Nurse-led Multidisciplinary Precision Care for Patients With Chronic Heart Failure

Inclusion Criteria: * Aged from 18 to 80 years; * Conscious, with normal cognitive function and being communicable; * NYHA heart function class II-IV; * Patients met the diagnostic criteria of the clinical guidelines for the diagnosis and treatment of heart failure and were diagnosed with chronic heart failure; * Informed consent was obtained. Exclusion Criteria: * Patients with congenital heart disease, cardiac shock, or persistent hypotension; * Patients with severe liver and kidney dysfunction, moderate to severe anemia or coagulation disorders, and other serious systemic complications; * Patients with a history of mental illness, a state of severe anxiety or depression, cognitive or communication impairments, and inability to communicate and respond to investigations; * Patients have been involved in other research that would interfere with this study; * Patients who declined cardiac rehabilitation and signed informed consent.