Objective To explore the effectiveness of specialized care quality index monitoring in the postoperative functional exercise of elderly hip fracture patients. Methods Thirty-six elderly hip fracture patients admitted in January-June 2019 in a hospital in Chongqing were selected as the control group

and 40 elderly hip fracture pa-tients admitted in July-December 2019 were selected as the observation group. Patients in the control group were given routine postoperative care and instructed to start functional exercise as soon as possible; patients in the ob-servation group

based on the control group and adopting the concept of fast-track surgery

were given postopera-tive monitoring of care quality indexes

which were perfected and applied clinically

and data analysis and continu-ous quality improvement were carried out regularly. The two groups were compared in terms of daily life per-formance

hip function

and Berg Balance Scale scores at admission and one month after discharge from the hos-pital. Results The compliance rate of functional rehabilitation exercise increased day by day

which was 32.5% within 24 hours after awakening from anesthesia

40.0% on postoperative days 1 to 2

47.5% on postoperative day 3

52.5% on postoperative day 4

57.5% on postoperative day 5

62.5% on postoperative days 6 to 7

and 85.0% on postoperative week 2. At admission

the difference between the two groups in daily life performance was not statistically significant（P>0.05）; the scores of daily life performance in the two groups were higher one month after discharge from the hospital than at admission. The scores in the observation group were higher than those in the control group

and the differences were statistically significant（P<0.05）. At admission

the differ-ence between the two groups in the scores of hip functions was not statistically significant（P>0.05）; the scores of hip functions in the two groups were higher one month after discharge from the hospital than at admission. The scores in the observation group were higher than those in the control group

and the differences were statisti-cally significant（P<0.05）. At admission

the difference between the two groups in Berg Balance Scale scores was not statistically significant（P >0.05）; the Berg Balance Scale scores in the two groups were higher one month after discharge from the hospital than at admission. The scores in the observation group were higher than those in the control group

and the differences were statistically significant（P<0.05）. Conclusion The applica-tion of functional exercise compliance rate can objectively and comprehensively evaluate the nursing care quality of postoperative functional exercise in elderly hip fracture patients

guide nurses to grasp the nursing care priorities

and help improve the effect of postoperative functional exercise and the quality of life of patients.