Objective:To explore the effect of auricular acupoint pressure combined with collaborative nursing intervention for in-somnia patients after stroke.Methods:For retrospective analysis,insomnia patients diagnosed in a grade A hospital by doctors and scored in the Pittsburgh Sleep Quality Index scale were selected.The final sample size was 94 cases(from July 2022 to July 2023),and they were grouped according to different nursing methods,with 47 cases in each group.The control group used routine nursing care,while the observation group received collaborative nursing in addition to auricular acupoint pressure therapy.Sleep parameters were monitored using polysomnography,and Pittsburgh Sleep Quality Index(PSQI)and Brief Fatigue Inventory(BFI)scores were assessed before and after the intervention.Results:After nursing care,sleep duration significantly increased in both groups compared to pre-intervention(P<0.05),while sleep latency and wake time of the observation group were shortened(P<0.05).The observation group showed greater improvements in sleep duration,sleep latency,and wake time compared to the con-trol group(all P<0.05).PSQI and BFI scores also significantly decreased post-intervention in both groups(P<0.05),with the observation group achieving significantly lower scores than the control group(P<0.05).Conclusion:Collaborative nursing com-bined with auricular acupoint pressure for insomnia patients after stroke is relatively significant,which can significantly improve sleep quality of patients and reduce their fatigue feelings.