The present invention relates to a polyurethane foam dressing having excellent adhesive properties and a manufacturing method thereof, in which the polyurethane foam dressing has high capacities for absorption and retention of exudates so that it can be applied even to high-exudate wounds, and in which a hydrophilic adhesive is applied to the wound contact layer of the polyurethane foam dressing so that the foam dressing is advantageous for wound healing and is easily removed without causing pain. Specifically, the polyurethane foam dressing comprises a laminate of a sponge-like wound contact layer and a film-like protective layer, in which an adhesive layer is formed on the wound contact surface of the wound contact layer, wherein the adhesive layer consists of a hydrophilic adhesive composition comprising 100 parts by weight of a hydrophilic adhesive and 0.07-5 parts by weight of a binder.