Objective To identify the multidimensional needs of volume management in patients with chronic heart failure based on the journey map, and to provide a reference for optimizing volume management in this group.Methods A descriptive qualitative research method was employed.From July to September 2024, 12 patients with chronic heart failure were selected for semi-structured interviews.Content analysis was used to analyze the data, and a patient journey map was created.Results Based on the treatment timeline, the volume management needs of patients with chronic heart failure were categorized into 14 themes (including early symptom management), from three dimensions:tasks, emotions, and pain points.A patient journey map was developed to illustrate these needs.Conclusion The volume management journey for patients with chronic heart failure is long and complex, with dynamically changing and interwoven needs.Future management strategies can be constructed to address these volume management needs, in an effort to provide precise care support and enhance the quality of life for patients.