Provided are a propulsion device for a ship and a ship including the same. The propulsion device for the ship includes: a rear propeller fixed to a rotation shaft; a front propeller that is rotatably supported on the rotation shaft in the front of the rear propeller; at least one bearing interposed in at least one of spaces between a hub of the front propeller and the rotation shaft and between the rotation shaft and a ship body; and an inverse rotation unit that inverts rotation of the rotation shaft, transfers the inverted rotation to the front propeller and includes a gearbox that is accommodated in an installation space formed in a tail of the ship body in a state in which a plurality of gears for implementing inversion of the front propeller are embedded, wherein at least one measurement unit for measuring operating states of the at least one bearing is mounted to the rotation shaft.