Abstract: Objective To explore the impact of the integrated rehabilitation model of hospital-community-family on the debilitating state, quality of life and the expression level of inflammatory factors in the elderly. Methods A total of 116 patients with debilitating syndrome who were hospitalized from January 2019 to July 2020 in the First Affiliated Hospital of Xinjiang Medical University were selected and randomly divided into a control group and an intervention group, 58 cases in each group. The intervention group carried out “hospital-community-family” integrated system rehabilitation intervention on the basis of basic rehabilitation, and the control group adopted basic rehabilitation nursing. The debilitating state, quality of life and expression levels of inflammatory factors in two groups were recorded. Results After 3 months of intervention, the scores of Fried frailty phenotype, the three dimensions of physiological functions of life quality, physical pain and general health the level of inflammatory factors CRP and IL-6 in the intervention group were significantly different from those before the intervention (P＜0.05). After 6 months of intervention, in addition to the above items, the four dimensions of energy, social function, emotional intelligence and mental health were also significantly different from those before the intervention (P＜0.05). Conclusions The integrated hospital-community-family integrated mental rehabilitation model can effectively improve life quality of frail elderly patients and facilitate their rehabilitation.

Key words: community care, frail elderly, quality of life, inflammatory factors