Implementing the Agency for Health Care Policy and Research's Smoking Cessation Guideline in a Lung Cancer Surgery Clinic

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


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.

MeSH terms

  • Adult
  • Cancer Care Facilities
  • Counseling / standards*
  • Depression
  • Female
  • Humans
  • Lung Neoplasms / etiology
  • Lung Neoplasms / psychology
  • Lung Neoplasms / surgery*
  • Male
  • Nurse-Patient Relations
  • Ohio
  • Oncology Nursing*
  • Outpatient Clinics, Hospital
  • Patient Selection
  • Practice Guidelines as Topic*
  • Retrospective Studies
  • Smoking Cessation / psychology
  • Smoking Cessation / statistics & numerical data*
  • Tobacco Use Disorder / complications
  • Tobacco Use Disorder / nursing*
  • Tobacco Use Disorder / psychology
  • Treatment Outcome*
  • United States
  • United States Agency for Healthcare Research and Quality