Objective To explore the effects of self -management improved by goal setting on patients with chronic heart failure.Methods Purposive sampling was used to select 94 patients with chronic heart failure from the Department of Cardiology in a tertiary hospital in Shanghai from March , 2013 to March, 2014.The pa-tients were divided into goal setting group (n =45) and tradition group (n =49) , according to odd and even num-ber of the wards.Patients in goal setting group were given both goal setting and traditional nursing treatment , while patients in tradition group were given only traditional nursing treatment .The level of self -management, readmis-sion rate, mortality and 6 -minute walk test were measured after 6 months.Results Compared to tradition group, goal setting group showed better results in comprehensive nursing ability , knowledge of heart failure, self -nursing ability and self -care ability, which are statistically significant.Goal setting group also showed lower readmission rate (10.2% vs 28.9%), lower mortality (2.0% vs 6.7%) , and better result in 6 -minute walk test (429.2 ± 49.5m vs 301.5 ±39.1m), with statistical significance.Conclusion Self -goal setting strengthened the capabili -ty of patients with chronic heart failure and improved their prognosis and cardiac function , which may be associated with comprehensive nursing ability .%目的：探讨应用目标设定改善自我管理在慢性心力衰竭患者中的应用效果。方法目的抽样选择在2013年3月至2014年3月，上海市某三级医院心内科住院治疗的94例慢性心力衰竭患者为研究对象，按照患者入住病房的奇数偶数房间号将其分为目标设定组（n ＝45）和传统组（n ＝49），目标设定组给予目标设定干预和传统护理，传统组仅进行传统的护理措施。出院6个月后比较两组患者的自我管理水平、再次住院率、死亡率、采用6分钟步行试验评价心功能。结果目标设定组综合护理能力、心衰知识知情性、自我护理行动力、自我保健的能力均优于传统组，差异有统计学意义。目标设定组患者再入院率、病死率低于传统组，分别为10．2％ vs 28．9％、2．0％ vs 6．7％，6min 步行试验优于传统组，为429．2±49．5m vs 301．5±39．1m，差异有统计学意义。结论应用目标设定加强慢性心力衰竭患者的指导，改善患者的预后和心功能，这可能与其改善患者的综合护理能力有关。
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