Objective To explore the level and factors associated with death attitude among institutionalized elderly persons, and to provide reference for conducting death education. Methods A cross-sectional study was conducted among 214 elderly patients from 5 elder-care institutions in Jinan.Survey instrument was the Death Attitude Profile-Revised. Results The subscale of natural accep-tance scored the highest of 3.88±0.69, followed by approaching acceptance, death escape, escape acceptance, and fear of death, with the scores of 3.06±0.74, 2.53±0.84, 2.44±0.71, 2.36±0.91 respectively. Multiple regression analysis showed that tal-king about death in the family, education level, age, and visit frequency of children were influencing factors of death attitude among the institutionalized elderly （P＜0.05，P＜0.01）. Conclusion Institutionalized elderly people have somewhat positive attitude towards death.It is suggested to build an open family culture for talking about death and encourage their children to visit and accompany them, thus to help the elderly adopt positive attitudes toward life and death.