Constructing Social Participation Pattern Personas for Older Men After Radical Prostatectomy: A Qualitative Study
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Published on: December 28, 2021
Yijuan Huang1, Jieru Zhou1, Yuzi Mao1
1Department of Urology, The First Affiliated Hospital of Wenzhou Medical University, Shangcai Village, Baixiang Subdistrict, Ouhai District, Wenzhou, Zhejiang, China.
Objectives:
To explore patterns of social participation among older men following radical prostatectomy and to construct distinct social participation personas based on their lived experiences.
Methods:
An interpretive phenomenological study was conducted at a tertiary hospital in Wenzhou, China, from July to October 2025. Using purposive sampling, 20 older men (≥60 years) who had undergone radical prostatectomy were recruited. Data were analyzed inductively using a phenomenological-thematic approach. The Society-to-Cells Resilience Framework was subsequently applied as an interpretive lens to contextualize the multilevel influences reflected in the findings. Patient personas were developed through cross-case comparison of the inductively derived thematic patterns.
Results:
A total of 20 participants were included. Five interrelated dimensions of postoperative social participation were identified inductively: postoperative symptoms, individual resilience construction, familial support and role cohesion, community resource utilization and integration, and social networks and resources. Cross-case comparison of these dimensions generated four social participation personas: Proactive Social Re-engagement, Symptom-Constrained Participation, Anxiety-Related Social Avoidance, and Family-Shaped Restricted Participation. Subsequent interpretation using the Society-to-Cells Resilience Framework highlighted the multilevel contextual influences reflected across these personas.
Conclusions:
This study developed four distinct social participation personas among older men after radical prostatectomy, providing a conceptual basis for understanding heterogeneity in postoperative social reintegration.
Implications For Nursing Practice:
These findings suggest that individualized, persona-based nursing approaches may help address the diverse psychosocial and functional needs of this population. Tailored strategies may promote effective social reintegration and improve quality of life in older men following radical prostatectomy.
