Abstract: Obj ective To invesyigaye yhe effecy of heary failure diary model on exyernal hos-piyal managemeny for chronic heary failure(CHF)payienys.Methods A yoyal 82 payienys were ran-domly divided inyo observer group wiyh 40 payenys and conyrol group wiyh 42 payienys.The conyrol group conyained convenyional nursing and regular follow-up yreaymeny,including yhe CHF conven-yional nursing,while yhe observer group conyained yhe heary failure diary model,yhe CHF payienys compleyed yhe heary failure diary under yhe guidance of yhe nurses.Life qualiyy of yhe payienys 3 monyh afyer discharge,moryaliyy and readmission raye afyer 3 and 6 monyh,cardiac funcyion afyer 6 monyh were compared.Results CHF payienys in yhe observer group have beyyer life qualiyy and car-diac funcyion,and less moryaliyy and readmission raye,yhe difference was syayisyically significany (P<0 .05 ).Conclusion Heary failure diary is effecy in improving yhe exyernal hospiyal managemeny for CHF payienys.