Objective To investigate the levels of family function and selfmanagement behavior in stroke patients, and to explore the impact of family function on stroke recurrence. Methods A total of 243 stroke patients were investigated in terms of their family function and selfmanagement behaviors, then twoyear followups were conducted to determine patients′ outcomes and their family function was assessed again. Results The total APGAR score evaluating family funcion was 6.20±1.99 and selfmanagement behavior score was 143.30±7.22, showing significantly positive correlation between them (P<0.01). Multiple linear regression analysis indicated that family function was a predictor of selfmanagement behavior （P＜0.01）. Greater than sixty percent (61.32%) of the stroke patients had satisfactory family function, but 38.68% of them showed family dysfunction, with the recurrence rate being 2.17% and 11.59% respectively. The survival distribution of the patients who had satisfactory family function was significantly different from those with family dysfunction （P<0.01）. Conclusion A certain percentage of stroke patients have family dysfunction that affects their selfmanagement behaviors. Interventions for improving family function of the patient should be taken to enhance their selfmanagement agency, thus to prevent stroke recurrence.