Objective: To observe the effect of TCM emotional nursing on self-efficacy and chroniccomplications in elderly type 2 diabetic patients. Methods: A total of 160 elderly patients with type2 diabetes from August 2020 to October 2022 were randomly divided into experimental group andcontrol group (n=80). The control group was given routine nursing intervention, and the experimentalgroup was combined with the application of TCM emotional nursing intervention. Self-efficacy (DSES)scores, fasting blood glucose and metabolic levels, and complications were compared between the twogroups. Results: The DSES score of the experimental group using TCM emotional care was significantlybetter than that of the control group, and the difference was statistically significant (p<0.05). Theexperimental group was superior to the control group in the monitoring of diabetes and the monitoring ofcomplications, and the difference was statistically significant (p<0.05). Conclusion: TCM emotional carecan effectively improve the self-efficacy of elderly diabetic patients and reduce the incidence of chroniccomplications, which has high clinical significance.