The comparison between the quality of life and its concepts in discharge and two months later, in the check team, indicated that the overall quality of life increased with 1.47 points in a range of 100, but this increase was not statistically significant. However, in the majority of the concepts, such as role limitations because of bodily fitness issues, role boundaries since mental issues, common psychic health, human functioning, physical functioning, and general health perception, it decreased significantly. In addition, in the vitality (energy/ fatigue) and bodily pain concepts of quality of life, no clear difference was observed. A study by Atlee et al. showed that the quality of life of the cases with permanent pacemakers decreased in mental and social concepts a month after the implantation of a pacemaker and, no significant difference was observed in the physical aspects . Furthermore, a study by Hashmi et al. indicated that the quality of life of patients with tracheostomy decreased after the implantation of a tracheostomy in the absence of a proper education , which was consistent in this research. Therefore, the results of this study and the mentioned studies indicated that chronic patients, such as patients with tracheostomy who only received routine training in health centers for self-care, experienced a decrease in the quality of life; hence, more attention needed to be paid regarding the training of these patients.