背景:護理人員普遍睡眠品質不佳，得不到充分休息，對本身身心狀態、社交及工作都會造成影響。目的:探討耳穴貼壓措施介入對護理人員睡眠品質之成效。
方法:本研究採類實驗研究設計，選取中部某醫學中心匹茲堡睡眠品質指標得分大於5分之護理人員。本研究共收案106位護理人員，分為實驗組（接受耳穴貼壓六週，n = 53）與控制組（不給予介入措施，n = 53）。以PSQI（Pittsburgh sleep quality index）及心率變異度（heart rate variability, HRV）為成效指標。
結果:經六週耳穴貼壓，實驗組之匹茲堡睡眠品質指標得分由9.34降為5.57（降幅40.4%），優於控制組得分由9.15降為7.81（降幅14.6%）（p < .001）；心率變異度數值的比較未達統計上顯著差異（p > .05）。
結　論／實務應用:護理人員輪班及工作特性可能會加重睡眠品質不佳的結果，耳穴貼壓確實能改善睡眠品質，也可作為未來使用耳穴貼壓改善護理人員睡眠品質方法的實證依據。

Background: Nurses have generally poor sleep quality due to inadequate rest. Such may impact negatively on physical and mental health as well as social interactions and work performance.
Purpose: This study was designed to explore the effects of auricular acupressure on sleep quality in nurses.Methods: This study, which used a quasi-experimental design, targeted nurses working at a medical center in central Taiwan who scored above 5 on the Pittsburgh Sleep Quality Index (PSQI). One hundred and six qualified participants were randomly assigned to either an experimental or control group. Those in the experimental group received auricular acupressure for six weeks and those in the control group received no intervention. Main outcome indexes were measured
using the PSQI and heart rate variability (HRV).
Results: After six weeks of auricular acupressure intervention, the PSQI score of the experimental group had greater declined from 9.34 (pre-test) to 5.57 (post-test, a 40.4% reduction). The control group saw a smaller reduction of 14.6%(declining from 9.15 pre-test to 7.81 post-test, p< .001). Differences between experimental and control group HRV
data were statistically insignificant. Conclusions / Implications for practice: Shift work was identified as a factor that may exacerbate poor sleep quality. The auricular acupressure intervention was found effective in improving sleep quality. This study provided significant evidence in favor of the efficacy of employing auricular acupressure to the improvement of sleep quality in nurses.