A treatment monitoring belt and treatment monitoring mattress, the treatment monitoring belt comprising: a belt-shaped body (100) and at least one layer of a friction-based generator array (110) provided in the belt-shape body (100). The friction-based generator array (110) is composed of a plurality of friction-based generators (101-109) arranged in M rows and N columns, and is for sensing user physiological information and outputting a sensing electrical signal. The friction-based generators (101-109) have a first output end and a second output end. The first output ends of each row of the plurality of friction-based generators (101-109) are mutually connected, and are led out at first terminals (A1-A3). The second output ends of each column of the plurality of friction-based generators (101-109) are mutually connected, and are led out at second terminals (B1-B3). All M first terminals (A1-A3) and all N second terminals (B1-B3) form the output terminals of the friction-based generator array (110). The treatment monitoring belt and treatment monitoring mattress have a simple structure, stable performance, convenient operation, the signal thereof does not readily experience interference, and the invention monitors position accurately.