The limitations of the study included individual differences and different reasons of the subjects, which could have an effect on learning how to take care of them. On the other hand, the probability of using mass media, including radio and television or other educational resources were other limitations of this study which were out of control for the researcher but they could happen in both groups. It is suggested that future studies should assess and compare the efficacy of other educational methods regarding the quality of life of tracheostomy cases, the effect of audio–video materials on the incidence of complications and readmissions in this group of patients, and the use of education videos on the quality of life of other patients.