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To explore the feasibility of the Internet + nursing service mode in family rehabilitation of elderly patients with osteoarthritic diseases.The control group (n=50) received routine rehabilitation treatment procedures and discharge guidance. For the observation group (n=50), extended nursing rehabilitation service was conducted through the Internet + nursing service platform based on the routine treatment in the control group.(1) The compliance with follow-up of the patients in the observation group was significantly higher than that in the control group; (2) The total satisfaction of patients in the observation group was significantly higher than that in the control group; (3) The VAS (1 month: 4.36±1.15 vs. 5.86±1.61, p0.05; 3 months 4.36±1.15 vs. 5.86±1.61, p0.05), SAS (1 month: 37.21±14.16 vs. 49.31±13.45, p0.05; 3 months 26.73±8.25 vs. 40.33±9.50, p0.05), SDS (1 month: 32.36±10.15 vs. 46.32±12.61, p0.05; 3 months 27.11±8.08 vs. 40.62±11.40, p0.05) and PSQI (1 month: 13.64 ± 1.13 vs. 16.31 ± 3.45, p0.05; 3 months 11.54 ± 1.87 vs. 15.74 ± 1.36, p0.05) scores in the observational group were significantly lower than that in control group at one month and three months after discharge. The ADL (1 month: 86.86 ± 4.13 vs. 74.33 ± 3.44, p0.05; 3 months 90.34 ± 7.87 vs. 78.52 ± 6.36, p0.05) scores in the observational group were significantly higher than that in control group at one month and three months after discharge.The extended rehabilitation nursing management for family rehabilitation of elderly patients with osteoarthritic diseases through the Internet + nursing service is a family rehabilitation model suitable for elderly patients with osteoarthritic diseases in China and has positive significance in developing a diversified medical nursing model.