Abstract:[Objective] To analyze the effect of extended home nursing guidance after surgical treatment for hip fractures in elderly.[Methods] A total of 136 elderly patients who had hip fractures treated surgically in our hospital from June 2021 to December 2023 wereenrolled into this study, and divided into two groups according to random coin toss method. Of them, 68 patients in the routine group werenot given extended home care when discharged, while other 68 patients in the guidance group were given extended home care guidance for12 weeks after discharge. The clinical data of the two groups were compared. [Results] All patients in both groups had operation performedsuccessfully. The guidance group proved significantly lower incidence of adverse events than the routine group, including secondary frac-tures, falls, pulmonary infections, and urinary tract infections during the study period (1.5% vs 10.3%, P=0.029). At 12 weeks after dis-charge the Harris score, Barthel index and NRS score in both groups were significantly improved compared with those at discharge (P＜0.05). Although there were no significant differences in Harris score, Barthel index and NRS score between the two groups at discharge (P＞0.05), the guidance group was significantly superior to the routine group in terms of Harris scores [(52.7±3.2) vs (45.4±3.2), P＜0.001], Barth-el index [(51.4±3.1) vs (44.8±3.1), P＜0.001] and pain NRS score [(0.7±0.1) vs (1.2 ±0.3), P＜0.001] 12 weeks after discharge. [Conclusion]The extended home nursing guidance after surgical treatment for hip fractures in the elderly reduces the incidence of adverse events or com-plications, relieve pain, and promote the recovery of hip function.