Background <p>The “Internet + nursing services” model has been applied to various diseases and has been accepted by an increasing number of people, especially in the context of chronic disease management. This model has achieved some results. However, it is still less commonly used in orthopeadic patients.</p> Objective <p>To explore the demand for “Internet + nursing services” and its influencing factors among orthopaedic patients in developed areas of China and to provide evidence for the improvement of “Internet + nursing services”.</p> Design <p>Cross-sectional study.</p> Methods <p>A total of 314 orthopaedic patients who underwent orthopaedic surgeries at a tertiary hospital in Zhejiang Province from January to June 2024 were selected via convenience sampling. The patients were surveyed using a self-designed demographic questionnaire and the Home Care Demand Forecasting Scale for fracture patients before discharge. Univariate analysis and multiple regression analysis were adopted to identify the factors influencing the demand for “Internet + nursing services” among orthopaedic patients.</p> Results <p>This study investigated 314 patients who underwent orthopaedic surgeries. The results revealed that the average score of total home care demand was 7.95 ± 5.35, and the demand percentage was 92.04%. According to the univariate analysis, surgical site, age, self-care ability and “whether the current home care meets the treatment or rehabilitation needs” were significantly associated with total demand scores (<i>P</i> &lt; 0.05). Multiple regression analysis indicated that self-care ability and surgical site were independent predictors of total demand. Specifically, self-care ability had a negative effect on total demand (β=-0.255, <i>p</i> &lt; 0.01), while surgical site had a significant positive effect on total demand (β = 0.156, <i>p</i> = 0.004). Moreover, the survey revealed that the awareness rate of “Internet + nursing services” was low, at only 23.25%. The willingness to choose “Internet + nursing services” was low, as only 25.48% of orthopaedic patients were willing to choose these services.</p> Conclusion <p>Orthopaedic patients had a low awareness and willingness to use “Internet + nursing services”, but a high demand for home care. Patients with lower self-care ability exhibited a higher demand for these services, especially patients who underwent lower limb surgery, such as hip, femur and pelvis surgery. The results suggest that hospitals and government health care departments should provide more professional, personalized and multi-team services based on the needs of different orthopaedic patients.</p>