THE ROLE OF THE FAMILY IN STROKE AND STROKE PREVENTION

中风是非裔美国人发病和死亡的主要原因 老年人。这项试点将收集有关这一关系的初步数据 在家庭结构和功能测量与L之间)控制 相对高危人群中的卒中危险因素 2)新发卒中患者的功能结局和家庭适应 病人。我们假设年长的少数族裔个体拥有更多 完整的家庭社会、心理和经济结构将能够 主要通过卓越实现中风风险因素的改善 他们接受的医疗护理和自我指导的过程 健康改善战略。将进行两项具体调查 承担了。 其中第一个将是对存在的横断面评估 卒中高危患者卒中危险因素的控制 因为存在高血压或糖尿病或两者兼有 这些条件。第二项调查将集中在最近的一起事件上- 中风组的个人，并将评估中风对 非裔美国老年人及其家庭的功能调整。这个 这项调查的总体目标是导致 随后可能会评估的特定干预措施 效率作为工具，使家庭成员能够加强中风预防 为市中心和其他非裔美国老年人口制定的战略。

Stroke is a major cause of morbidity and mortality among African-American elderly. This pilot will collect preliminary data on the relationship between measures of family structure and function and l)control of several stroke risk factors in a population at relatively high risk for strike and 2)patient functional outcomes and family adjustment among new stroke patients. We hypothesize that elderly minority individuals with more intact family social, psychologic, and economic structure will be able to achieve improvement of stroke risk factors primarily through superior process of both the medical care which they receive and self-directed health improvement strategies. Two specific investigations will be undertaken. The first of these will be a cross-sectional evaluation of the presence and control of stroke risk factors among patients at risk for stroke because of the presence of either hypertension or diabetes or both of these conditions. The second investigation will focus on a recent post- stroke group of individuals and will evaluate the impact of stroke on the functional adjustment of African American elderly and their families. The overall goal of this investigation is to lead to the generation of specific interventions that may be subsequently evaluated for their efficiency as tools to enable family members to augment stroke prevention strategies for inner city and other African American elderly populations.