This systematic review and meta-analysis aimed to evaluate the impact of narrative interventions on self-efficacy and self-management behaviors in patients with chronic diseases. We systematically searched EMBASE, the Cochrane Library, CINAHL, PsycINFO, China National Knowledge Infrastructure (CNKI), and PubMed from conception to 2025, supplemented by manual searches of reference lists. Randomized controlled trials (RCTs) assessing the effects of narrative interventions on self-efficacy or self-
