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已发表论文
睡眠管理中针灸/指压疗法的执行或患者自我指压的监督：从针灸师向护士的任务转移是否可行？
Authors Zhao FY , Zhang WJ, Chow CM , Lee YX , Xu P, Ho YS, Fu QQ , Conduit R
Received 8 August 2025
Accepted for publication 27 October 2025
Published 7 November 2025 Volume 2025:17 Pages 2887—2900
DOI https://doi.org/10.2147/NSS.S556267
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 3
Editor who approved publication: Professor Valentina Alfonsi
Fei-Yi Zhao,1– 4,* Wen-Jing Zhang,4,* Chin Moi Chow,3,5,* Yuan Xin Lee,4 Peijie Xu,6 Yuen-Shan Ho,7 Qiang-Qiang Fu,8 Russell Conduit2
1Department of Nursing, School of International Medical Technology, Shanghai Sanda University, Shanghai, 201209, People’s Republic of China; 2School of Health and Biomedical Sciences, RMIT University, Bundoora, VIC, 3083, Australia; 3Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, 2050, Australia; 4Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 200071, People’s Republic of China; 5Sleep Research Group, Charles Perkins Centre, The University of Sydney, Camperdown, NSW, 2050, Australia; 6School of Computing Technologies, RMIT University, Melbourne, VIC, 3000, Australia; 7School of Nursing, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, People’s Republic of China; 8Yangpu Hospital, School of Medicine, Tongji University, Shanghai, 200090, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Yuen-Shan Ho, School of Nursing, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, People’s Republic of China, Tel +852 2766-6410, Fax +852 2364-9663, Email janice.ys.ho@polyu.edu.hk Qiang-Qiang Fu, Yangpu Hospital, School of Medicine, Tongji University, Shanghai, 200090, People’s Republic of China, Tel + 86 021-6569 0520, Fax + 86 021-6569 6249, Email qiangqiang.fu@tongji.edu.cn
Abstract: Acupuncture and acupressure are widely used for managing self-reported impaired sleep quality and duration. However, outside East Asia, access is often limited due to a shortage of trained acupuncturists and minimal reimbursement under national health insurance systems, leading to treatment discontinuation or inaccessibility driven by “Financial Toxicity.” This prompts a critical yet underexplored inquiry: can advanced practice nurses serve as alternative providers to deliver acupuncture/acupressure for managing these common sleep complaints, thereby improving accessibility, expanding treatment coverage, and lowering consultation costs? This comprehensive mini-review synthesizes current evidence to assess the feasibility of this promising and innovative acupuncturist-nurse task-shifting paradigm and outlines key preparatory steps for its pilot implementation.
Keywords: traditional chinese medicine, TCM nursing, sleep disorder, sleep disturbance, insomnia, complementary and alternative medicine
1Department of Nursing, School of International Medical Technology, Shanghai Sanda University, Shanghai, 201209, People’s Republic of China; 2School of Health and Biomedical Sciences, RMIT University, Bundoora, VIC, 3083, Australia; 3Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, 2050, Australia; 4Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 200071, People’s Republic of China; 5Sleep Research Group, Charles Perkins Centre, The University of Sydney, Camperdown, NSW, 2050, Australia; 6School of Computing Technologies, RMIT University, Melbourne, VIC, 3000, Australia; 7School of Nursing, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, People’s Republic of China; 8Yangpu Hospital, School of Medicine, Tongji University, Shanghai, 200090, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Yuen-Shan Ho, School of Nursing, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, People’s Republic of China, Tel +852 2766-6410, Fax +852 2364-9663, Email janice.ys.ho@polyu.edu.hk Qiang-Qiang Fu, Yangpu Hospital, School of Medicine, Tongji University, Shanghai, 200090, People’s Republic of China, Tel + 86 021-6569 0520, Fax + 86 021-6569 6249, Email qiangqiang.fu@tongji.edu.cn
Abstract: Acupuncture and acupressure are widely used for managing self-reported impaired sleep quality and duration. However, outside East Asia, access is often limited due to a shortage of trained acupuncturists and minimal reimbursement under national health insurance systems, leading to treatment discontinuation or inaccessibility driven by “Financial Toxicity.” This prompts a critical yet underexplored inquiry: can advanced practice nurses serve as alternative providers to deliver acupuncture/acupressure for managing these common sleep complaints, thereby improving accessibility, expanding treatment coverage, and lowering consultation costs? This comprehensive mini-review synthesizes current evidence to assess the feasibility of this promising and innovative acupuncturist-nurse task-shifting paradigm and outlines key preparatory steps for its pilot implementation.
Keywords: traditional chinese medicine, TCM nursing, sleep disorder, sleep disturbance, insomnia, complementary and alternative medicine