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

ABSTRACT

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