FACULTY OF NURSING SCIENCES,

The purpose of this study is to find out the Perceived challenges to Dietary compliance and glycemic control among patients with diabetes mellitus at the University of Benin Teaching Hospital school facilities. Three research questions are raised and one hypothesis was formulated and tested at 0.05 level of significant. The study will employ a cross-sectional survey design to examine perceived challenges to dietary compliance and glycemic control among diabetes patients at University of Benin Teaching Hospital from February, 2025 to March 2025. This comprises of patients that came to COPD of the UBTH for two months from February 2025 to March 2025. The Taro Yamane method was used in determining the sample size. The sample size was made up of 201. The research instrument was accessed by an expert, my supervisor and two lecturers from the Department of Educational management, Faculty of Education, University of Benin to examine the appropriateness of the research instrument. The instrument to be used for data collection was a questionnaire which is made based on the objectives of the study The obtained data was analyzed to ascertain the perceived challenges of Dietary compliance and glycemic control among patients with diabetes mellitus using descriptive statistics such as frequency, percentage, and mean deviation. The researcher also will use inferential statistics to give answers to the research questions while regression statistics will be used to analyze the stated hypothesis in the study.

This study aimed to assess the QoL and the level of dependency in Activities of Daily Living(ADL)among orthopedic patients. A descriptive cross-sectional survey was conducted on 88orthopedicpatients. Data were collected using a WHOQOL-BREF instrument and Barthel index. Themeanscores for individual items and the overall Grand Means were calculated for analysis. Theassessment revealed an overall moderate level of dependency in self-care practice(Grand Mean=2.01 on a 3-point scale, where 2.0 is the cut-of for moderate). Patients exhibitedthe highest dependency for tasks like Feeding and Bowel control (Mean=2.1), followedcloselybybathing, grooming, and transfers (Mean=2.0). The overall QoL was also rated as moderate(Grand Mean=3.08 on a 5-point scale). Patients demonstrated strong psychological resilience,with the highest score recorded for acceptance of bodily appearance (Mean=3.22). Conversely, QoL was significantly eroded by psychological and social burdens, with the lowest scores observed for negative feelings (anxiety, depression) (Mean=2.85) and satisfaction with sexlife(Mean=2.93). Furthermore, functional limitations regarding mobility (Mean=2.95) and pain interference (Mean=2.98) were identified as key physical constraints. Orthopedic patients maintain a moderate QoL despite significant emotional challenges and a reliance on assistance for daily needs. Clinical interventions must adopt a holistic approach, prioritising mental health support to address anxiety and depression, alongside specialized functional support for highly dependent tasks like feeding and bowel care to maximize patient independence. Keywords: perceived influence, self-care, practices, quality of life, patients, orthopaedic condition