Objective To systematically evaluate the caregiving experiences among family caregivers of patients after ventricular assist device (VAD) implantation, so as to provide references for formulating supportive intervention strategies for this population.Me-thods Qualitative studies on caregiving experiences among family caregivers of patients after VAD implantation were searched using computer in PubMed, Web of Science, Cochrane Library, EBSCO, CNKI, Wanfang Data Knowledge Service Platform, VIP, and SinoMed from database inception to December 2024.The quality of the literature was evaluated using the JBI Center for Evidence-Based Healthcare′s criteria for qualitative research, and results were synthesized using the convergent integration method.Results A total of 14 studies were included, extracting 46 research findings, which were categorized into 10 groups and integrated into three comprehensive outcomes:stressors and burden experiences, coping strategies and adaptive growth, and social support with resource deficits.Conclusion Family caregivers of patients after VAD implantation report strong negative caregiving expe-riences.In the future,it is necessary to alleviate caregivers′ stressors, identify and reinforce their positive coping strategies to facilitate adaptive growth, and establish multi-level support networks and improve social medical insurance policies to meet caregivers′ suppor-tive service needs, thereby enhance their caregiving quality and overall well-being.