Objective To explore the effect of guided feeding management on feeding difficulties and nutritional status of children with cerebral palsy. Methods A total of 40 cerebral palsy children with feeding difficulties were divided into 2 groups depending on the either of the 2 wards they were admitted to. The control group received routine feeding management for feeding difficulties, while the intervention group was subjected to guided feeding management. The nutritional risk, feeding difficulty score, and weight for height Z-score (WHZ) were compared between the two groups before and 12 weeks into the intervention. Results The feeding difficulty scores of the intervention group were lower than those of the control group, while nutritional status and the gains in WHZ values in the intervention group saw more significant improvement than the control group (P<0.05, P<0.01). Conclusion Feeding management based on guided education can effectively lessen feeding difficulty of children with cerebral palsy, improve feeding efficiency of caregivers, and reduce the risk of malnutrition, thereby improving the nutritional status of children.