| 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 orâ…£, 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. |
PDF Full Text Request