| content of evidence | The evidence level | Recommended level |
| 1. It is suggested to set up a multidisciplinary team of heart failure volume management, including cardiology specialists, cardiovascular specialist nurses, general practitioners, pharmacists, dietitians, rehabilitation therapists, psychologists, social workers, case managers, information engineers, family caregivers, et al. [2] . | IIIa | A |
| 2. HF multidisciplinary programs reduce readmissions by targeting some known risk factors as well as patient-related behavioral factors. | IIIa | B |
| 3. Multi-disciplinary team cooperation for patients with chronic patients should include: attending doctors who have received specialized training in heart failure patients, specialized nurses, and healthcare professionals with professional knowledge of heart failure prescription. | IIIb | B |
| 4. Volume management scheme can effectively reduce the readmission rate of patients, stabilize the condition, and improve the prognosis of patients [3] . | Ib | A |
| 5. Educational programs involved in a multidisciplinary team can improve the treatment dependence and self-care ability of chronic NAD patients and caregivers [3] . | Ib | B |
| 6. Educate patients to self-manage diuretic and fluid intake, and monitor body quality and urine volume. If the body mass is found to increase continuously (such as 2 kg on 3 days), it indicates that the volume overload urine capacity and body mass can directly reflect the changes of the condition, identify the symptoms of heart failure and the manifestations of acute aggravation, and go to the hospital as soon as possible. | Ia | A |
| 7. It is recommended to guide patients to independently judge the symptoms/signs of heart failure, and initially assess their home volume status during the vulnerable period. Typical symptoms include pulmonary congestion symptoms, congestion symptoms of systemic circulation and increased fatigue, decreased activity endurance, increase of resting heart rate by 15 times/min, significant increase in body mass, abnormal urine volume, etc. | IIIa | B |
| 8. Health education for patients and chronic heart failure caregivers to improve treatment dependence and self-care can help improve patients’ quality of life [4] . | IIa | B |
| 9. Health education of CHF patients and caregivers can improve their quality of life and physical and mental health. | IIIb | B |
| 10. The most critical clinical treatment strategy is to effectively correct volume overload and relieve the symptoms of congestion in the systemic and pulmonary circulation. | IIa | B |
| 11. It is necessary to dynamically evaluate the capacity management status, and change the capacity management objectives in time [5] [6] . | Ia | A |
| 12. Patients with chronic heart failure can control fluid intake at 1.5 - 2.0 L/d, or set fluid intake according to body mass. The daily fluid intake of patients with body mass < 85 kg is 30 mL/kg, and those with body mass > 85 kg is 35 mL/kg. | IIa | A |
| 13. Avoid adding excessive salt and seasoning sauce when cooking, such as soy sauce, chili sauce, pickled meat, hanging noodles, pickles, biscuits, etc. | IIa | B |
| 14. Formulate individualized self-volume management measures and goals suitable for the patient according to the comprehensive situation of the patient’s dietary status and personal self-care ability. | IIb | A |
| 16. When the volume is overloaded or insufficient, patients should control the fluid intake under the guidance of nurses by telephone, wechat and outpatient service, and adjust the diuretic dose under the guidance of doctors. | IIIa | B |
| 17, patients with chronic heart failure should use diuretics in the early stage of fluid retention. Usually from small dose application, gradually increase the dose to congestion symptoms and signs, for disease control (lung rale disappear, edema subsided, the body mass stability), namely with the minimum effective amount of long-term maintenance, and according to the dose at any time, the goal is to maintain the lowest effective diuretic dose “dry body mass”. | IIa | A |
| 18. A heart failure follow-up system should be established to conduct structured telephone follow-up and non-invasive remote monitoring for home-based CHF patients [7] . | IIb | B |
| 19. Telephone follow-up is recommended within 3 days after discharge and home visit within 7 - 10 days. | Ib | B |
| 20. Establish a follow-up system for heart failure. The follow-up is recommended once every 2 weeks, and the follow-up is adjusted for 1 - 2 months after the condition is stable. | IIIa | B |