Background Stroke is a leading cause of disability and death worldwide. Effective
rehabilitation interventions initiated early following stroke can enhance the recovery process
and minimize functional disability. Aim: was to determine risk factors of recurrence of stroke
episodes and evaluate the influence of lifestyle risk factors modification on patient's outcomes
and the frequency of stroke recurrence. Subject & methods: Research design: A Quasiexperimental
design was used. Setting: The study was carried out in out-patient clinic of
Neurology department, Shebin Elkom university hospital. Subjects: 86 stroke patients were
included. Tools of data collection: Three tools are used, a structured interviewing
questionnaire, Barthel index scale, physiologic measures. Results: the common risk factors
of recurrence of stroke were sex, age, active smoking, cholesterol level, and hypertension.
Clear improvement was noticed related to hypertension, blood glucose, cholesterol levels of
study group compared to controls at 3rd, 6th, 12th months. Significant positive effect of the
interventions was demonstrated immediately in terms of stroke knowledge immediately after
intervention and 3 months later. A significant improvement in function of daily activities at 3rd,
6th and at the end of one year of follow up. A significant relationship between study and
control group regarding occurrence of stroke episodes at the end of one year of follow-up < br />where, 4 cases of stroke recurrence (9.1%) were occurred among study group compared to11
cases(26.2%) for controls. Conclusion: identification of risk factors and its modifications is
urgent need for stroke patients. Appropriate tertiary stroke prevention needs adherence with
lifestyle risk factors changes that make important contributions for further reductions in stroke
occurrence. Recommendations: Nurses and allied health professionals should ensure that
they provide current, evidence-based information regarding lifestyle risk factors for recurrent
stroke to patients and their families. Tertiary prevention interventions should start immediately
after hospital patient's discharge.