背景:社交技巧訓練（social skill training）是目前精神醫療體系中應用最廣的治療理論，也是目前最普遍用來解決精神病人社交問題的方法。目的:本研究旨在探討社交技巧訓練介入，對住院精神分裂症患者溝通表達的成效。方法:本研究採類實驗單組前後測設計，以結構式問卷自2007年6月26日至2007年8月19日收集資料，內容包括人口學變項、溝通功能和社交技巧。研究對象為缺乏人際溝通技巧、退化行為，住院連續達3天，且注意力能夠持續超過30分鐘者，介入每週 2次，每次60分鐘的社交技巧訓練，為期一個月。結果:完成研究之病患共計8位，研究結果顯示研究對象在社交技巧訓練介入後，自我介紹、拒絕／被拒絕、借物／被借物、道歉及邀請／被邀請之社會功能表現上均呈現統計上的顯著差異（p < .01）。結　論／實務應用本研究顯示社交技巧訓練介入對住院精神症患者溝通表達有顯著成效，建議在臨床照護上能安排類似此訓練課程，促進病患之社會功能，提升其問題解決能力，使其重拾信心回歸社區。

It is also the most frequently employed approach to social problemsolving.
Purpose: The authors designed this study to investigate the effects of social skills training on expression and communication in hospitalized schizophrenic patients.Method: This study used a quasi-experimental design. Structured questionnaires collected data covering demographics,
communication functions and social skills. Data were collected from 26 June to 19 August, 2007. The eight participants enrolled all exhibited poor communication skills and withdrawal behavior in interpersonal relationships; had been hospitalized for three days; and were capable of paying attention for more than 30 minutes. Researchers administered
a 60-minute social skills training course intervention to participants two times a week for a one-month period.Results: A total of 8 valid responses were received, giving a response rate of 72.7%. Major findings after the intervention found significant differences in participant capacities to introduce themselves, reject and be rejected, borrow and
lend, apologize, and invite and be invited. Changes in such social functions exhibited statistically significant differences (p < .01).
Conclusion / Implication for practice: This study shows that social skill training intervention significantly affects schizophrenic patient communication skills. Such training courses can improve patient social functions and enhance problem solving abilities.