Implementation and Evaluation of Hospital-to-Home Transitional Care Intervention in Patients with Chronic Heart Failure

Implementation Ond Evaluation of Hospital-to-Home Transitional Care Intervention in Patients with Chronic Heart Failure

This study lasted for a total of three months. The purpose is to build a hospital-family transitional nursing intervention program for patients with chronic heart failure, and to explore the effectiveness of the program on the self-management of patients with chronic heart failure, in order to provide certain empirical research for the clinical intervention of transitional nursing for patients with chronic heart failure. If you have any questions or difficulties, you can withdraw from this study at any time, which will not affect your treatment and nursing. The purpose of this study is to improve your self-care level and prevent your re-admission. It will not harm your physical and mental health and will not have a negative impact on the relationship between patients and nursing. You participate in this study and The personal data in the study is confidential, and any public report on the results of this study will not disclose your personal identity.

Inclusion Criteria:

• It meets the diagnostic criteria of the New York Heart Association (NYHA) for CHF, and the heart function level is II to III;
• Age ≥18 years old;
• The condition is stable and meets the standard of being discharged from the hospital;
• Clear consciousness, no communication barriers, able to understand and fill in the questionnaire correctly;
• Informed consent and voluntary participation in this study.

Exclusion Criteria:

• Patients with hepato-renal disfunction, sequelae of stroke, dementia;
• Patients with a history of mental disorders or already having mental disorders, critically ill patients.