Implementing the Agency for Health Care Policy and Research's Smoking Cessation Guideline in a lung cancer surgery clinic.
OBJECTIVE
To determine the effectiveness of a nurse-managed smoking cessation intervention based on the Agency for Health Care Policy and Research's (AHCPR's) Smoking Cessation Guideline in a lung cancer surgery clinic.


METHODS
Quasi-experimental.


METHODS
Urban, Midwest, academic, and tertiary care.


METHODS
25 adult male and female smokers with a confirmed diagnosis of lung cancer that had been surgically managed. Subjects were assigned to an intervention group (n = 14) or a usual-care group (n = 11).


METHODS
Participants in the intervention group received a nurse-delivered, AHCPR-based smoking cessation intervention that included face-to-face and phone follow-up contact beginning with the first preoperative clinic consultation. Usual-care participants received routine care provided at the institution.


METHODS
Self-reported smoking status with expired air carbon monoxide confirmation six months postsurgery.


RESULTS
Seventy-one percent of the intervention group was biochemically confirmed to be abstinent by expired air carbon monoxide, as compared to 55% in the usual-care group.


CONCLUSIONS
Smokers diagnosed with lung cancer desired to quit smoking and may benefit from an intensive smoking cessation intervention at time of diagnosis.


CONCLUSIONS
Further research should include continuing evaluation of an intensive smoking cessation intervention with this population, and all clinicians should be trained to implement AHCPR's Smoking Cessation Guideline in practice.
Browning
K K
KK
College of Medicine, Ohio State University, Columbus, USA.
Ahijevych
K L
KL
Ross
P
P
Wewers
M E
ME
D000328:Adult; D002173:Cancer Care Facilities; D003376:Counseling / Q000592:standards*; D003863:Depression; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000209:etiology / Q000523:psychology / Q000601:surgery*; D008297:Male; D009723:Nurse-Patient Relations; D009820:Ohio; D009859:Oncology Nursing; D010044:Outpatient Clinics, Hospital; D018579:Patient Selection; D017410:Practice Guidelines as Topic; D012189:Retrospective Studies; D016540:Smoking Cessation / Q000523:psychology / Q000706:statistics & numerical data*; D014029:Tobacco Use Disorder / Q000150:complications / Q000451:nursing* / Q000523:psychology; D016896:Treatment Outcome; D014481:United States; D016270:United States Agency for Healthcare Research and Quality