The increase in hospitalization costs and being far away from family and nosocomial infections has made looking after patients at home more welcomed . Tracheostomy represents the creation of a gap or valve on the trachea to provide an airway in patients with upper respiratory system obstruction caused by tumors of the larynx, thyroid, and esophagus. Larynx preservation is common in patients who require long-term intubation . In the lack of proper care, complications of tracheostomy include infection, tube duct obstruction due to lack of proper cleaning and accidental extubation of the tracheostomy tube . What should also be considered are the new circumstances in their lives, including an unpleasant change in their appearance and the limitations due to a tracheostomy. This group of patients may suffer from stress, low self-esteem, negative change in their appearance , difficulty in communicating effectively with others and isolation and, as a result, these can have an adverse effect on their quality of life .