BACKGROUND: Extended care based on self-efficacy theory to elderly patients with intertrochanteric fractures will provide data reference to optimize the care plan of these patients, reduce patients' concurrent mental diseases, and improve prognosis. AIM: To analyze the value of extended nursing based on the self-efficacy theory in older patients with intertrochanteric fractures. METHODS: Older patients with intertrochanteric fractures ( RESULTS: After nursing, the Hamilton Anxiety Scale and General Self-Efficacy Scale scores of patients in the two groups improved. Notably, Hamilton Anxiety Scale and General Self-Efficacy Scale scores in the observation group were lower and higher, respectively, than those in the control group ( CONCLUSION: Extended nursing based on the self-efficacy theory can significantly improve mental state, relieve pain, and promote the recovery of limb function and self-nursing ability in older patients with intertrochanteric fractures.