The invention discloses a monitoring type paper diaper capable of preventing excrement from adhering. The monitoring type paper diaper comprises a paper diaper body, an excrement cavity and a monitoring system, wherein the paper diaper body comprises a urination area and an excrement area; the excrement cavity is located in the position facing the anus, and the top of the excrement cavity is seamlessly connected with the paper diaper body; the excrement cavity comprises a sliding section and a collecting cavity, and an in-built waterproof cavity is arranged in the connection position of the sliding section and the paper diaper body; the monitoring system comprises a temperature sensor, a wireless output module, an alarming device and a mobile monitoring device, the temperature sensor is arranged in the waterproof cavity, the wireless output module is arranged in a casing of the temperature sensor, and the temperature sensor is in wireless signal connection with the alarming device and the mobile monitoring terminal through the wireless output module. The provided monitoring type paper diaper has the advantages of being simple in structure, convenient to use and easy to clean and can effectively prevent excrement from splashing, leaking and flowing backwards, accordingly, skin cannot be injured, the labor intensity of a nurse is reduced, and the paper diaper can monitor the urination and excrement conditions of a patient and give out an alarm.