Objective To analyze and evaluate the positive psychological experience of stroke patients to provide reliable bases for their psychological nursing. Methods Chinese and English databases,such as PubMed,Web of Science,Embase,CINAHL,PsycINFO,CNKI,Wanfang Database,VIP,and CBM,were searched,and the literature on the qualitative research on the inner positive psychological experience of stroke patients was retrieved. The time limit of the retrieval was from the establishment to April 2021. The literature quality was evaluated using the 2016 Australian JBI Evidence-Based Health Care Center Quality Evaluation Criteria for Qualitative Research,and the results were consolidated using meta integration method. Results A total of 14 studies were included,and 65 results were extracted and summarized into 12 new categories,which were combined into 3 integrated results. （1）Positive coping attitude and psychology：accepting and adapting to stroke,feeling lucky and grateful,optimistic and positive to face the situation,strong spiritual strength,goals and hope for the future;（2）Positive changes after stroke：increasing health awareness,more intimate and harmonious interpersonal relationships,personal growth,new thinking about the philosophy of life;（3）Support factors of positive psychology;positive coping strategies at the individual level,social support from family,friends and peers,social support from the medical system. Conclusion Existing evidence suggests that patients with cerebral apoplexy after stroke will have a positive psychological experience and change. Nursing staff should pay more attention to the patient’s psychological state and the support of the positive psychology factors,meet their psychological needs,help patients strengthen social support system,and maintain a positive mental state,in order to promote patients to recover and improve the quality of life.