Abstract: Objective: To understand the quality of life of elderly patients who are more than three months after the osteoporotic hip fracture surgery and to analyze its influencing factors. Methods: A questionnaire survey was conducted.Medical coping style questionnaire, general self-efficacy scale and health status questionnaire (SF-36) were used to investigate 200 patients. Results: The score for each dimension and the total score on quality of life in patients who were three months after osteoporotic hip fracture surgery were lower than that of the domestic norms (P<0.01). Multiple regression analysis have shown that in terms of physical health, age and unhealthy lifestyles negatively predicted patients' quality of life while gender, economic status, complications, self-efficacy and facing coping style positively predicted it.In terms of mental health, age, family relationships, yielding coping style and avoiding coping style negatively predicted patients' quality of life while marital status and self-efficacy positively predicted it. Conclusion: The quality of life in patients who are three months after the osteoporotic hip fracture surgery was poor. Targeted nursing interventions should be taken to encourage patients to take positive coping style, to enhance patients' self-efficacy, to avoid unhealthy lifestyles and to provide necessary social supports, and ultimately to improve their quality of life.