from famous brands to ensure its validity. It was then calibrated for reliability. Data was collected in 3 consecutive days. At first, oxygen saturation was checked and, after 5 minute, the subjects were touched for 5 minutes. O[2] saturation was then checked after 5 and 15 minutes again. Findings showed that oxygen saturations 5 and 15 minutes after touch were more than those of before touch [p<0.01]. However, there was no significant difference between saturations 5 and 15 minutes after touch. There was also no significant difference between saturations over 3 days. Findings suggest that touch can increase O[2] saturation. For nurses working at NICUs, the importance of touch should be emphasized in the care of premature infants. Further research in this regard is warranted