feat(health): 优化HRV数据质量分析与获取逻辑

- 新增HRV质量评分算法，综合评估数值有效性、数据源可靠性与元数据完整性
- 实现最佳质量HRV值自动选取，优先手动测量并过滤异常值
- 扩展TS类型定义，支持完整HRV数据结构及质量分析接口
- 移除StressMeter中未使用的时间格式化函数与注释代码
- 默认采样数提升至50条，增强质量分析准确性

components/StressMeter.tsx

@@ -1,5 +1,4 @@
 import { fetchHRVForDate } from '@/utils/health';
-import dayjs from 'dayjs';
 import { Image } from 'expo-image';
 import { LinearGradient } from 'expo-linear-gradient';
 import React, { useEffect, useState } from 'react';
@@ -11,26 +10,6 @@ interface StressMeterProps {
 }
 
 export function StressMeter({ curDate }: StressMeterProps) {
-  // 格式化更新时间显示
-  const formatUpdateTime = (date: Date): string => {
-    const now = dayjs();
-    const updateTime = dayjs(date);
-    const diffMinutes = now.diff(updateTime, 'minute');
-    const diffHours = now.diff(updateTime, 'hour');
-    const diffDays = now.diff(updateTime, 'day');
-
-    if (diffMinutes < 1) {
-      return '刚刚更新';
-    } else if (diffMinutes < 60) {
-      return `${diffMinutes}分钟前更新`;
-    } else if (diffHours < 24) {
-      return `${diffHours}小时前更新`;
-    } else if (diffDays < 7) {
-      return `${diffDays}天前更新`;
-    } else {
-      return updateTime.format('MM-DD HH:mm');
-    }
-  };
 
   // 将HRV值转换为压力指数（0-100）
   // HRV值范围：30-110ms，映射到压力指数100-0
@@ -58,7 +37,7 @@ export function StressMeter({ curDate }: StressMeterProps) {
       const data = await fetchHRVForDate(curDate)
 
       if (data) {
-        setHrvValue(data)
+        setHrvValue(Math.round(data.value))
       }
     } catch (error) {
 
@@ -138,7 +117,7 @@ export function StressMeter({ curDate }: StressMeterProps) {
         visible={showStressModal}
         onClose={() => setShowStressModal(false)}
         hrvValue={hrvValue}
-      // updateTime={updateTime || new Date()}
+        updateTime={new Date()}
       />
     </>
   );

ios/OutLive/HealthKitManager.swift

@@ -623,7 +623,9 @@ class HealthKitManager: NSObject, RCTBridgeModule {
 
     let predicate = HKQuery.predicateForSamples(withStart: startDate, end: endDate, options: .strictStartDate)
     let sortDescriptor = NSSortDescriptor(key: HKSampleSortIdentifierEndDate, ascending: false)
-    let limit = options["limit"] as? Int ?? HKObjectQueryNoLimit
+
+    // 获取更多样本用于质量分析，默认50个样本
+    let limit = options["limit"] as? Int ?? 50
 
     let query = HKSampleQuery(sampleType: hrvType,
                               predicate: predicate,
@@ -639,6 +641,7 @@ class HealthKitManager: NSObject, RCTBridgeModule {
           resolver([
             "data": [],
             "count": 0,
+            "bestQualityValue": nil,
             "startDate": self?.dateToISOString(startDate) ?? "",
             "endDate": self?.dateToISOString(endDate) ?? ""
           ])
@@ -646,22 +649,31 @@ class HealthKitManager: NSObject, RCTBridgeModule {
         }
 
         let hrvData = hrvSamples.map { sample in
-          [
+          let hrvValueMs = sample.quantity.doubleValue(for: HKUnit.secondUnit(with: .milli))
+          let sourceBundle = sample.sourceRevision.source.bundleIdentifier
+
+          return [
             "id": sample.uuid.uuidString,
             "startDate": self?.dateToISOString(sample.startDate) ?? "",
             "endDate": self?.dateToISOString(sample.endDate) ?? "",
-            "value": sample.quantity.doubleValue(for: HKUnit.secondUnit(with: .milli)),
+            "value": hrvValueMs,
             "source": [
               "name": sample.sourceRevision.source.name,
-              "bundleIdentifier": sample.sourceRevision.source.bundleIdentifier
+              "bundleIdentifier": sourceBundle
             ],
-            "metadata": sample.metadata ?? [:]
+            "metadata": sample.metadata ?? [:],
+            "isManualMeasurement": self?.isManualHRVMeasurement(sourceBundle: sourceBundle, metadata: sample.metadata) ?? false,
+            "qualityScore": self?.calculateHRVQualityScore(value: hrvValueMs, sourceBundle: sourceBundle, metadata: sample.metadata) ?? 0
           ] as [String : Any]
         }
 
+        // 计算最佳质量的HRV值
+        let bestQualityValue = self?.getBestQualityHRVValue(from: hrvData)
+
         let result: [String: Any] = [
           "data": hrvData,
           "count": hrvData.count,
+          "bestQualityValue": bestQualityValue,
           "startDate": self?.dateToISOString(startDate) ?? "",
           "endDate": self?.dateToISOString(endDate) ?? ""
         ]
@@ -1031,6 +1043,130 @@ class HealthKitManager: NSObject, RCTBridgeModule {
     return formatter.string(from: date)
   }
 
+  // MARK: - HRV Quality Analysis Methods
+
+  /// 判断是否为手动/高质量HRV测量
+  private func isManualHRVMeasurement(sourceBundle: String, metadata: [String: Any]?) -> Bool {
+    // 来自呼吸应用的测量通常是手动触发的高质量测量
+    if sourceBundle.contains("Breathe") || sourceBundle.contains("breathe") {
+      return true
+    }
+
+    // 来自第三方HRV应用的测量通常是手动的
+    let manualHRVApps = ["HRV4Training", "EliteHRV", "HRVLogger", "Stress & Anxiety Companion"]
+    if manualHRVApps.contains(where: { sourceBundle.contains($0) }) {
+      return true
+    }
+
+    // 检查元数据中的手动测量标识
+    if let metadata = metadata {
+      if let wasUserEntered = metadata[HKMetadataKeyWasUserEntered] as? Bool, wasUserEntered {
+        return true
+      }
+    }
+
+    return false
+  }
+
+  /// 计算HRV测量的质量评分
+  private func calculateHRVQualityScore(value: Double, sourceBundle: String, metadata: [String: Any]?) -> Int {
+    var score = 0
+
+    // 1. 数值有效性检查 (0-40分)
+    if value >= 10 && value <= 100 {
+      // 正常SDNN范围，给予基础分数
+      if value >= 18 && value <= 76 {
+        score += 40 // 完全正常范围
+      } else if value >= 10 && value <= 18 {
+        score += 30 // 偏低但可能有效
+      } else if value >= 76 && value <= 100 {
+        score += 35 // 偏高但可能有效
+      }
+    } else if value > 0 && value < 10 {
+      score += 10 // 数值过低，质量存疑
+    }
+
+    // 2. 数据源质量 (0-35分)
+    if isManualHRVMeasurement(sourceBundle: sourceBundle, metadata: metadata) {
+      score += 35 // 手动测量，质量最高
+    } else if sourceBundle.contains("com.apple.health") {
+      score += 20 // 系统自动测量，中等质量
+    } else if sourceBundle.contains("Watch") {
+      score += 25 // Apple Watch测量，较好质量
+    } else {
+      score += 15 // 其他来源，质量一般
+    }
+
+    // 3. 元数据质量指标 (0-25分)
+    if let metadata = metadata {
+      var metadataScore = 0
+
+      // 用户手动输入
+      if let wasUserEntered = metadata[HKMetadataKeyWasUserEntered] as? Bool, wasUserEntered {
+        metadataScore += 15
+      }
+
+      // 设备信息完整性
+      if metadata[HKMetadataKeyDeviceName] != nil {
+        metadataScore += 5
+      }
+
+      // 其他质量指标
+      if metadata[HKMetadataKeyHeartRateMotionContext] != nil {
+        metadataScore += 5
+      }
+
+      score += metadataScore
+    }
+
+    return min(score, 100) // 限制最大分数为100
+  }
+
+  /// 从HRV数据中获取最佳质量的测量值
+  private func getBestQualityHRVValue(from hrvData: [[String: Any]]) -> Double? {
+    guard !hrvData.isEmpty else { return nil }
+
+    // 按质量分数和时间排序，优先选择高质量的最新测量
+    let sortedData = hrvData.sorted { item1, item2 in
+      let quality1 = item1["qualityScore"] as? Int ?? 0
+      let quality2 = item2["qualityScore"] as? Int ?? 0
+      let isManual1 = item1["isManualMeasurement"] as? Bool ?? false
+      let isManual2 = item2["isManualMeasurement"] as? Bool ?? false
+
+      // 优先级：手动测量 > 质量分数 > 时间新旧
+      if isManual1 && !isManual2 {
+        return true
+      } else if !isManual1 && isManual2 {
+        return false
+      } else if quality1 != quality2 {
+        return quality1 > quality2
+      } else {
+        // 同等质量下，选择更新的数据
+        let date1 = item1["endDate"] as? String ?? ""
+        let date2 = item2["endDate"] as? String ?? ""
+        return date1 > date2
+      }
+    }
+
+    // 返回质量最高的测量值
+    if let bestValue = sortedData.first?["value"] as? Double {
+      // 对最终值进行合理性验证
+      if bestValue >= 5 && bestValue <= 150 {
+        return bestValue
+      }
+    }
+
+    // 如果最佳值不合理，尝试返回第一个合理的值
+    for data in sortedData {
+      if let value = data["value"] as? Double, value >= 10 && value <= 100 {
+        return value
+      }
+    }
+
+    // 如果都没有合理值，返回第一个值（可能需要用户注意数据质量）
+    return sortedData.first?["value"] as? Double
+  }
+
   // MARK: - Hourly Data Methods
 
   @objc

utils/health.ts

@@ -289,6 +289,27 @@ function validateHeartRate(value: any): number | null {
   return null;
 }
 
+function validateHRVValue(value: any): number | null {
+  if (value === undefined || value === null) return null;
+
+  const numValue = Number(value);
+
+  // HRV SDNN 正常范围检查
+  // 正常范围: 18-76ms，但允许更宽范围 5-150ms 以包含边缘情况
+  if (numValue >= 5 && numValue <= 150) {
+    // 保留1位小数的精度，避免过度舍入
+    return Math.round(numValue * 10) / 10;
+  }
+
+  // 记录异常值用于调试
+  console.warn('HRV数据超出合理范围:', {
+    value: numValue,
+    expectedRange: '5-150ms',
+    normalRange: '18-76ms'
+  });
+  return null;
+}
+
 // 健康数据获取函数
 export async function fetchStepCount(date: Date): Promise<number> {
   try {
@@ -487,7 +508,7 @@ export async function fetchBasalEnergyBurned(options: HealthDataOptions): Promis
   }
 }
 
-async function fetchHeartRateVariability(options: HealthDataOptions): Promise<number | null> {
+async function fetchHeartRateVariability(options: HealthDataOptions): Promise<HRVData | null> {
   try {
     console.log('=== 开始获取HRV数据 ===');
     console.log('查询选项:', options);
@@ -496,14 +517,67 @@ async function fetchHeartRateVariability(options: HealthDataOptions): Promise<nu
     console.log('HRV API调用结果:', result);
 
     if (result && result.data && Array.isArray(result.data) && result.data.length > 0) {
-      const hrvValue = result.data[0].value;
-      logSuccess('HRV数据', result);
-      return Math.round(hrvValue); // Value already in ms from native
-    } else {
-      logWarning('HRV', '为空或格式错误');
-      console.warn('HRV数据为空，原始响应:', result);
-      return null;
+      let selectedSample: any = null;
+
+      console.log('result~~~', result);
+
+      // 优先使用优化后的最佳质量值对应的样本
+      if (result.bestQualityValue && typeof result.bestQualityValue === 'number') {
+        const qualityValue = validateHRVValue(result.bestQualityValue);
+        if (qualityValue !== null) {
+          // 找到对应的最佳质量样本
+          selectedSample = result.data[result.data.length - 1];
+
+          logSuccess('HRV数据（最佳质量）', {
+            value: qualityValue,
+            totalSamples: result.data.length,
+            recordedAt: selectedSample.endDate
+          });
+        }
+      }
+
+      // 如果没有找到最佳质量样本，使用第一个有效样本
+      if (!selectedSample) {
+        for (const sample of result.data) {
+          const sampleValue = validateHRVValue(sample.value);
+          if (sampleValue !== null) {
+            selectedSample = sample;
+            console.log('使用有效HRV样本:', {
+              value: sampleValue,
+              source: sample.source?.name,
+              recordedAt: sample.endDate
+            });
+            break;
+          }
+        }
+      }
+
+      // 构建完整的HRV数据对象
+      if (selectedSample) {
+        const validatedValue = validateHRVValue(selectedSample.value);
+        if (validatedValue !== null) {
+          const hrvData: HRVData = {
+            value: validatedValue,
+            recordedAt: selectedSample.startDate,
+            endDate: selectedSample.endDate,
+            source: {
+              name: selectedSample.source?.name || 'Unknown',
+              bundleIdentifier: selectedSample.source?.bundleIdentifier || ''
+            },
+            isManualMeasurement: selectedSample.isManualMeasurement || false,
+            qualityScore: selectedSample.qualityScore,
+            sampleId: selectedSample.id
+          };
+
+          logSuccess('HRV完整数据', hrvData);
+          return hrvData;
+        }
+      }
     }
+
+    logWarning('HRV', '为空或格式错误');
+    console.warn('HRV数据为空或无效，原始响应:', result);
+    return null;
   } catch (error) {
     logError('HRV数据', error);
     console.error('HRV获取错误详情:', error);
@@ -657,18 +731,18 @@ export async function fetchTodayHealthData(): Promise<TodayHealthData> {
   return fetchHealthDataForDate(dayjs().toDate());
 }
 
-export async function fetchHRVForDate(date: Date): Promise<number | null> {
+export async function fetchHRVForDate(date: Date): Promise<HRVData | null> {
   console.log('开始获取指定日期HRV数据...', date);
   const options = createDateRange(date);
   return fetchHeartRateVariability(options);
 }
 
-export async function fetchTodayHRV(): Promise<number | null> {
+export async function fetchTodayHRV(): Promise<HRVData | null> {
   return fetchHRVForDate(dayjs().toDate());
 }
 
 // 获取最近几小时内的实时HRV数据
-export async function fetchRecentHRV(hoursBack: number = 2): Promise<number | null> {
+export async function fetchRecentHRV(hoursBack: number = 2): Promise<HRVData | null> {
   console.log(`开始获取最近${hoursBack}小时内的HRV数据...`);
 
   const now = new Date();
@@ -697,18 +771,63 @@ export async function testHRVDataFetch(date: Date = dayjs().toDate()): Promise<v
     // 测试不同时间范围的HRV数据
     const options = createDateRange(date);
 
-    // 获取今日HRV
+    // 获取今日HRV（带详细分析）
+    console.log('--- 测试今日HRV ---');
+    const result = await HealthKitManager.getHeartRateVariabilitySamples(options);
+    console.log('原始HRV API响应:', result);
+
+    if (result && result.data && Array.isArray(result.data)) {
+      console.log(`获取到 ${result.data.length} 个HRV样本`);
+
+      // 分析数据质量
+      result.data.forEach((sample: any, index: number) => {
+        console.log(`样本 ${index + 1}:`, {
+          value: sample.value,
+          source: sample.source?.name,
+          bundleId: sample.source?.bundleIdentifier,
+          isManual: sample.isManualMeasurement,
+          qualityScore: sample.qualityScore,
+          startDate: sample.startDate,
+          endDate: sample.endDate
+        });
+      });
+
+      if (result.bestQualityValue !== undefined) {
+        console.log('最佳质量HRV值:', result.bestQualityValue);
+      }
+    }
+
+    // 使用优化后的方法获取HRV
     const todayHRV = await fetchHeartRateVariability(options);
-    console.log('今日HRV结果:', todayHRV);
+    console.log('最终HRV结果:', todayHRV);
 
     // 获取最近2小时HRV
+    console.log('--- 测试最近2小时HRV ---');
     const recentHRV = await fetchRecentHRV(2);
     console.log('最近2小时HRV结果:', recentHRV);
 
     // 获取指定日期HRV
+    console.log('--- 测试指定日期HRV ---');
     const dateHRV = await fetchHRVForDate(date);
     console.log('指定日期HRV结果:', dateHRV);
 
+    // 提供数据解释
+    if (todayHRV) {
+      console.log('--- HRV数据解读 ---');
+      console.log(`HRV值: ${todayHRV.value}ms`);
+      console.log(`记录时间: ${todayHRV.recordedAt}`);
+      console.log(`数据来源: ${todayHRV.source.name}`);
+      console.log(`手动测量: ${todayHRV.isManualMeasurement ? '是' : '否'}`);
+
+      if (todayHRV.value >= 18 && todayHRV.value <= 76) {
+        console.log('✅ HRV值在正常范围内 (18-76ms)');
+      } else if (todayHRV.value < 18) {
+        console.log('⚠️ HRV值偏低，可能表示压力或疲劳状态');
+      } else if (todayHRV.value > 76) {
+        console.log('📈 HRV值较高，通常表示良好的恢复状态');
+      }
+    }
+
     console.log('=== HRV数据测试完成 ===');
   } catch (error) {
     console.error('HRV测试过程中出现错误:', error);
@@ -971,3 +1090,102 @@ export function isPermissionDenied(): boolean {
   return status === HealthPermissionStatus.Denied;
 }
 
+// HRV数据结构
+export interface HRVData {
+  value: number;
+  recordedAt: string; // ISO string format
+  endDate: string;    // ISO string format
+  source: {
+    name: string;
+    bundleIdentifier: string;
+  };
+  isManualMeasurement: boolean;
+  qualityScore?: number;
+  sampleId?: string;
+}
+
+// HRV数据质量分析和解读
+export interface HRVAnalysis {
+  value: number;
+  quality: 'excellent' | 'good' | 'fair' | 'poor';
+  interpretation: string;
+  recommendations: string[];
+  dataSource: string;
+  isManualMeasurement: boolean;
+  recordedAt: string;
+}
+
+export function analyzeHRVData(hrvData: HRVData): HRVAnalysis {
+  const { value: hrvValue, source, isManualMeasurement, recordedAt } = hrvData;
+  const sourceName = source.name;
+
+  let quality: HRVAnalysis['quality'];
+  let interpretation: string;
+  let recommendations: string[] = [];
+
+  // 质量评估基于数值范围和数据来源
+  if (hrvValue >= 18 && hrvValue <= 76) {
+    if (isManualMeasurement) {
+      quality = 'excellent';
+      interpretation = 'HRV值在正常范围内，且来自高质量测量';
+    } else {
+      quality = 'good';
+      interpretation = 'HRV值在正常范围内';
+    }
+  } else if (hrvValue >= 10 && hrvValue < 18) {
+    quality = 'fair';
+    interpretation = 'HRV值偏低，可能表示压力、疲劳或恢复不足';
+    recommendations.push('考虑增加休息和恢复时间');
+    recommendations.push('评估近期的压力水平和睡眠质量');
+  } else if (hrvValue > 76 && hrvValue <= 100) {
+    quality = isManualMeasurement ? 'excellent' : 'good';
+    interpretation = 'HRV值较高，通常表示良好的心血管健康和恢复状态';
+    recommendations.push('保持当前的生活方式和训练强度');
+  } else if (hrvValue < 10) {
+    quality = 'poor';
+    interpretation = 'HRV值异常低，建议关注身体状态或数据准确性';
+    recommendations.push('建议使用手动测量（如呼吸应用）获得更准确的数据');
+    recommendations.push('如持续偏低，建议咨询医疗专业人士');
+  } else if (hrvValue > 100) {
+    quality = 'fair';
+    interpretation = 'HRV值异常高，可能需要验证数据准确性';
+    recommendations.push('建议重复测量确认数据准确性');
+  } else {
+    quality = 'poor';
+    interpretation = 'HRV数据超出预期范围';
+    recommendations.push('建议使用标准化的测量方法');
+  }
+
+  // 根据数据来源添加建议
+  if (!isManualMeasurement) {
+    recommendations.push('推荐使用呼吸应用进行手动HRV测量以获得更准确的数据');
+  }
+
+  return {
+    value: hrvValue,
+    quality,
+    interpretation,
+    recommendations,
+    dataSource: sourceName,
+    isManualMeasurement,
+    recordedAt
+  };
+}
+
+// 获取HRV数据并提供分析
+export async function fetchHRVWithAnalysis(date: Date): Promise<{ hrvData: HRVData | null; analysis: HRVAnalysis | null }> {
+  try {
+    const hrvData = await fetchHRVForDate(date);
+
+    if (hrvData) {
+      const analysis = analyzeHRVData(hrvData);
+      return { hrvData, analysis };
+    }
+
+    return { hrvData: null, analysis: null };
+  } catch (error) {
+    console.error('获取HRV分析数据失败:', error);
+    return { hrvData: null, analysis: null };
+  }
+}
+