The aim of this single blinded study،survey the Iimpact of Videotape on Quality of life and Self efficacy in Tracheostomy Patient which Hospitalized in Amir Alam and Imam Khomeini Institute in Tehran. after obtaining written informed consent to Participate in the study, Participants set into two groups based on random block 5 ,the total number of samples is 80 and considering the loss, 45 People calculate for each group.inclusion criteria include: age above 20 years, Self-care ability, No history of mental problems, Lack of work and education in Health Centers. Exclusion criteria include absence of a willingness to cooperation ,exacerbate the situation and unable to cooperation.two group after received routine education from Medical Staff complete sf-36 and self efficacy Questionnaire. In the Intervention group, in addition to the regular training received from the Medical Staff, one tutorial CD with audio and video features, created by the Researcher, was given to the Patients.The CD content was teaching an introduction to Tracheostomy care, showing the Daily care a Tracheostomy Patients need including bathing, shaving, suction, replacing the bandage around Tracheostomy, cleaning Tracheostomy Tube, the Tracheostomy site infection symptoms, how to communicate with Others and presence in public. The Intervention group could watch the movie with no restrictions in terms of the number of times.2 month lather again two groups complete the Questionnaire and Data compare and analysis.