Abstract: Objective: To systematically analyze the hospice care needs of elderly end-of-life patients, so as to provide evidence for optimizing hospice care services for this population. Methods: A comprehensive search of relevant literature was conducted across multiple databases, from inception to December 31, 2025. A scoping method was used to summarize and analyze the hospice care needs of elderly end-of-life patients. Results: Thirteen articles were included. The findings revealed that elderly end-of-life patients have multidimensional needs encompassing physiological, psychological, healthcare service, informational and social. Key influencing factors included patient age, disease type, family support, healthcare provider awareness, and policy coordination. Conclusion: Current research predominantly focuses on cancer patients, with insufficient attention to non-cancer chronic conditions. There is also a lack of standardized assessment tools tailored to the elderly population. Future studies should explore the dynamic changes in hospice care needs among elderly end-of-life patients and develop comprehensive, precise assessment systems to enhance the targeting and effectiveness of hospice care services.

Key words: elderly; end-of-life; hospice care; needs; influencing factor; scoping review