Objective To understand the group heterogeneity in the acceptance of Traditional Chinese Medicine (TCM) nursing techniques among elderly patients with chronic diseases, and to analyze its relationship with power distance, so as to provide references for formulating strategies to improve their acceptance of TCM nursing techniques. Methods A total of 224 elderly patients with chronic diseases were conveniently selected from the geriatrics outpatient department, then they were investigated by using the TCM Nursing Technique Acceptance Questionnaire and the Patient Power Distance Scale.The latent profiles of TCM nursing technique acceptance among the participants were identified; multiple logistic regression was conducted to analyze its influencing factors, and the power distance scores across different TCM nursing acceptance profiles were compared. Results The acceptance of TCM nursing techniques among the participants was divided into 3 latent profiles: the low perception-high concern-negative wil-lingness group (23.66%), the medium perception-medium concern-balanced willingness group (35.27%), and the high perception-low concern-positive willingness group (41.07%).There were statistically significant differences in the total score of power distance and its two subscale scores of emotional communication and decision-making participation among the three groups (all P＜0.05).Logistic regression analysis results indicated that, educational background, income, whether the living community offers TCM technology programs, whether the household has TCM operation tools, and power distance were influencing factors for different TCM nursing acceptance profiles (all P＜0.05). Conclusion There is obvious heterogeneity in the acceptance of TCM nursing techniques among elderly patients with chronic diseases, which is associated with their power distance characteristics.It is recommended to implement targeted interventions for different TCM nursing acceptance groups based on the influencing factors, so as to improve their acceptance of TCM nursing techniques.