Objective To conduct a systematic review on the experience of symptom management in patients with heart failure. Methods We searched databases including PubMed, Embase, Cochrane Library, Web of Science, CINAHL, PsycINFO, CBM, CNKI, Wanfang and VIP to collect relevant qualitative studies from inception to August 2020.The literature was evaluated by using the JBI Critical Appraisal Tool for qualitative studies.Meta-synthesis was used to integrate results. Results A total of 10 studies were included, 33 complete outcomes were extracted, 9 new categories were summarized, and 2 integrated results were obtained:①patient′s perception of the symptoms experienced;②patients formed their own symptom management pattern. Conclusion Coexisting with symptoms, patients with heart failure keep accumulating experience in symptom management and gain self-growth through intervention and monitoring of symptoms. However, patients still lack knowledge and psychological support in the process of symptom management, and medical staff still need to target the weak points in symptom management, and further improve intervention strategies, in a bid to enhance patient′s symptom management capacity.