| content of evidence | feasibility | The suitability | Clinical significance | availability |
| 1. 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. | ✓ | ✓ | ✓ | ✓ |
| 2. Educational programs participated by a multidisciplinary team can improve the treatment dependence and self-care ability of chronic NAD patients and caregivers. | ✓ | ✓ | ✓ | ✓ |
| 3. 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. | ✓ | ✓ | ✓ | ✓ |
| 4. Health education for patients and chronic heart failure caregivers to improve treatment dependence and self-care can help improve patients’ quality of life [4] . | ✓ | ✓ | ✓ | ✓ |
| 5. Health education of CHF patients and caregivers can improve their quality of life and physical and mental health. | ✓ | ✓ | ✓ | ✓ |
| 6. It is necessary to dynamically evaluate the capacity management status, and change the capacity management objectives in time [5] [6] . | ✓ | ✓ | ✓ | ✓ |
| 7. Patients with chronic stage D heart failure can control fluid intake at 1.5 - 2.0 L/d, or set fluid intake according to body mass. Daily fluid intake for patients with <85 kg body mass is 30 mL/kg, and body mass > 85 kg is 35 mL/kg per mouth. | ✓ | ✓ | ✓ | ✓ |
| 8. Avoid adding excessive salt and seasoning sauce when cooking, such as soy sauce, chili sauce, pickled meat, hanging noodles, pickles, biscuits. | ✓ | ✓ | ✓ | ✓ |
| 9. 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 for a long time, and according to the dose at any time, the goal is to maintain the lowest effective diuretic dose “dry body mass”. | ✓ | ✓ | ✓ | ✓ |
| 10. 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] . | ✓ | ✓ | ✓ | ✓ |
| 11. Establish a follow-up system for heart failure. Recommend follow-up once every 2 weeks, and adjust to follow-up once every 1 - 2 months after the condition is stable. | ✓ | ✓ | ✓ | ✓ |