Objective:To explore the effects of the 4C nursing model on pregnant women at advanced maternal age.Methods:A convenience sampling method was used to select 180 pregnant women at advanced maternal age who were receiving regular antenatal care and delivery at the Second Affiliated Hospital of Wenzhou Medical University from July 2022 to January 2024. The participants were randomly divided into the control group ( n=90) and the observation group ( n=90) using a random number table. The control group received routine care, while the observation group received the 4C nursing model in addition to routine care. Compare the scores of the Pregnancy Pressure Scale (PPS) and the Maternal Self-Management Scale between two groups of pregnant women at advanced maternal age before and after intervention.. Results:After the intervention, the scores for each dimension of the PPS in the observation group were lower than those in the control group. The scores for each dimension of the Maternal Self-Management Scale in the observation group were higher than those in the control group, with statistically significant differences ( P<0.05) . Conclusions:The 4C nursing model can reduce pregnancy-related stress and improve self-management ability in pregnant women at advanced maternal age.

Objective:To explore the effects of the 4C nursing model on pregnant women at advanced maternal age.Methods:A convenience sampling method was used to select 180 pregnant women at advanced maternal age who were receiving regular antenatal care and delivery at the Second Affiliated Hospital of Wenzhou Medical University from July 2022 to January 2024. The participants were randomly divided into the control group ( n=90) and the observation group ( n=90) using a random number table. The control group received routine care, while the observation group received the 4C nursing model in addition to routine care. Compare the scores of the Pregnancy Pressure Scale (PPS) and the Maternal Self-Management Scale between two groups of pregnant women at advanced maternal age before and after intervention.. Results:After the intervention, the scores for each dimension of the PPS in the observation group were lower than those in the control group. The scores for each dimension of the Maternal Self-Management Scale in the observation group were higher than those in the control group, with statistically significant differences ( P<0.05) . Conclusions:The 4C nursing model can reduce pregnancy-related stress and improve self-management ability in pregnant women at advanced maternal age.

Objective To investigate the status and related factors of chronic functional constipation in community elders.Methods Totally 892 elders of 11 communities at Lucheng district of Wenzhou from August 2013 to December 2015 were investigated by sample survey; methods as household survey, survey in community public health station and outpatient survey, etc. were used to develop a unified questionnaire to collect information. The chronic functional constipation was evaluated by Rome III diagnostic criteria, and statistical processing was analyzed by single-factor analysis and multi-factor logistic regression analysis.Results Totally 257 elders acquired functional constipation, and the morbidity was 28. 81%, and bowel movements were less than 3 times per week. Defecation laborious and poor stool were the main symptoms of functional constipation in elders. Independent risk factors of functional constipation in community elderly patients were: too much meat intake, few vegetables and fruit intake, drinking little water, few daily activities and depression (P<0.05).Conclusions Eating habits of partial fine diet fatness, little fiber and water intake, little exercise etc. and depression are closely related to chronic functional constipation in community elderly patients.