I have had about a 50/50 on people saying there is no need and a breather is fine and others say it must be hooked up. Since it is an easy fix I will but that is a good debate.
I dont know how your truck is running but mine had these problems:
Idle would be okay while the engine was warming up, after driving the idle would be all over the place and rough. After a little bit of driving it would stumble from a stop and hesitate to take off. Driving on the highway was affected too very little power until I would let off the throttle and the power would come back. If you held it to the floor it would just bog and slow down.
I rebuilt the quadrajet twice, converted to a Carter AFB (same as 1406 eddy) and then rebuilt that. I changed fuel pumps twice, replaced the intake with a brand new edelbrock performer 2 and ran a phenolic carb spacer because I thought it was vapor lock. At one point I even got it a brand new distributor, several sets of plug wires, new plugs.... I changed just about everything with no change in results.
My Dad seriously grabbed a pcv valve and some hose of his bench, plugged it in and it ran like it was fuel injected. We re adjusted the timing, changed the idle speed back where it should be and the thing ran a like it was brand new.
Absolutely no doubt in my mind the pcv missing caused all that!