The invention discloses a nursing sickbed and a safety monitoring system. The nursing sickbed comprises a bed body, bed legs and guardrails, and further comprises weight sensors, angle sensors, a control unit, a key unit, a communication unit, an alarm unit and a camera, wherein the weight sensors are arranged on the four bed legs; the guardrails include a left guardrail and a right guardrail; the left guardrail and the right guardrail are in shaft connection to the bed body; the plurality of angle sensors are arranged on parts of the shaft connection; the key unit is provided with a locked weight key and an initial weight key; and the weight sensors, the angle sensors, the alarm unit, the key unit, the communication unit and the camera are connected to the control unit. With the application the nursing sickbed, positional information of a patient can be monitored in real time and specific position of the patient on the bed can be accurately judged, so that displaced position of the patient on the bed can be timely judged out and monitoring information can be transmitted to a monitoring center in real time; and by virtue of the monitoring center, specific displacement situation of the patient can be mastered in the first time.