Person-centred care (PCC) in residential care facilities (RCFs) is valuable but creates challenges for care professionals balancing involvement and a partnership approach for residents while considering the health and safety outcomes of all residents. This review evaluates what is known about the substance use and misuse of residents living in RCFs and what is important to study in future research to enhance PCC, especially in cases in which residents wish to choose unhealthy behaviours. A scoping review was conducted and exclusion criteria were set. The included papers were assessed on methodological quality using the Mixed Methods Appraisal Tool and the results were qualitatively analysed. The included papers consisted of studies regarding alcohol, tobacco and illicit drugs. The results showed that care professionals are involved in facilitating and regulating alcohol and tobacco. The focus of the included papers is on alcohol and tobacco. Five of the 16 papers assessed the residents’ perspective. This review highlights the importance of incorporating the perspectives of residents, care professionals and the organisation to enhance PCC and enable residents to make shared and well-informed decisions in dialogue with care professionals. Future research should also assess the distinction between substance use and misuse, and how this affects implementing PCC in RCFs.

住宅护理设施 (RCF) 中以人为本的护理 (PCC) 很有价值，但在考虑所有居民的健康和安全结果的同时，为护理专业人员平衡居民的参与和伙伴关系方法带来了挑战。本综述评估了关于生活在 RCF 中的居民的物质使用和滥用的已知信息，以及在未来的研究中研究什么以增强 PCC 的重要性，特别是在居民希望选择不健康行为的情况下。进行了范围界定审查并设定了排除标准。使用混合方法评估工具对纳入的论文进行了方法学质量评估，并对结果进行了定性分析。收录的论文包括关于酒精、烟草和非法药物的研究。结果表明，护理专业人员参与了酒精和烟草的促进和管制。所收论文的重点是酒精和烟草。16 篇论文中有 5 篇评估了居民的观点。这篇评论强调了将居民、护理专业人员和组织的观点结合起来以增强 PCC 并使居民能够在与护理专业人员的对话中做出共享和知情决定的重要性。未来的研究还应该评估物质使用和滥用之间的区别，以及这如何影响在 RCF 中实施 PCC。护理专业人员和组织，以加强 PCC，并使居民能够在与护理专业人员的对话中做出共享和知情的决定。未来的研究还应该评估物质使用和滥用之间的区别，以及这如何影响在 RCF 中实施 PCC。护理专业人员和组织，以加强 PCC，并使居民能够在与护理专业人员的对话中做出共享和知情的决定。未来的研究还应该评估物质使用和滥用之间的区别，以及这如何影响在 RCF 中实施 PCC。