Abstract:Objective To construct a home self-management model of common immune-related adverse events (irAEs) in patients with lung cancer, and to provide reference for improving patients′ self-management ability and reducing the severity of irAEs.Methods Based on the Social Cognitive Theory, combined with literature analysis and semi-structured interviews, a preliminary draft of the home self-management model for common irAEs in patients with lung cancer was developed.Using Delphi methods, 28 experts were selected to conduct two rounds of consultation to reach a consensus.Results The effective return rate of the two Delphi expert consultations were 93.3% and 100%, and the expert authority coefficients were 0.88 and 0.91, respectively.In the second round of consultation,the coefficients of variation (CV) for the importance of each indicator ranged from 0.04 to 0.18, and the coefficient of Kendall′s coefficient of concordance (W) was 0.380 (P<0.05).The CV of feasibility of each indicator was 0.05-0.21, and the Kendall′s W was 0.387 (P<0.05).The final home self-management model of common irAEs in patients with lung cancer consisted of 5 first-level indicators information support, irAEs monitoring, irAEs treatment, daily life guidance and follow-up communication, 18 second-level indicators, and 46 third-level indicators.Conclusion The home self-management model of common irAEs in patients with lung cancer has good approval and feasibility by experts, and the effect of the home self-management model can be further verified.