Background The significance of spiritual care needs among chronic diseases patients has been emphasized across countries and cultures in many studies. However, there were few studies on spiritual care needs among elderly patients with moderate-To-severe chronic heart failure (CHF) in China. Objective To investigate spiritual care needs and associated influencing factors among elderly patients with moderate-To-severe CHF, and to examine the relationships among spiritual care needs, self-perceived burden, symptom management self-efficacy, and per...