Objective: To investigate the impact of precise nursing care based on dynamic nursing quality feedback model on the postoperative recovery of elderly patients undergoing radical resection for colon cancer, with a particular fo cus on its effects on psychological flexibility. Methods: Medical records of 124 elderly patients undergoing radical resection for colon cancer at The First Affiliated Hospital of Baotou Medical College between January 2021 and May 2024 were retrospectively analyzed in this study. Based on the received nursing interventions, the patients were divided into a control group (standard nursing care) and an observation group (precise nursing care based on a dynamic nursing quality feedback model). Results: The observation group exhibited significantly higher levels of hemoglobin, prealbumin, and albumin compared to the control group. Additionally, the observation group had lower scores in somatization, interpersonal sensitivity, depression, anxiety, obsessions-compulsions, hostility, pho bic anxiety, psychoticism, and paranoid ideation. The observation group also demonstrated higher scores in active coping, self-efficacy, and the management of emotions, life, and symptoms. Improvements were also observed in nursing quality, perioperative intervention, satisfaction with rehabilitation guidance, and awareness of regular re examinations, diet intervention, and complication prevention (all with P<0.05). Conclusion: Precise nursing based on a dynamic nursing quality feedback model can improve nutritional status and medical coping style, reduce psy chological issues, and enhance self-management abilities in elderly patients following radical resection of colon cancer. Additionally, it increases nursing satisfaction and raises awareness regarding the importance of regular reexaminations and complication prevention.