目的:探讨早期离床活动对老年髋关节置换术后患者生活自理能力与生活质量的影响。方法:选取该院2018年5月至2019年8月住院的老年髋关节置换术后患者120例，随机分为干预组和对照组，每组60例。对照组患者术后行常规康复护理，干预组患者术后在护理指导下进行早期离床活动康复锻炼。观察两组患者恢复情况，对比分析干预前后生活自理能力与生活质量。结果:康复期间干预组相关并发症总发生率低于对照组，实验室各项指标检查优于对照组，差异有统计学意义(n P<0.05)；干预前两组Barthel指数、WHOQOL-OLD评分差异不大，干预后干预组评分均高于对照组，差异有统计学意义(n P<0.05)。n 结论:老年髋关节置换术后患者康复期间进行早期离床活动有利于减少并发症的发生，提高生活自理能力，从而改善生活质量。“,”Objective:To investigate the effect of early out-of-bed mobility on self-care ability and quality of life of elderly patients after hip replacement.Methods:A total of 120 elderly patients hospitalized after hip replacement in this hospital from May 2018 to August 2019 were selected as research objects.The patients were divided into intervention group and control group by random number table method, with 60 cases in each group.Patients in the control group received conventional postoperative rehabilitation nursing, while patients in the intervention group received early postoperative rehabilitation exercise under the guidance of nursing.The recovery of patients in the two groups was observed, and the self-care ability and quality of life before and after intervention were compared and analyzed.Results:The total incidence of related complications in the intervention group was lower than that in the control group, laboratory indicators was better than that of control group, and the difference was statistically significant (n P<0.05). There was little difference in Barthel index and the WHO Quality of Life Brief Scale-old(WHOQO-OLD) score between the two groups before intervention, and after intervention, the score of the intervention group was higher than that of the control group, and the difference was statistically significant (n P<0.05).n Conclusions:Elderly patients during the rehabilitation after total hip replacement for early out-of-bed mobility is beneficial to reduce complications, improve the ability of independent living, thus improving the quality of life.