"ADAPTIVE SUSTAINABILITY" MODEL: A NEW APPROACH TO REDUCE READMISSION IN DEPRESSED PATIENTS

Depression is a common disorder with symptoms like reduced energy and interest,
feelings of guilt, difficulty in concentrating, loss of appetite, and thoughts of death and suicide. A
problem in the treatment of depressed patients is re-admission. The goal of this study is to evaluate the
effect of "adaptive sustainability" as a caring model on the readmission of depressed patients referred to
Razi Academic Hospital in Urmia 2015.
Materials & Methods: This experimental study, after the intervention, was conducted on 100 of the
depressed patients whom were randomly divided into two groups: control (n = 50) and intervention
(n=50). For the intervention group, 4 staged adaptive model of sustainability-demographic status of the
family, desensitization, collaboration and continuous monitoring- was conducted during 6 months while
standard care was carried out for the control group. The two groups were compared based on
readmissions within 6 months. To analyze the data, independent t test and chi-square tests were used.
Results: The results showed that during the 6 months implementation of sustainability model, 5 out of
47 patients in the intervention group readmitted while 13 out of 47 patients readmitted in the control
group (p˂0/05).
Conclusion: Implementation of adaptive sustainability model of care of depressed patients had a
positive impact on reducing readmissions. Therefore, we recommend that this model should be
implemented by health care providers to reduce readmissions of depressed patients.