"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.
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.
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).
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.