Objective To improve the effect of perioperative care in advanced-age patients with hip fracture. Methods Fifty patients with hip fracture admitted from January 2018 to December 2019 were treated as the control group and given usual perioperative care following the duty-oriented holistic care model, while 47 patients admitted from January 2020 to December 2021 were served as the intervention group and received specialist nurse-led, multidisciplinary whole-process nursing care, including comprehensive patient assessment, bundled care, rehabilitation exercises using rehabilitation diaries, discharge preparation and follow-up.The pain control level, compliance with functional exercise and rate of complications were compared between the two groups. Results The intervention group had significantly higher rate of pain control, lower incidence of complications, and better compliance with functional exercise compared with the control group （all P＜0.05）. Conclusion The implementation of specialist nurse-led, multidisciplinary whole-process intervention in advanced-age patients with hip fracture is beneficial to improve quality of patient care and clinical outcomes.