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Oncol Nurs Forum. 2000 Sep;27(8):1248-54.

Implementing the Agency for Health Care Policy and Research's Smoking Cessation Guideline in a lung cancer surgery clinic.

Author information

1
College of Medicine, Ohio State University, Columbus, USA.

Abstract

PURPOSE/OBJECTIVES:

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.

DESIGN:

Quasi-experimental.

SETTING:

Urban, Midwest, academic, and tertiary care.

SAMPLE:

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.

MAIN RESEARCH VARIABLES:

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

FINDINGS:

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.

IMPLICATIONS FOR NURSING PRACTICE:

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.

PMID:
11013905
[Indexed for MEDLINE]

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