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Objective: To investigate the effect of the self-management programme on the prognosis in patients with chronic heart failure.Methods: 62 patients with chronic heart failure, New York Heart Association Functional Class III orⅣ, were randomly divided into the intervention and control group. The control group were only given routine therapy and usual follow-up; the intervention group were given self-management programme which was based on the model of the self-management theory and included systematic health education about CHF during hospitalization and health guidence, telephone- or home- based interventions after discharge. Before and 10 months after intervention, (1) cardiac function index (BNP、LVEF、NYHA), (2)self-management capacity, health related quality of life , (3)the mortality,rehospitalization rate, average length of stay of the two patient groups were recorded.Results: Cardiac function index (BNP, LVEF, NYHA), self-management capacity, health related quality of life , rehospitalization rate, average length of stay of intervention group were markedly improved. The difference had a statistical significance(P<0.01), the mortality of the intervention group was lower than that of the control group, which did not have a statistical significance(P >0.05).Conclusion: Standard self-management programme for patients with chronic heart failure improved the clinic prognosis of the patients with chronic heart failure.
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