Objective To systematically evaluate and integrate qualitative studies on the experiences of dignity-conserving care for di-sabled elderly people, and provide a reference for formulating personalized dignity-conserving care plans.Methods We conducted a systematic search across multiple biomedical databases including PubMed, Cochrane Library, Embase, Web of Science, CINAHL, CNKI, Wanfang Data, VIP Database, and SinoMed to identify qualitative studies addressing dignity-centered care experiences of functionally impaired elderly populations, covering literature from database inception through February 2025. Methodological qua-lity assessment was performed using the Joanna Briggs Institute （JBI） Critical Appraisal Tool for qualitative research, followed by evidence synthesis through Meta-aggregation approach to systematically integrate research findings.Results A total of 10 studies were included, 42 research results were extracted, 3 integrated results and 10 categories were synthesized. The integrated results included the maintenance of health and safety （physical health maintenance, safe aging environment, and personalized care needs）, respect and compassion （protection of privacy barriers, polite communication, emotional support, and empathetic responses）, and positive adjustment along with the preservation of self-dignity （realization of self-worth, social maintenance and needs, efforts to adapt and accept, and the maintenance of the right to self-determination）.Conclusion Institutions and caregivers should continuously improve the integration of medical and elderly care services, establish privacy protection, and standardize communication etiquette to safeguard the psychological well-being of disabled elderly individuals.This will help activate their sense of self-worth, promote age-appropriate social activities, respect their autonomy.Ultimately, dignity-conserving care should be elevated to a sustained and holistic practice-based care system.