Mass concrete is widely used in large-scale projects, including metro upper cover structures, water conservancy dams, and heavy equipment foundations, among others, necessitating the process of health monitoring in mass concrete construction. The development of reliable and simple strength-monitoring methods for mass concrete is challenging because the inner temperature of mass concrete is high and changes a lot. This study proposes a strength-monitoring approach for mass concrete using barium titanate-bismuth ferrite/polyvinylidene fluoride (BT-BFO/PVDF) nanocomposite piezoelectric sensors, wherein the new sensors are embedded as actuators and sensors in mass concrete. The stress wave generated by the BT-BFO/PVDF piezoelectric sensors is used to monitor the specimen's strength for 28 days. The piezoelectric voltage received by the sensors in mass concrete is analyzed. The experimental results indicate that the signal received by the BT-BFO/PVDF sensors is not easily affected by the internal temperature of mass concrete compared with that of the traditional PVDF piezoelectric sensors. The signal parameters sensitive to concrete strength variation and the change trend of concrete strength are closely related to the piezoelectric voltage. Therefore, the proposed approach using BT-BFO/PVDF nanocomposite piezoelectric sensors is efficient (error < 10%) in mass concrete monitoring. Moreover, the monitoring results do not need temperature compensation. The physical meaning of the obtained strength prediction formula is proposed. An experimental system based on PVDF dynamic strain-sensing characteristics is established.