Family Functioning in a Family Medicine Unit using the BAMI-Muñoz Instrument

Abstract

Objective: To evaluate family functioning in families by applying the BAMI-Muñoz Instrument. Methods: Observational, cross-sectional, and descriptive study in patients who saught medical attention at the General Hospital with Family Medicine Unit No. 12 in Lázaro Cárdenas Michoacán from January to June 2023. The sample was determined using the finite population formula, obtaining a sample of 342 participants (families). Families of patients over 18 years of age, men and women, who agreed to participate in the study with the prior signing of informed consent were included. The BAMI-Muñoz instrument of 35 items was applied, categorizing families into: functional, mildly dysfunctional, moderately dysfunctional, and severely dysfunctional, through six domains: problem-solving, communication, roles, affective involvement, affective responses, and behavior control. Results: 342 participants, average age 45 ±17 years, with a higher frequency of females. 61.99% of the families were functional, 34.21% presented mild dysfunction, 3.51% moderate dysfunction and 0.29% severe dysfunction. Regarding the dimensions measured, behavioral control was the most altered. In 89.18% the roles were fulfilled and in 92.11% there was an affective involvement. Conclusions: In this study, it was identified that most of the families studied were functional families, and in those that presented dysfunction, a greater impairment in behavioral control was observed.