Wasfi Dhahir Abid Ali1, Semahir S Hameed2, Zehara A3, Luay Abdulwahid Shihab4,*
1Assistant Professor, Department of basic science, College of nursing, University of Basrah, Iraq
2,4Associate Professor, Department of basic science, College of nursing, University of Basrah, Iraq
3Professor, Department of basic science, College of nursing, University of Basrah, Iraq
*Corresponding author: Luay Abdulwahid Shihab, Associate Professor, Department of basic science, College of nursing, University of Basrah, Iraq; Email: [email protected].
Received Date: May 12, 2023
Published Date: June 15, 2023
Citation: Shihab LA, et al. (2023). The Lifestyle of Families Embracing an Autistic Person in Basrah City. Mathews J Nurs. 5(3):19.
Copyrights: Shihab LA, et al. © (2023).
ABSTRACT
This study was conducted at the Imam Hussein Center affiliated to the Imam Hussain Shrine in Basra, Republic of Iraq. The study aims to assess the lifestyle of families who embrace a person with autism, 48 family members who participated in the questionnaire were of different ethnicities and races, total Evaluation of the Questions regarding autistic person the results showed that Bad = (0–0.33), Moderate = (0.34–0.67), good = (0.68–1) Mean Score center and families gate a benefit from the center services and programs the minimized problems.
Keyword: Autism Family, Immam Al Hussin Center, Basrah Lifestyle.
INTRODUCTION
Autism Known as a neurodevelopmental disorder characterized by difficulties with social interaction and communication and by restricted and repetitive behavior [1] and associated with a combination of genetic and environmental factors [2]. Some interventions showed how to reduce symptoms and improve the ability of autistic people to function and participate independently in the community [3]. Autism is estimated to affect 24.8 million people as of 2015 [4]. In the 2000s, the number of autistic people worldwide was estimated at 1–2 per 1,000 people [5,6] pointed that maternal nutrition and inflammation during preconception and pregnancy influences fetal neurodevelopment. Intrauterine growth restriction is associated with ASD, in both term and preterm infants.
Autism may be underdiagnosed in women and girls due to an assumption that it is primarily a male condition [7]. As well as exposure to air pollution during pregnancy, especially heavy metals and particulates, may increase the risk of autism [8,9]. Evidence point to synaptic dysfunction as a cause of autism [10] also some rare mutations may lead to autism by disrupting some synaptic pathways, such as those involved with cell adhesion. Gene replacement studies in mice suggest that autistic symptoms are closely related to later developmental steps that depend on activity in synapses and on activity-dependent changes [11]. The study of Katarzyna et al., 2007 [12] provides support for stability of clinical diagnosis and syndrome expression in the second year and highlights advantages and limitations of the ADI-R and ADOS-G for diagnosing and documenting symptoms of ASD in infants. Regarding lifestyle of autistic children [13] concluded that increased fat composition in Egyptian autistic children with decreased muscle mass necessitates tailoring a specially designed food supplementation program to ameliorate the severity of autism symptoms. Autistic people, particularly natal females, had lower social identification with and more negative feelings about a gender group [14]. Their role complements that of parents. During school hours, school teachers are actually the first-respondent in cases of disasters or emergencies. They must be able to deal properly with health emergencies both in normal children, and those children with special health care needs [15].
MATERIAL AND METHODS
The current study was conducted at the Imam Hussein Center affiliated to the Imam Hussain Shrine in Basra which is affiliated with the Imam Hussain Shrine in the Holy Karbala. The study targeted families who embrace a person with autism to know the effect of the presence of the autistic on the family lifestyle from different aspects. To achieve the aim of the study, a household questionnaire was conducted that included demographic information and another one related to the effect of having an injured person on the family lifestyle. Statistical Package for Social Sciences (SPSS), version 26. Include Percentage (%) and correlation between the variables.
DISCUSSION OF RESULTS
A normal part of life is stress but families with autistic children can experience more stress than other families. They might feel stressed because they are coming to terms with a diagnosis and what it means for their child.
Autistic spectrum disorder (ASD) is a life-long condition. In recent years, there has been a rise in the number of children diagnosed with ASD and a greater recognition that parents need clear, accessible information communicated through different modalities [16].
Table 1. Questionnaire’score
Questionnaire' parts |
Number of questions |
Max. Score per question |
Min. Score per question |
Demographic information |
10 |
- |
- |
Family information regarding autistic person |
22 |
1 |
0 |
Total |
32 |
1 |
0 |
Table 2. Rating and scoring of the study of questionnaire.
Three (3) points Likert Scale |
|||
Evaluation |
|||
Likert Scale |
Interval |
Difference |
Evaluation |
1 |
0–0.33 |
0.33 |
Bad |
2 |
0.34–0.67 |
0.33 |
Moderate |
3 |
0.68–1 |
0.33 |
Good |
Table 3. Demographic Variables for Autistic children
Demographic Variables |
Variables Classes |
F |
Percent |
Sex |
Male |
31 |
65% |
Female |
17 |
35% |
|
Total |
48 |
100% |
|
Patient's age |
Less than 6 |
17 |
35% |
6–9 |
23 |
48% |
|
More than 9 |
8 |
17% |
|
Total |
48 |
100% |
|
Father's age |
Less than 30 |
7 |
15% |
30 and more |
41 |
85% |
|
Total |
48 |
100% |
|
Number of autistic person in family |
One |
38 |
79% |
Two |
10 |
21% |
|
Total |
48 |
100% |
|
Child's sequence |
First |
10 |
21% |
Second |
20 |
42% |
|
Third |
18 |
37% |
|
Total |
48 |
100% |
|
Father's education level |
College |
28 |
58% |
secondary |
14 |
29% |
|
primary |
6 |
13% |
|
Total |
48 |
100% |
|
Mother's job |
Employer |
26 |
54% |
housewife |
22 |
46% |
|
Total |
48 |
100% |
|
Family history |
yes |
42 |
88% |
no |
6 |
12% |
|
Total |
48 |
100% |
|
Relative marriage |
yes |
22 |
46% |
no |
26 |
54% |
|
Total |
48 |
100% |
|
Monthly income |
>million |
23 |
48% |
<million |
25 |
52% |
|
Total |
48 |
100% |
Table 4. Mean score and assessment of families lifestyle
N |
Min |
Max |
Mean score |
Ass. |
|
Q1 |
48 |
0 |
1 |
0.62 |
Moderate |
Q2 |
48 |
0 |
1 |
0.6 |
Moderate |
Q3 |
48 |
0 |
1 |
0.65 |
Moderate |
Q4 |
48 |
0 |
1 |
0.63 |
Moderate |
Q5 |
48 |
0 |
1 |
0.67 |
Moderate |
Q6 |
48 |
0 |
1 |
0.85 |
Good |
Q7 |
48 |
0 |
1 |
0.73 |
Good |
Q8 |
48 |
0 |
1 |
0.71 |
Good |
Q9 |
48 |
0 |
1 |
0.85 |
Good |
Q10 |
48 |
0 |
1 |
0.96 |
Good |
Q11 |
48 |
0 |
1 |
0.42 |
Moderate |
Q12 |
48 |
0 |
1 |
0.29 |
Bad |
Q13 |
48 |
0 |
1 |
0.21 |
Bad |
Q14 |
48 |
0 |
1 |
0.44 |
Moderate |
Q15 |
48 |
0 |
1 |
0.21 |
Bad |
Q16 |
48 |
0 |
1 |
0.98 |
Good |
Q17 |
48 |
0 |
1 |
0.71 |
Good |
Q18 |
48 |
0 |
1 |
0.96 |
Good |
Q19 |
48 |
0 |
1 |
0.96 |
Good |
Q20 |
48 |
0 |
1 |
0.25 |
Bad |
Q21 |
48 |
0 |
1 |
0.15 |
Bad |
Q22 |
48 |
0 |
1 |
0.87 |
Good |
Table 4 Evaluation of the Questions regarding autistic person.
Table 5. Overall assessment of families lifestyle
Assessment |
F |
% |
Bad |
3 |
6% |
Moderate |
23 |
48% |
Good |
22 |
46% |
Total |
48 |
100% |
Table 5 Evaluation of the Questions regarding autistic person.
Figure 1. Overall assessment of families lifestyle.
Table 6. Relationships between the lifestyle assessments with demographic variables
Demographic Variables |
Variables Classes |
Assessment |
Significant |
|||||
Bad |
Moderate |
Good |
Total |
X2 |
P–value |
Sig |
||
N |
N |
N |
N |
|||||
Sex |
Male |
3 |
14 |
14 |
31 |
1.79 |
0.4 |
Ns |
Female |
0 |
9 |
8 |
17 |
||||
Total |
3 |
23 |
22 |
48 |
||||
Patient's age |
Less than 6 |
2 |
7 |
8 |
17 |
|||
6–9 |
1 |
11 |
11 |
23 |
||||
More than 9 |
0 |
5 |
3 |
8 |
2.12 |
0.71 |
Ns |
|
Total |
3 |
23 |
22 |
48 |
||||
Father's age |
Less than 30 |
1 |
2 |
4 |
7 |
|||
30 and more |
2 |
21 |
18 |
41 |
1.71 |
0.42 |
Ns |
|
Total |
3 |
23 |
22 |
48 |
||||
Number of autistic person in family |
One |
3 |
17 |
18 |
38 |
|||
Two |
0 |
6 |
4 |
10 |
1.26 |
0.53 |
Ns |
|
Total |
3 |
23 |
22 |
48 |
||||
Number of children |
Second |
0 |
5 |
5 |
10 |
|||
Third |
2 |
12 |
6 |
20 |
||||
Fourth |
1 |
6 |
11 |
18 |
4.55 |
0.33 |
Ns |
|
Total |
3 |
23 |
22 |
48 |
||||
Father's education level |
College |
0 |
14 |
14 |
28 |
|||
Secondary |
3 |
5 |
6 |
14 |
||||
Primary |
0 |
4 |
2 |
6 |
8.82 |
0.04 |
S |
|
Total |
3 |
23 |
22 |
48 |
||||
Mother's job |
Employer |
0 |
13 |
13 |
26 |
|||
Housewife |
3 |
10 |
9 |
22 |
3.81 |
0.14 |
Ns |
|
Total |
3 |
23 |
22 |
48 |
||||
Family history |
yes |
3 |
19 |
20 |
42 |
|||
no |
0 |
4 |
2 |
6 |
1.16 |
0.55 |
Ns |
|
Total |
3 |
23 |
22 |
48 |
||||
Relative marriage |
yes |
1 |
7 |
14 |
22 |
|||
no |
2 |
16 |
8 |
26 |
6.92 |
0.04 |
S |
|
Total |
3 |
23 |
22 |
48 |
||||
Monthly income |
>million |
0 |
12 |
11 |
23 |
|||
<million |
3 |
11 |
11 |
25 |
2.96 |
0.22 |
Ns |
|
Total |
3 |
23 |
22 |
48 |
Table 6 Relationships between the lifestyle assessments with demographic variables for autistic person.
Family embracing children diagnosied of autistic spectrum disorder (ASD) experience caused feelings of distress and urgency to access care for the affected child. Ellen Giarelli et al.,2005 [17] concluded that parents have information and counseling needs that begin after they receive the diagnosis of ASD for their child and can address these needs with a standardized nursing intervention, the findings of Jean and Phil [18] findings suggest that partnership in the community setting is central to effective service delivery but is knowledge, skill and resource intensive.
The data of Wei et al., research [19] partially confirmed new philosophy of life, appreciation of life, relating to others, personal strength and spiritual change of post-traumatic growth in mothers of children with autism while the results show that the years of experience have an effect on perceived stress [20]. Research shows that parents Disabled children are more vulnerable to stress [21]. Confusion among the parents. They expressed confusion over the diagnosis due to inconsistence explanations given by various professionals. This could be due to the influence of cultural factor [22,23].
CONCLUSION
The study showed that lifestyle of families embracing person with autism and attend to Al–Emam Hussian center gate a benefit from the center services and programs the minimized problems.
ACKNOWLEDGMENTS
All thanks and gratitude to the officials of the Imam Hussain shrine and those who care for people with autism at the Imam Hussein Autism Center, Basra Governorate in the Republic of Iraq, and in particular Mrs. Intisar Riyad Abdul-Jabbar, Director of the Center.
REFERENCES