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A nurse-managed smoking cessation intervention during diagnostic testing for lung cancer
M E Wewers1, L Jenkins, T Mignery
1Ohio State University College of Nursing, Columbus, USA.
Purpose/Objectives:
To determine the effectiveness of a nurse-managed smoking cessation intervention.
Design:
Prospective, descriptive, one-group, pretest/post-test.
Setting:
Urban, academic, tertiary-care setting.
Sample:
Fifteen adult male and female smokers with a suspected diagnosis of lung cancer who were admitted to an inpatient thoracic surgery unit for diagnostic testing.
Methods:
Subjects received a nurse-managed smoking cessation intervention during hospitalization with subsequent verification of smoking status at a clinic visit six weeks postintervention.
Main Research Variables:
Self-reported smoking status and saliva cotinine levels at six weeks postintervention.
Findings:
Eighty-seven percent of subjects reported an intent to quit smoking within the month. At six weeks postintervention, 93% of the subjects reported at least one cessation attempt, and 40% were confirmed, via saliva cotinine analysis, as abstinent from smoking during the prior week.
Conclusions:
A nurse-managed smoking cessation intervention was successful in achieving short-term cessation.
Implications For Nursing Practice:
Hospitalization for diagnostic testing associated with lung cancer may represent an opportunity for nurses to deliver a smoking-cessation intervention.