Objective To analyze the effect of feedforward control nursing on hand function recovery and quality of life in patients with hand burn scar. Methods A total of 86 patients with hand burn scar admitted to our hospital from October 2022 to November 2023 were selected as the research subjects, and they were randomly divided into control group and experimental group, with 43 patients in each group. The control group was given routine nursing, and the experimental group was given feedforward control nursing. The hand function recovery, scar, quality of life, nursing satisfaction and complications were compared between the two groups. Results The excellent rate of hand function recovery in the experimental group was 93.02%, which was higher than 76.74% in the control group (P <0.05). The SCAR scale score in the experimental group at 3 and 6 months of follow-up was lower than that in the control group (P <0.05). The scores of dressing, washing and eating in the two groups at 6 months of follow-up were higher than those before nursing, and those in the experimental group were higher than those in the control group (P <0.05). The nursing satisfaction in the experimental group was 95.35%, which was higher than 79.07% in the control group (P <0.05). The incidence of complications in the experimental group was lower than that in the control group (P <0.05). Conclusion The implementation of feedforward control nursing for patients with hand burn scar has a definite effect. It can promote the hand function recovery, improve the severity of scar and the quality of life of patients, enhance the nursing satisfaction, and reduce the risk of complications.