الفهرس 
Acknowledgement
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Abstract
ummary
Recurrent stroke is still frequent and has been associated with increased
mortality and functional dependence but this remains insufficiently explored.
The most rapid recovery after stroke with no residual effect usually remains
for the first three to four months after a stroke, but some survivors continue to
recover well into the first and second year after their stroke (Edwards et al.,
2018).
The primary goals of stroke recurrent prevention strategies are to reduce the
risk of recurrent stroke and providing information on stroke recurrence and
survival that is useful to assess the effect of preventive measure and risk factors
for recurrence and death. (Khanevski et al., 2019).
Education has a vital role in decreasing stroke recurrence and facilitating
successful self-management of this chronic disease (Clark et al., 2020).
The aims of the study were 2 folds: the first was to develop a pre discharge
nursing education for recurrence of stroke, the second was to evaluate the
impact of implementing pre discharge nursing education on recurrence of stroke.
To fullfill the aims of this study, the following research hypothesis was
formulated: Recurrence of stroke will be minimized among stroke patients who
will receive pre discharge nursing education (study group) than control group.
Quzi experimental Pre/ posttest research design was utilized to conduct this
study. To accomplish the aims; data were collected in the neurology deprtment
at Assiut Universitey Hospital. The sample size was (150) adult patients of both
sexes in the neurology deprtment at Assuit Universitey Hospital. Ages ranges 18
to 65 years.
The following tools were utilized for data collection; Tool (I): patient
assessment sheet, Tool (II): Cincinnati Pre-Hospital Stroke Scale (CPSS) (pre,
post), Tool (III): National Institutes of Health Stroke Scale (NIHSS)(pre, post)
pre discharge Nursing education for stroke patients on stroke recurrence.
Summary
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The main findings of the present study were:-
1) The mean age of patients was mean age of patients in control group was
( 9.52±54.46 ) years old and study group was (51.6±12.8) years old, more
than half of them were males in both control and study group.
2) The majority of the studied patients were married in both control and
study group (78.7%, 73.3%) respectively and live with family members.
3) As regard education it was found that the highest percentage was illiterate
(45.3%, 34.7%) respectively and non working (64.0%, 35.3%)
respectively in both control and study group.
4) The highest percentage of the studied patients have hypertension (68.0%,
66.7%) in both control and study group respectively and ischemic stroke
(64.0%, 74.7%) respectively.
5) As regard to stroke cause; the highest percentage cause was Lacunar
infract in both control and study groups (45.3%, 44.0%) respectively,
more than half of studied patient in both control and study groups had
impairment in the left side of the body.
6) The highest percentage of reported stroke risk factors in both control and
study groups were modifiable which were smoking (45.3%, 42.7%)
followed by obesity (42.7%, 36.0%) respectively, while the lowest
percentage reported in both groups were alcohol drinking (0.0%).
7) There was a statistical significance difference between the study and
control groups as regard patient’s stroke recurrence in post (3 and 6
month) after implementation of predisdharge nursing