| Summary: | 碩士 === 亞洲大學 === 長期照護研究所在職專班 === 97 === Affected by the symptoms and negative symptoms during the residual phase, the chronic schizophrenic patients often encounter social difficulties and other personal communication problems. The researcher hope that the social skills training project based on cognitive behavior theory and the process of group learning will help the patients to improve their social skills and expression abilities. This would also be the research motive. The purposes of the research are (1) find out the effect of social skills and expression ability improvements for chronic schizophrenic patients who have taken the social skills training course. (2) find out if there exists significant progress in the patients’ expression ability, listening ability, and empathetic response after they have taken the social skills training course.
The research methods are mainly quantitative, while qualitative methods were also be adopted. We (the researcher) chose twelve patients as our trainees. They were all from a local hospital in the central area of Taiwan. The training group meets twice a week for 60 minutes, total for 8 times. A field trip was also held after 4 weeks the whole training course had been completed. To facilitate the efficacy assessment and data collection, the trainees were asked to take the communication competence scale test for 3 times, which were scheduled one week before the training course, the fifth week, and 1 weeks after the training course, respectively. Meanwhile, an open questionnaire was also taken as a follow-up feedback. By using the Wilcoxon signed rank test and other descriptive statistical tools, the result reveals the following: (1) In respect of social skills, the pretest-posttest and pretest-follow-up comparison have both the same p-value is 0.002, which is statistically significant at the 5% level. This also indicates that the trainees’ social skills had been improved obviously after the training course. (2) Regarding the expression ability, in the aspect of verbal ability, the pretest-posttest comparison’s p-value is 0.003, and the pretest-follow-up comparison’s p-value is 0.028; in the aspect of activity, the pretest-follow-up comparison’s p-value is 0.004; in the aspect of empathetic response, the pretest-follow-up comparison’s p-value is 0.021. The results above suggest that the training course can benefit the patients’ verbal ability and empathetic response. In the aspect of listening ability, the p-value implied it is not statistically significant at the 5% level, however, the trainees indeed showed slight progress after the training course. (3) According to the follow-up open questionnaire, most trainees felt satisfied with the training course. After onsite practice, they also thought these social skills were very helpful to their personal relationship.
Based on the research results, the researcher made conclusion and proposed several suggestions for further study in the future.
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