Effect of continuous nursing based on “Internet + nursing service” on prognosis of elderly patients with hip fracture after PFNA surgery

Objective: The aim of this study was to evaluate if “Internet + nursing service”-based continuous nursing improves hip function, self-management efficacy, and quality of life in elderly hip fracture patients post-PFNA surgery. Methods: This prospective, non-randomized controlled study with a non-concurrent control group used consecutive sampling to enroll 88 elderly patients (April 2024-September 2025): 44 patients in the control group received routine discharge guidance and telephone follow-up, and 44 patients in the intervention group received routine care plus the “Internet + nursing” intervention. General self-efficacy scale (GSES), rehabilitation compliance, Harris hip score, ADL, SF-36, nursing satisfaction, complications, and first ambulation time were compared. Results: No baseline differences (p > 0.05). At 1 month, study group had higher GSES, better compliance, and shorter ambulation time (p < 0.05). At 3/6 months, higher Harris, ADL, and SF-36 scores (p < 0.05). Complication rate: 8.18% (study) versus 27.27% (control); nursing satisfaction: 95.45% versus 79.55% (p < 0.05). Conclusions: “Internet + nursing service” in post-proximal femoral nail anti-rotation care accelerates mobilization, functional recovery, reduces complications, and improves adherence/satisfaction, with strong clinical applicability.