Pain nursing: a pain care intervention program is developed according to the patient’s pain level and condition. The charge nurse instructs the patient and their family to gently and circularly stroke the painful area with both hands for 20 to 30 minutes, once or twice daily, until the pain is relieved completely to reduce the pain level and promote physical recovery. Upper limb functional support intervention: postoperative severe adrenal tumor patients are prone to upper limb pain and swelling on the affected side, which can seriously affect functional rehabilitation of the upper limbs. Six hours after surgery, the charge nurse created a personalized multifunctional arm frame for the patients. The affected limb is placed on the arm frame after the multipurpose arm frame’s height has been adjusted to make sure that it is just above the level of the heart. If there is significant swelling, the affected limb should be suitably elevated by 15 to 30 cm. Assist the patient to perform flexion and extension exercises for the elbow, wrist, and interphalangeal joints for 10 to 15 minutes each time, patients need to train every 2 hours, to encourage blood flow and venous blood return to the upper limb. The charge nurse instructed the patient to alternate the use of therapeutic touch and musical rehabilitation exercises during the upper limbs functional support intervention and explained in detail to the patient and their family the purpose, meaning, and method of musical therapeutic touch and instructed the patient to select their preferred type of music from the music library and to copy the selected music to headphones for repeated listening. Assist patients in adhering to the musical instructions, and encourage them to imagine positive self-experiences and beautiful landscapes to avoid arm swelling and joint stiffness.