Objective To explore the effect of a discharge management checklist integrating auxiliary examination indicators in patients undergoing hip fracture surgery. Methods A total of 67 patients undergoing hip fracture surgery were divided into a control group (n=34) and an intervention group (n=33) chronologically.The control group received routine postoperative nursing and discharge guidance, while the intervention group was additionally managed using a discharge checklist integrating positive findings from disease-related auxiliary examinations to assess positive indicators, then the targeted wound care, dietary guidance, pain ma-nagement, medication use, functional exercise, and complication prevention within 6 months after discharge were presented to patients in a checklist format and supplemented with video-based instruction. Results Thirty-three patients in the control group and 32 patients in the intervention group completed the study.At discharge, the two subscale scores (actual content obtained, guidance skills and effectiveness) of discharge guidance quality in the intervention group were significantly higher than those in the control group (both P＜0.05).At 1, 3, and 6 months after surgery, the Barthel Index and Harris Hip scores in the intervention group were significantly higher than those in the control group (all P＜0.05).There were no significant differences in the incidence of postoperative complications between the two groups (all P＞0.05). Conclusion Applying a discharge management checklist integrating auxiliary examination indicators for discharge guidance is conducive to improving the quality of discharge guidance in patients undergoing hip fracture surgery, promoting hip function recovery, and enhancing patients′ ability in activities of daily living.