International Journal of Clinical Case Reports, 2025, Vol.15, No.4, 148-158 http://medscipublisher.com/index.php/ijccr 148 Systematic Review Open Access Nursing Interventions of Early Postoperative Mobilization on Recovery Outcomes in Elderly Patients with Hip Fractures JieWang Zhuji People’s Hospital, Zhuji, 311800, Zhejing, China Corresponding email: 2308763906@qq.com International Journal of Clinical Case Reports 2025, Vol.15, No.4 doi: 10.5376/ijccr.2025.15.0016 Received: 07 May, 2025 Accepted: 16 Jun., 2025 Published: 07 Jul., 2025 Copyright © 2025 Wang, This is an open access article published under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Preferred citation for this article: Wang J., 2025, Nursing interventions of early postoperative mobilization on recovery outcomes in elderly patients with hip fractures, International Journal of Clinical Case Reports, 15(4): 148-158 (doi: 10.5376/ijccr.2025.15.0016) Abstract This study explores the current evidence regarding the impact of early postoperative activity as a nursing intervention on the rehabilitation effect of elderly patients with hip fractures. Hip fractures can seriously affect mobility, self-care ability and quality of life, and also bring a relatively high risk of illness, death and long-term disability. Early activities usually start within 24 to 48 hours after surgery. Facts have proved that it can promote functional recovery, enhance walking autonomy, and reduce complications such as postoperative delirium, pneumonia, and deep vein thrombosis. Nursing intervention measures, including preoperative education, psychological support, pain control and multidisciplinary collaboration, play a crucial role in enhancing patient cooperation and ensuring the safety and effectiveness of activities. This study also explored some challenges, such as inconsistent protocols, patient cooperation issues, and the lack of high-quality evidence, while emphasizing the need for standardized and personalized care models, as well as more randomized controlled trials. The results of this study provide guidance for optimizing postoperative care for elderly patients with hip fractures and improving their quality of life. Keywords Early mobilization; Hip fracture; Elderly patients; Nursing interventions; Postoperative recovery I Introduction Hip fractures are a major health problem faced by the elderly. As the population ages, the possibility of it happening is expected to increase. This kind of injury often causes difficulty in walking, loss of the ability to take care of oneself, and a significant reduction in the quality of life. Elderly patients with hip fractures have a higher risk of illness, death and long-term mobility issues. Therefore, effective treatment and recovery are of great significance for regaining physical function and health (Aprisunadi et al., 2021; Aborukbah et al., 2024; Catalano-Nadakhovskaia et al., 2025). The recovery of postoperative mobility is crucial for resuming an independent life and reducing health issues such as mental confusion, infection, and longer hospital stays. Early activities, which usually start within 24 to 48 hours after surgery, have become an important nursing approach. Studies show that early activity enables elderly patients with hip fractures to walk more smoothly, have more people who can walk independently, have fewer chances of health problems, have shorter hospital stays, and have a higher quality of life (Baer et al., 2019; Goubar et al., 2021; Aprisunadi et al., 2021; Aborukbah et al., 2024; Nakamura et al., 2025). Nursing methods include intensive rehabilitation programs, psychological assistance, and evidence-based nursing. These methods play a significant role in encouraging patients, reducing their fears, enhancing rehabilitation cooperation, and achieving better rehabilitation outcomes (Jin et al., 2019; Fu et al., 2022; Ai and Cheng, 2023; Wang et al., 2023). This study will explore the role of nursing methods (especially early activities after surgery) in the recovery effect of elderly patients with hip fractures. Understanding the effects of these methods is of great significance for formulating evidence-based programs, improving functional recovery, reducing health problems, and enhancing the overall quality of life of this elderly population. This study aims to provide references for practical nursing work and point out the direction for future research on geriatric orthopedic nursing.
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