Background: In recent years, nanosilver gel has gained attention due to its excellent antimicrobial properties and wound healing effects. Meanwhile, the comprehensive care model has improved the rehabilitation environment for patients with its holistic and individualized care approach. This study aimed to investigate the promoting effects of nanosilver gel on wound healing in hand injury patients and the intervention effects of the comprehensive care model.
Methods: This study adopted a randomized controlled trial (RCT) design. A total of 120 hand injury patients admitted to the Hand Surgery Department of Beijing Jishuitan Hospital between January 2020 and January 2023 were enrolled and randomly allocated into three groups (n=40 each). The control group (C group) received standard care, experimental group A (Exp A) underwent a comprehensive nursing intervention, and experimental group B (Exp B) received additional nanosilver gel dressing treatment based on the comprehensive nursing protocol. Primary outcome measures included wound healing time, pain intensity (visual analogue scale (VAS) score), functional recovery (grip strength, hand dexterity, and range of motion), and wound healing rate.
Results: Exp group B had notably better outcomes in terms of wound healing time, pain intensity, functional recovery, and wound healing rate versus C group and Exp group A.
Conclusion: This study demonstrates that the combination of nanosilver gel and the comprehensive care model significantly improves wound healing outcomes in hand injury patients, providing a new and effective possibility for the treatment of hand injuries.

