Heat or coolant temp related problems can be due to numerous issues such as bad ignition coils or module, bad cam/crank sensors, etc.. which may work fine when cold but fail when heated up in the engine bay due to high internal resistance. And those can cause the truck to lack power, stumble or stall, etc... but hard to pin down on older OBD-I systems. Other systems like the EGR or EVAP system also operate only when the engine is warmed up and may cause issues if not working properly.
I'd check the EGR and EVAP systems first given the age of the truck but it could indeed be other ignition issues. Make sure the EGR valve is operating/opening as it should when engine is warmed up and check the solenoid that controls it...also a fuse in the circuit. Clean out the EGR / manifold passages if needed...some techs use an old section of speedo cable or drive cable for a weed trimmer , etc..chucked into a drill for cleaning passages along with a solvent to loosen carbon crud ...a clogged passage may keep the EGR system from working as it should to lower combustion chamber temps which can in turn cause a rough engine/stumble.
Also check the EVAP system for leaks... a leak in the system can cause poor power, stumble, etc.. once the EVAP purge valve/solenoid opens as the engine is warmed up to operating temps. Locate the vacuum hose from the engine manifold or TBI unit to the EVAP purge valve and clamp it off or remove the hose/cap the vacuum nipple...road test to see if the truck runs better warmed up. If so, then check the EVAP lines/system for leaks.
Bad ignition related parts can also be an issue. If possible, check for weak spark with an inline/ visual spark tester on a few plugs once the engine warms up...compare to spark with a cold engine. If the spark looks weak, then perhaps test or replace the ignition module/coil and possibly the cam or crank sensor need to be tested for high resistance once warmed up. Not always easy to replicate a cold or hot engine condition though for testing but if possible, test under various engine temps.
Spark tester...
https://shop.advanceautoparts.com/p/dorman-conduct-tite-electrical-tester-in-line-spark-plug-checker-86579/22144233-p?c3ch=PLA&c3nid=22144233-P&c3apidt=23534110302&gclid=EAIaIQobChMI7cPx0pue1gIViSaGCh3jPwdrEAQYAiABEgIrqvD_BwE&gclsrc=aw.ds
http://easyautodiagnostics.com/gm/4.3L-5.0L-5.7L/distributor-mounted-icm-tests-1
http://troubleshootmyvehicle.com/gm/4.3L-5.0L-5.7L/how-to-test-the-crank-sensor-2
EGR and EVAP systems...
http://troubleshootmyvehicle.com/gm/4.3L-5.0L-5.7L/stuck-open-egr-valve-tests-1
http://arrc.ebscohost.com/searches?car_uuid=1031140&fa_uuid=64bf23dd-8d00-1ce5-b989-a8eb286ac873_25&filters%5Bservice_information_type_path_facet%5D=root%2Fmrt%2Fsit%2Fp5_repair&keywords=egr
http://arrc.ebscohost.com/searches?car_uuid=1031140&fa_uuid=64bf23dd-8d00-1ce5-b989-a8eb286ac873_20&filters%5Bservice_information_type_path_facet%5D=root%2Fmrt%2Fsit%2Fp5_repair&keywords=evap