〔Abstract〕 Objective To explore the effect and nursing experience of progressive target rehabilitation nursing on the functional recovery of elderly patients with femoral neck fracture after artificial replacement. Methods A total of 112 elderly patients with femoral neck fracture who were admitted to the First Affiliated Hospital of Henan University from June 2018 to August 2020 were selected and divided into observation group and control group according to the order of operation, with 56 cases in each group. Patients in the control group received routine nursing, while patients in the observation group received progressive target rehabilitation nursing intervention. The self-efficacy level, hip joint function and daily activity ability of patients in the two groups were compared. Results After intervention, the scores of self-efficacy, hip joint function and daily activity ability of the observation group were higher than those of the control group, and the differences were statistically significant (P < 0.05). Conclusion The application of progressive target rehabilitation nursing intervention has high feasibility in promoting the self-efficacy level of elderly femoral neck fracture patients with artificial replacement, improving the postoperative hip joint function recovery and improving their daily activity ability.