Iran is located in one of the driest regions in the world, and water shortages are one of the most important bottlenecks in agricultural development. Water, as the most limiting factor of production, plays a significant role in this sector. Therefore, improving agricultural water productivity, food security, and sustainable food supply requires increasing water use efficiency, reforming the management structure, and optimizing water utilization. The experience of different countries in the field of water resources management indicated that implementing proper water management can largely mitigate the limitations and problems caused by water shortages. Therefore, systematizing the water allocation process and finding an optimal water resources management model is considered a strategic solution and a fundamental step towards achieving water security and sustainable development, especially in the agricultural sector. For this purpose, different plans, programs and models have been implemented in different regions, which sometimes overlap or interfere with each other. Among these, one of these frameworks is DPSIR. Given the importance of design a sustainable agricultural water resources management model using the DPSIR framework, Now, the question that arises here is how to choose a “sustainable model” from among the different models? Among all the possible models, which model is considered the best model for a region, province or country؟ The present study was a qualitative study in terms of its applied purpose and nature, which was identified using thematic analysis of the dimensions of the sustainable water management model. The statistical population of the research included experts and specialists in the water sector in Ilam province, who were selected using the snowball sampling technique and the required data were collected using semi-structured interviews. To validate and validate the findings and analyses, Guba and Lincoln's (2005) criteria of verifiability, transferability, credibility, and reliability were used. This study, after interviewing 16 experts in the field of water, classified qualitative codes based on the DPSIR framework using content analysis. The results obtained from qualitative content analysis in the open coding stage with MAXQUDA20 software were determined based on an in-depth, line-by-line review of interview texts and the extraction of signs, concepts, and sentences related to factors related to the sustainable agricultural management model. Of these 125 concepts extracted from the interviews in the form of open, axial, and selective coding, 10 codes were placed in the "driving force" component, 38 codes in the "pressure" component, 16 codes in the "situation" component, 24 codes in the "effects" component, and 37 codes in the "responses" component. In this study, the driving force index for sustainable agricultural water management was summarized into three major components: "institutional support" and "support". The pressure index puts pressure on water resources in the agricultural sector and disrupts the process of sustainable management of these resources. It can be categorized into five major components: social, economic, natural, infrastructural, and political. The components related to the "Status" index were categorized into four components: "development based on land planning", "aggregation of agricultural lands", "reform of macro policies and revision of national laws", and "cooperation and interactions at the national level". The "impacts" component refers to the consequences resulting from the implementation of sustainable water management options and solutions in the agricultural sector, which were categorized into three components: ecological, economic, and social. The components related to the "Response" index were classified into 6 components: "Increasing the productivity of production factors and resources in the agricultural sector", "Protection, organization and restoration of soil resources", "Increasing the income and economic power of agricultural producers", "Conservation, restoration and optimal use of water resources in the agricultural sector", "Integrated management and control of plant pests and diseases", and "Applied and continuous training". Based on the results of this research, the "pressure" component with social, economic and natural indicators exacerbates the unsustainable use of water resources and doubles the need for sustainable water management. It is obvious that analyzing the pressures in aquatic ecosystems will provide a deeper and more accurate insight into the causes of instability in ecosystems and will be very helpful in adopting management strategies. One of the most important "driving forces" for sustainable water management in agriculture is water pricing policy as a "support" component that enables sustainable water use by influencing consumer behavior. This policy is an economic tool for selecting optimal cropping patterns and an environmental tool for improving ecosystem sustainability that can prevent water waste and inefficient use. "Institutional support" is another driving force behind sustainable water management, which emphasizes the participation of users in decision-making, implementation, and maintenance of water resources projects. Regarding the situation factor, suggestions can be made such as consolidating agricultural lands and preventing land separation through inheritance law division, including deterrent fines for drilling unauthorized and illegal wells, and constructive dialogue and interaction between various stakeholders on the issue of water. "Impacts" are interrelated with sustainable water management, meaning that they can be both the results and consequences of implementing sustainable water management and can have an impact on this category. For example, employment, income and, most importantly, poverty reduction are among the economic consequences of sustainable use of agricultural water resources. Since these factors affect the driving force, pressure, status, and impacts, policy and governance measures such as conservation, restoration, and optimal utilization of agricultural water resources, protection, organization, and restoration of soil resources, and practical and continuous training can be considered as strategic measures to achieve sustainability in the use of water resources in the agricultural sector.