Objective To explore the effect of nursing discharge plan based on discharge demand assessment results on discharge readiness, quality of discharge teaching and early rehabilitation effect in elderly patients after hip fracture surgery. Methods A total of 214 elderly patients after hip fracture surgery were assigned to observation group (106 cases) or control group (108 cases). The control group received routine nursing intervention of Orthopedic Department, based on which the observation group received implementation of nursing discharge plan formulated based on discharge demand assessment results. Patients' discharge demands, discharge readiness, and quality of discharge teaching were evaluated by employing the discharge demand assessment scale of elderly patients after hip fracture surgery, discharge readiness assessment scale and Quality of Discharge Teaching Scale (QDTS) in Chinese version of elderly patients after hip fracture surgery, respectively. The scores of discharge demand assessment scale of elderly patients after hip fracture surgery, discharge readiness assessment scale of elderly patients after hip fracture surgery, and QDTS, as well as complications, tumble, re⁃fracture, and death conditions 1 and 3 months after patients' discharge were compared between patients of the two groups. Results After 3 days of admission, there was no statistically significant difference in scores of various dimensions and total score of discharge demand assessment scale in elderly patients after hip fracture surgery between the two groups (P>0.05). On the day of discharge, the observation group yielded higher scores of various dimensions and a higher total score of discharge readiness assessment scale in elderly patients after hip fracture surgery, as well as higher scores of various dimensions and a higher total score of QDTS in elderly patients after hip fracture surgery as compared with the control group (P<0.05). The incidence rates of complications 1 month after discharge and of tumble 3 months after discharge of the observation group were lower than those of the control group (P<0.05). There was no statistically significant difference in re⁃fracture and death conditions 1 and 3 months after discharge between patients of the two groups (P>0.05). Conclusion Nursing discharge plan formulated based on discharge demand assessment results is helpful to improve discharge readiness and quality of discharge teaching in elderly patients after hip fracture surgery, reduce postoperative occurrence risk of early complications and tumble in patients, and can elevate early rehabilitation effect of elderly patients after hip fracture surgery to a certain extent.

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