【Abstract】 Objective To investigate the effects of diversified nursing combined with functional rehabilitation on health status, compliance, and self-management abilities in patients with neck—burn scar contracture deformity. Methods A total of 82 patients with neck burn scar contracture deformity who received rehabilitation treatment at Xiamen Humanity Hospital from May 2021 to May 2024 were selected and randomly divided into an observation group and a control group (41 patients each). The control group received conventional nursing and rehabilitation, while the observation group received additional diversified nursing combined with functional rehabilitation. The intervention period lasted for six months. The Brief Burn-Specific Health Scale (BSHS-B) was used to assess health status, the Adult Health Self-Management Assessment Rating Scale II (AHSMARS-II) was used to evaluate self-management ability, and a self-developed compliance evaluation form was used to assess treatment compliance. Results ① Health Status: After three and six months of post-intervention, the BSHS-B scores of the observation group were significantly higher than those of the control group (P ＜ 0.001). ② Self-Management Ability: The observation group scored significantly higher than the control group in all four aspects of the AHSMARS-II scale: life management, control of unhealthy habits, dietary management, and medication management (P ＜ 0.001). ③ Compliance: The complete compliance rate in the observation group (70.73%) was significantly higher than in the control group (46.34%) (P ＜ 0.05). However, there was no statistically significant difference in the overall compliance rate (including complete and partial compliance) between the two groups (P ＞ 0.05). Conclusion Diversified nursing combined with functional rehabilitation can significantly improve health status, self-management ability, and treatment compliance in patients with neck burn scar contracture deformity, making it a rehabilitation approach worthy of clinical promotion.