International Journal of Clinical Case Reports, 2025, Vol.15, No.4, 148-158 http://medscipublisher.com/index.php/ijccr 151 From a clinical perspective, early activity can significantly reduce the occurrence of common postoperative complications, such as delirium, pneumonia, urinary tract infections, pressure sores, etc. Studies have shown that patients who lie down for a long time have a higher risk of these adverse conditions, while those who are active early have fewer complications, shorter hospital stays, and a higher survival probability (Baer et al., 2019; Kenyon-Smith et al., 2019; Warren et al., 2019; Aprisunadi et al., 2021; Goubar et al., 2021). 4 Early activity Care Methods 4.1 Preoperative knowledge explanation and psychological assistance It is very important to explain the relevant situation clearly to elderly patients and their families before the operation and help them prepare for the recovery after hip fracture surgery. Clearly telling them the benefits of early activities and the possible situations can alleviate their concerns, make them more cooperative, and also encourage them to actively participate in rehabilitation. This kind of explanation should emphasize the importance of activities, methods to relieve pain and ways to prevent health problems, so that patients have the confidence to participate in the rehabilitation process (Aprisunadi et al., 2021; Aborukbah et al., 2024; Huang et al., 2024). Psychological assistance is equally important, as fear, uncertainty and lack of motivation can affect early activities. Nurses play a significant role in comforting patients, answering their questions and providing mental support. Such a form of assistance as heart-to-heart talks helps reduce psychological barriers, makes patients more satisfied and more optimistic about recovery (Aprisunadi et al., 2021; Aborukbah et al., 2024). 4.2 Time, frequency and safety guarantee of postoperative activities Starting activities in a timely manner - preferably within 24~48 hours after surgery-can help with better recovery, reduce health problems and shorten hospital stays. Nursing staff should determine whether each patient is ready and then arrange activities based on individual circumstances, starting with someone helping to sit up and gradually transitioning to tolerable standing and walking (Baer et al., 2019; Aprisunadi et al., 2021; Catalano-Nadakhovskaia et al., 2025). It is recommended to participate in more activities with the help of physical therapists and caregivers, so that the recovery effect will be better (Purcell et al., 2021; Aborukbah et al., 2024). Safety during activities is particularly important. One must prevent falls, pain and other adverse situations from occurring. Nurses must pay attention to the patient's physical reaction, check the degree of pain, and ensure that appropriate assistive tools are used. Continuous care and clear communication among teams help to identify and handle potential dangers, ensuring that the activities of elderly patients are both effective and safe (Baer et al., 2019; Aprisunadi et al., 2021; Purcell et al., 2021). 4.3 Multiple professional collaborations and tailor-made care plans Effective early activities require the joint efforts of nurses, physical therapists, doctors and other healthcare providers. Unified nursing procedures and standardized nursing methods can enhance communication, simplify rescue measures, and ensure that all aspects of the patient's recovery are taken into account. Studies have shown that people from different specialties working together can reduce the readmission rate after hip fractures and improve the quality of life (Viberg et al., 2021; Sarkies et al., 2023; Aborukbah et al., 2024; Sharma, 2025). A tailor-made care plan is crucial for addressing the specific needs and deficiencies of each patient. These plans should take into account factors such as the patient's mental state, other diseases and pre-injury mobility. Formulating assisent methods and rehabilitation goals based on patients' abilities and preferences can enhance patients' willingness to participate, better restore physical functions, and reduce the risk of health problems (Baer et al., 2019; Aborukbah et al., 2024; Catalano-Nadakhovskaia et al., 2025). 5 New Discoveries on the Rehabilitation Effect of Early Exercise on Elderly Patients with Hip Fractures 5.1 Impact on the recovery of physical functions and activity capabilities Early activities usually start within 24~48 hours after surgery, which helps restore physical functions and improve the ability to walk independently. One year after the surgery, patients who were active early were approximately
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