Objective To understand the experience of falls prevention self-management in community-dwelling older people, and provide a basis for carrying out targeted falls self-management intervention. Methods Literature search of English and Chinese databases for qualitative studies on older people′s experiences of falls self-management, with a search time frame from database creation to 1 August 2023. The JBI quality evaluation standards for qualitative research were used to evaluate the literature, and qualitative studies that met the evaluation standards were meta-integrated based on thematic analysis. Results A total of 8 studies were included. Thirty-four results were extracted, and summarized into 11 categories, and 4 research results were integrated:complex emotions and behaviors; facilitators of self-management behaviors for fall prevention; obstacles to self-management for fall prevention; psychological support and professional medical needs. Conclusion Community-dwelling older people have emotions and behaviors, and are faced with difficulties and challenges in the process of self-management for fall prevention. Medical staff should pay attention to their coping styles, inner experiences and needs, improve the medical and social support system, and promote self-management behaviors for fall prevention among the elderly in the community.